Most patients can resume light activity after two weeks, with more strenuous exercise typically avoided for 4–6 weeks after labiaplasty.
Labiaplasty is a surgical procedure designed to reshape or reduce the size of the labia minora.
We understand that intimate concerns can feel deeply personal. Our approach is consultation-led, respectful and entirely confidential — ensuring you feel informed, supported and comfortable at every stage.
Labiaplasty is a surgical procedure that reduces or reshapes the labia minora — the inner folds of skin surrounding the vaginal opening.
Patients may consider labiaplasty for:
Physical discomfort during exercise or intercourse
Irritation when wearing fitted clothing
Asymmetry
Changes following childbirth
Long-standing aesthetic concerns
The goal is not to create a standardised appearance, but to achieve a balanced, natural result that aligns with your anatomy and preferences.
For many patients considering labiaplasty, the gender of their surgeon matters. The prospect of discussing intimate concerns and undergoing an examination of a sensitive area can feel significantly more comfortable with a female clinician, and for many women this is the deciding factor when choosing where to be treated.
At 101 Harley Street, labiaplasty is performed by Dr Nicki Bystrzonowski, a female consultant surgeon with dedicated expertise in gynaecological and intimate surgical procedures. Dr Nicki brings a depth of clinical experience alongside a consultation approach that is unhurried, empathetic, and completely free of judgement. Many patients tell us that simply knowing their surgeon is a woman made them feel able to have the conversation they had been putting off.
Beyond the consultation, continuity of care matters. The same surgeon who listens to your concerns, assesses your anatomy, and plans your procedure is the surgeon who performs it. Your post-operative care is managed by the same clinical team throughout your recovery.
If you have been hesitant to seek advice about labiaplasty, we would encourage you to take the first step. A consultation with Dr Nicki is entirely private, completely confidential, and carries no obligation to proceed.
Your journey begins with a private consultation with a consultant surgeon.
During your appointment, we will:
Discuss your concerns and goals
Take a medical history
Perform a discreet clinical examination
Explain surgical options and techniques
Discuss anaesthetic choices
Outline risks and recovery
Labiaplasty at 101 Harley Street is performed in our state-of-the-art operating theatre, ensuring the highest standards of sterility, monitoring and patient safety.
There are different surgical techniques, including trim and wedge approaches. The most appropriate method will depend on your anatomy and desired outcome.
The procedure typically takes between one and two hours. Dissolvable sutures are used, and patients return home the same day.
We focus on safety, comfort, and natural outcomes. Every step of your journey is overseen by our clinical team to ensure you feel confident and informed.
| What’s Included in Your Treatment |
|---|
A comprehensive consultation with your specialist surgeon |
Pre-operative medical assessment and anaesthetic review |
State-of-the-art day-surgery facilities in our Harley Street clinic |
Procedure performed by an experienced consultant plastic or oculoplastic surgeon |
Post-operative care plan, including review appointments and healing support |
Patients seek labiaplasty for a range of reasons, and no single reason is more valid than another. At 101 Harley Street, we treat patients with both functional concerns and aesthetic goals, and our approach is the same regardless of your motivation: thoughtful, individualised care led by a female consultant surgeon in a confidential setting.
| Medical Labiaplasty | Cosmetic Labiaplasty | |
|---|---|---|
Primary reason | Physical symptoms affecting daily life | Aesthetic concerns about appearance |
Common concerns | Discomfort during exercise, irritation from clothing, pain during intercourse, hygiene difficulties | Natural anatomy, changes following childbirth, long-standing aesthetic concerns |
Goal of surgery | Relieve functional symptoms and improve quality of life | Achieve a result the patient feels comfortable and confident with |
NHS availability | Potentially, where clinical criteria are met | Not available on the NHS |
Surgical approach | Tailored to anatomy and symptoms | Tailored to anatomy and aesthetic goals |
At 101 Harley Street | Treated with the same care, discretion and clinical rigour as cosmetic cases | care, discretion and clinical rigour as cosmetic cases Treated with the same care, discretion and clinical rigour as medical cases |
It is common to have questions about a surgical procedure. Some key questions here that we receive from patients considering a Libiaplasty.
If you are looking for more general information about what happens from your first consultation to aftercare visit our Your Journey page to understand how we guide each patient through the consultation, surgery, and recovery process within our Harley Street surgical centre.
Labiaplasty is a surgical procedure that reduces or reshapes the labia minora, the inner folds of skin surrounding the vaginal opening. At 101 Harley Street, it is performed by Dr Nicki Bystrzonowski, a female consultant surgeon, under local anaesthetic with sedation or general anaesthetic. The procedure typically takes 1 to 1.5 hours and uses dissolvable sutures, meaning no suture removal is required. Patients go home the same day. There are different surgical techniques, including trim and wedge approaches, and the most appropriate method is selected based on your anatomy and desired outcome at consultation.
Labiaplasty may be available on the NHS in limited circumstances where there is significant functional impairment and where the patient meets specific clinical criteria. In practice, NHS provision for this procedure is very restricted and waiting times can be lengthy. Many patients choose to be treated privately at 101 Harley Street to access prompt care, a specialist female surgeon, and a fully confidential and supportive environment. Your treatment cost is confirmed at consultation and financing options are available.
Most patients take 1 to 2 weeks off work following labiaplasty at 101 Harley Street. Swelling, tenderness, and some bruising in the treated area are normal in the first week and settle gradually. Most patients return to normal daily activities after 7 to 10 days. Strenuous exercise, swimming, and sexual intercourse should be avoided during the initial recovery period. Full recovery is typically reached at 4 to 6 weeks, at which point most patients have returned to all normal activities.
Dissolvable sutures are used in labiaplasty and all incisions are made within the natural tissue of the labia. Scarring is generally minimal and, as healing progresses, becomes very difficult to detect within the natural contours of the anatomy. Your surgeon will discuss the expected healing process and provide full aftercare guidance at your pre-operative consultation.
Suitable candidates for labiaplasty are individuals who experience physical discomfort or aesthetic concerns related to the size or shape of the labia minora, are in good general health, and have realistic expectations about the outcome. Patients should ideally not be planning a pregnancy in the near future, as childbirth can affect the results of the procedure. Suitability is assessed individually at consultation with Dr Nicki at 101 Harley Street, who will take a thorough medical history, perform a discreet clinical examination, and advise on the most appropriate approach for your anatomy and goals.
Labiaplasty is performed under anaesthetic, so you will not feel pain during surgery. After labiaplasty, mild discomfort and swelling are normal and manageable with medication.
Most patients recover from labiaplasty within 1–2 weeks for daily activities, although full healing may take several weeks.
Yes, labiaplasty results are long-lasting. However, natural ageing and childbirth may affect tissues over time.
When performed carefully by an experienced surgeon, labiaplasty should preserve natural sensation. Risks of altered sensation are discussed during consultation.
At 101 Harley Street, labiaplasty consultations are consultant-led. Patients may request a male or female surgeon based on personal preference.
Labiaplasty is usually considered a private procedure unless there is a clear medical indication. This can be discussed during consultation.
Most patients can resume light activity after two weeks, with more strenuous exercise typically avoided for 4–6 weeks after labiaplasty.
At 101 Harley Street, patient satisfaction is at the heart of everything we do. Our reviews reflect the expertise of our consultants, the quality of our care, and the exceptional results our patients experience. From your first consultation to full recovery, our team is dedicated to providing a seamless, supportive and reassuring journey, something our patients consistently highlight in their feedback. Below you can see our verified google reviews. You can also see more reviews on Doctify.
Doctor Dan Wright is not only one of the kindest and nicest human beings you could ever meet he’s one of the most professional. At every stage of my procedure I felt reassured and in very safe hands. I would not normally post a review of anything that isn’t a restaurant or a barber but I felt compelled to here because my experience was so wonderful. Fantastic stuff. Brilliant.
I recently had surgery at 101 Harley Street and was impressed by the level of care and professionalism displayed by the entire team. I was greeted with friendly staff which immediately made me feel comforted, and this genuine care continued throughout the entire journey. I highly recommend this clinic to anyone seeking quality medical care.
Dr Dan and his team at 101 are exceptional. I was made to feel so comfortable and relaxed during my procedure and everything is done with the highest level of professionalism. Can’t recommend them enough!
Staff were all extremely kind and thoughtful all through the process. I always come away feeling like I’ve had the best chat with good friends over a delicious coffee in a gorgeous spot. And all the while… also leaving with healthier skin. I’ve loved working with Emma and Duncan and everyone else at 101!
I had a procedure recently at 101 and I’m so happy with how it went! The staff and the consultant were super friendly and made me feel safe and welcome. The results of my procedure are fantastic and I will recommend to all of my friends and family.
Our purpose-built operating theatre is designed to support a broad range of surgical procedures performed under local anaesthetic, intravenous sedation or full TIVA general anaesthesia. The space has been carefully configured to provide surgeons and anaesthetists with a safe, efficient and optimised clinical environment for ambulatory day-case surgery (ASA Grade I and II).
In addition to our operating theatre, we have two dedicated consultation and treatment rooms where pre-operative assessments, follow-up appointments and selected minor operative procedures are carried out in a discreet and professional setting.
The theatre itself is spacious, newly modernised and fully equipped to accommodate a wide spectrum of non-infectious surgical cases, ensuring both clinical excellence and patient comfort throughout your experience.
To understand what to expect before, during and after your procedure, we invite you to explore our dedicated Patient Journey page below.
Each member of our team of friendly, welcoming and highly skilled nurses and administrative staff has been individually chosen for their compassion, enthusiasm and dedication to providing our patients and medical staff with an unparalleled level of care.
Our surgery is located on Harley Street in Marylebone, London, within one of the world’s most prestigious and historic medical districts. Situated at 101 Harley Street, the clinic offers a discreet and refined setting in the heart of Central London, bringing together leading consultants, advanced facilities and personalised care.
We welcome patients from across the world, as well as patients travelling to London from across the UK and internationally for specialist medical, surgical and aesthetic treatments.
Our location benefits from excellent transport connections. Regent’s Park, Oxford Circus and Baker Street Underground stations are all within easy walking distance, while major London rail stations and international airports including Heathrow, Gatwick and London City provide convenient access for national and international visitors.
Whether you are travelling from within London or further afield, our Harley Street clinic provides a calm, professional environment designed to deliver exceptional care in one of the capital’s most respected medical locations.
