Category Archives: Labiaplasty after MTF Vaginoplasty

Labiaplasty for transgender surgery patient

Dr. Reed, What’s involved for a labiaplasty on a transgender MTF patient who already had a vaginoplasty.  Cheryl

Dear Cheryl,

The term labiaplasty is a very generalized term that specifically could relate to modifying or creating labia majora or minora.  But other details on your work list could include: vaginal depth, revising to opening or introitus to the vagina, revising unaesthetic scars, seeking to create symmetry between both sides, providing a clitoral hood and anterior commissure ()the junction at which in natal women the upper labia majora come together (at the vicinity of the clitoris).  There could be a request to remove a urethral spongiosum rest (a bulge along the urethra that swells when aroused), modifying the urethral opening.  A very complex potential list.  Best to meet with your transgender surgeon before scheduling in for surgery.

The good news is hopefully the heavy lifting has been done and every critique of concern can be addressed in one additional procedure.

Please see before and after pictures on our web-site


Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery Miami

6/1 - Patient presents with gaping introitus, labial laxity, no clitoral body, poorly defined labia minora. An upper pubic semi-circular skin resection scar represents attempt to tighten labia following original surgery.

Pre-op (before) labiaplasty picture

16/2 - Immediate status post-operatively (Reed Centre).

Post-op (after) labiaplasty picture




Vaginoplasty revision for camel toe

Dear Reed, Had SRS vaginoplasty a few years ago. Seems as though my labial cleavage comes up a lot higher than I think is normal.  Half way up my pubis.  Same for my clitoris, urinary opening and vaginal opening.  MaryAnne Dear MaryAnne, On a side view of natal female anatomy, the vulva is about 30…Continue Reading

Would like a labiaplasty, they’re too large

Dr. Reed,  My labia are too large I think.  Speaking about the labia minora and clitoral hood.. Can they be reduced fairly easily, and how much down time will I have.  Natalie Dear Natalie, We certainly have done a lot of labial reduction, and regardless of whom you select, very important to have the excessive labia…Continue Reading

Had prior vaginoplasty and has lost depth

Dear Dr. Reed, Have vaginal atresia. I am trying to call the office there and I have tried a couple of different phones but for some reason you guys can’t hear me. I am calling from the UK, not had a problem international before so not sure what is happening. You guys probably think I…Continue Reading

My labia majora droop just a little, easy to fix?

Dr. Reed, I look normal lying down, but when I stand my labia droops just a little.  Can this be tightened and how is this done? Michelle Dear Michelle, Looked at your photos and the technique we use is called a Y-V plasty.  This places the incision line at the under most area, and redundant…Continue Reading