
Labiaplasty at 101 Harley Street led by an all female surgical team. Consultant care, privacy and compassionate support throughout your treatment journey.
Labiaplasty is a deeply personal procedure. For many women, the decision to pursue surgery is influenced not only by physical discomfort, but also by emotional wellbeing, body confidence and a desire to feel understood throughout the process. At 101 Harley Street, labiaplasty is delivered by an all female surgical team led by Consultant Plastic Surgeon Dr Nicki Bystrzonowski, supported by female nurses, theatre staff and a dedicated patient coordinator.
This all female approach is intentional. It reflects an understanding that intimate surgery requires not only technical expertise, but empathy, trust and a safe clinical environment where patients feel comfortable discussing sensitive concerns openly. This article explores what labiaplasty involves, why women choose the procedure and why having an all female team can make a meaningful difference to the patient experience.
Labiaplasty is a surgical procedure designed to reduce or reshape the labia minora, and in some cases the labia majora. Women may consider labiaplasty for functional, medical or aesthetic reasons. These can include discomfort during exercise, irritation with clothing, recurrent infections, difficulties with intimacy or dissatisfaction with appearance.
The labia vary naturally in size, shape and symmetry. There is no single definition of normal. However, when labial anatomy causes physical discomfort or emotional distress, labiaplasty can offer relief and restore confidence.
At 101 Harley Street, labiaplasty is approached with sensitivity and respect. Surgery is never about achieving an external ideal, but about addressing individual concerns and improving quality of life.

Women seek labiaplasty for a variety of reasons, often combining physical and emotional factors.
Common motivations include:
For many patients, these concerns have been present for years before seeking advice. A supportive and understanding consultation environment is therefore essential.

Labiaplasty involves one of the most intimate areas of the body. While surgical skill is paramount, the emotional experience surrounding the procedure plays a significant role in patient comfort and confidence.
An all female team can offer:
At 101 Harley Street, the decision to provide labiaplasty through an all female team reflects feedback from patients who value discretion, empathy and reassurance at every stage of their journey.

Dr Nicki Bystrzonowski is a Consultant Plastic Surgeon with extensive experience in female intimate surgery. Her approach to labiaplasty is precise, conservative and centred on preserving natural anatomy while addressing functional concerns.
During consultation, Dr Nicki takes time to understand each patient’s motivations and concerns. There is no pressure to proceed with surgery, and all questions are welcomed. Examination is conducted sensitively and respectfully, ensuring patients feel at ease throughout.
Surgical planning is highly individualised. The goal is to achieve comfort, symmetry and a natural appearance while minimising scarring and preserving sensation.

A labiaplasty consultation at 101 Harley Street is designed to be confidential, unhurried and respectful. The appointment begins with a private discussion about your symptoms, concerns and what has led you to consider surgery. Your medical history and general health are reviewed to ensure that any treatment recommendations are safe and appropriate.
If you are comfortable proceeding, a gentle examination of the labial anatomy is carried out. This allows the surgeon to assess individual anatomy and understand how it relates to your concerns. The examination is always performed with sensitivity and care.
Your surgeon will then explain the surgical options available, including the techniques that may be suitable for you, and how these aim to improve comfort, function or appearance. Recovery expectations, potential risks and realistic outcomes are discussed openly, ensuring you have a clear understanding of what surgery can and cannot achieve.
You will also have the opportunity to explore alternatives or to decide not to proceed at this stage. Patients are encouraged to take time before making a decision. Labiaplasty is an elective procedure, and feeling fully informed, comfortable and confident in your choice is essential.

Labiaplasty is usually performed as a day case procedure, either under local anaesthetic with sedation or under general anaesthetic, depending on individual preference and clinical considerations. The procedure is carefully planned to ensure patient comfort, safety and optimal outcomes.
During surgery, excess labial tissue is precisely removed or reshaped while preserving the natural contours and sensitivity of the area. Great care is taken to maintain balance and symmetry, with meticulous control of bleeding to help minimise swelling and bruising. Fine sutures are used to support discreet healing and promote a smooth recovery.
Surgical techniques are selected based on each patient’s anatomy and desired outcome. The overarching aim is always to achieve a natural, proportionate result that improves comfort and confidence without creating an artificial appearance.

Recovery following labiaplasty is usually straightforward but requires care and patience. Some swelling and tenderness are expected during the first one to two weeks, with discomfort gradually settling over several weeks. Most patients are able to return to desk based work within a few days, while strenuous exercise and sexual activity should be avoided until healing is complete.
Follow up appointments are arranged to monitor recovery and address any concerns. The all female nursing and clinical team remain available throughout, offering guidance and reassurance at every stage.
For many women, the benefits of labiaplasty extend beyond physical comfort. Patients often report increased confidence, reduced self consciousness and an improved sense of wellbeing. Feeling more comfortable in one’s body can have a positive impact on daily life, relationships and self esteem.
At 101 Harley Street, the emotional aspects of intimate surgery are recognised and treated with sensitivity. Patients are supported with dignity and compassion throughout their care.

What sets 101 Harley Street apart is not only surgical expertise, but the care model that surrounds it. Patients are supported by an all female surgical, nursing and theatre team, with consultant-led care provided throughout every stage of treatment. The clinic offers a discreet, calm environment where privacy, autonomy and clear communication are prioritised.
Each treatment plan is personalised, with continuity of care from first enquiry through to final follow-up. This approach ensures women considering labiaplasty feel informed, respected and supported at every step of their journey.
Labiaplasty can be performed for both functional and aesthetic reasons. Some patients seek surgery due to physical discomfort, irritation or difficulties with exercise or clothing, while others are concerned about appearance. Both reasons are valid and discussed openly during consultation.
When performed by an experienced surgeon using appropriate techniques, labiaplasty is designed to preserve natural sensation. Protecting nerve supply and maintaining natural anatomy are key priorities during surgery.
Initial swelling and tenderness usually settle within the first one to two weeks, with gradual healing continuing over several weeks. Most patients feel comfortable returning to normal daily activities relatively quickly, while following guidance on exercise and intimacy during recovery.
Incisions are placed carefully and closed with fine sutures to support discreet healing. Over time, scars typically fade and become minimally noticeable, blending naturally with surrounding tissue.
Discomfort is usually mild to moderate and well managed with prescribed pain relief. Patients often describe a feeling of soreness or swelling rather than significant pain, particularly in the early days after surgery.
A consultation allows you to discuss your concerns, anatomy and expectations in a confidential setting. Surgery is never rushed or pressured. Patients are encouraged to take time to decide and proceed only if they feel fully informed and comfortable.