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Labiaplastyquiet comfort, handled with discretion
Labiaplasty reduces and reshapes excess labial tissue to relieve irritation, discomfort, and self-consciousness. It is a personal decision, and it begins with a private, unhurried consultation with Dr. Lenny.

What Labiaplasty Is and What It Addresses
The labia are the folds of soft tissue on either side of the vaginal opening, and they vary naturally in size and shape from one woman to the next, sometimes even from one side to the other. Genetics, puberty, childbirth, aging, and injury can all stretch or enlarge them. Labiaplasty reduces and reshapes excess tissue in the labia minora, the inner folds, so they sit more comfortably and look more balanced.
Most often the goal is to shorten inner labia that protrude past the outer folds, where the exposed tissue can rub, pull, or feel tender. The procedure is precise, conservative work, and the result should look and feel natural rather than obviously altered.
“My aim with labiaplasty is comfort and ease, a result a patient feels every day and no one else ever needs to know about.”
Why Women Consider It
Women come to labiaplasty for reasons that are as much practical as cosmetic. Enlarged labia minora can chafe during exercise, cycling, or sex, tug uncomfortably in fitted clothing or swimwear, and make everyday activity a low-grade nuisance. Some patients notice changes after childbirth; others have simply had extra tissue since puberty.
Alongside the physical relief, many describe wanting to feel at ease in their own body again, without the self-consciousness that first brought them in. Both reasons are valid, and neither needs to be justified. Dr. Lenny treats the conversation with the same discretion he brings to every part of the visit.
Am I a Good Candidate?
Good candidates are healthy adults who are bothered by the size or shape of their labia and who have a clear, realistic sense of what surgery can change. If you smoke, Dr. Lenny will ask you to stop well before your procedure, since smoking slows healing. If you are pregnant or planning a pregnancy in the near future, it usually makes sense to wait, because childbirth can reshape the area again.
The most reliable way to know is a private consultation. Dr. Lenny will examine you, listen to what is bothering you, and give you an honest read on whether the procedure fits your goals. If it is not the right choice for you, he will tell you that too.
How Dr. Lenny Approaches the Surgery
Dr. Lenny founded the Aesthetic Surgery Center in Coral Gables in 1989, and across decades in practice his aesthetic has stayed consistent: natural, proportional results and a calm, unhurried manner. As a board-certified plastic surgeon, he treats labiaplasty as the delicate, individualized work it is. There is no single template. The right plan depends entirely on your anatomy and on what you actually want to change.
Labiaplasty is an outpatient procedure, so you go home the same day. It is most often performed under local anesthesia, sometimes with light sedation for comfort, and general anesthesia is an option in certain cases or when the surgery is combined with another procedure. The surgery itself is usually finished within about an hour, and Dr. Lenny closes with fine dissolvable sutures, so there is nothing to remove later.
Trim or Wedge: Choosing the Technique
The trim method removes excess tissue along the edge of the labia minora and can also reduce darker pigmentation at the border. It is the most widely used approach and produces a clean, predictable edge. The wedge method removes a pie-shaped section from the middle of the labia and brings the edges together, which preserves the natural border and its original color.
Neither technique is better in the abstract. Dr. Lenny will explain which one suits your anatomy and goals, and why, during your consultation, so the choice is made together and with a clear understanding of the tradeoffs.
Recovery, Results, and the Next Step
Most women take it easy for about a week and manage any soreness with ice and over-the-counter medication. Swelling and tenderness are normal at first and ease gradually, with the bulk settling over roughly six weeks. Desk work is often comfortable within a few days, while strenuous exercise, cycling, and intimacy generally wait until you are further along in healing. Dr. Lenny will give you specific guidance on hygiene, activity, and timing based on how you are recovering.
The change most patients describe is felt as much as seen: relief from irritation, ease in clothing and activity, a more balanced appearance, and a quieter kind of confidence. Because this is personal work, the best measure of success is simply how you feel day to day. To talk it through in private, call the office at 305-444-8585, Monday through Friday, 8am to 5pm, and schedule a consultation with Dr. Lenny.
Frequently asked questions
Is labiaplasty painful?
Most women report soreness rather than sharp pain, and it is well controlled with ice and over-the-counter medication. Local anesthesia keeps the procedure itself comfortable. Any tenderness tends to ease over the first week as swelling goes down.
Will I have visible scars?
The incisions follow natural tissue lines and are closed with fine dissolvable sutures, so scarring is usually minimal and well concealed. How your skin heals is individual. Dr. Lenny will go over what to expect for your anatomy at your consultation.
How soon can I get back to work and exercise?
Many women return to desk work within a few days and resume light activity after about a week. More strenuous exercise, cycling, and intimacy usually wait until you are further along in healing, often around four to six weeks. Dr. Lenny will give you a timeline based on your recovery.
Will labiaplasty change sensation or affect intimacy?
The procedure reshapes the labia minora and is not intended to reduce sensation. Many patients actually find intimacy more comfortable afterward once the pulling and irritation are gone. Dr. Lenny will discuss your specific anatomy and goals privately before surgery.
What is the difference between the trim and wedge techniques?
The trim method removes tissue along the edge of the labia and can also reduce darker pigmentation there. The wedge method takes a section from the middle and preserves the natural border and its color. Dr. Lenny recommends the approach that best fits your anatomy.
Is it done under local or general anesthesia?
Labiaplasty is usually performed under local anesthesia on an outpatient basis, sometimes with light sedation for comfort. General anesthesia is an option in certain cases or when the procedure is combined with another surgery. Either way, you go home the same day.
How long after childbirth should I wait?
It is generally best to wait until you have finished having children and your body has fully recovered from delivery, since pregnancy and childbirth can change the area again. If you are planning a pregnancy soon, Dr. Lenny will usually suggest holding off until afterward.
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The name Miami trusts to keep it natural.
For more than three decades, Dr. Leonard A. Roudner has built a singular reputation across South Florida: breast surgery that reads unmistakably natural, and an unhurried chair-side manner the editors, executives, and public figures in his Coral Gables waiting room have come to expect.
Board-Certified Plastic Surgeon. Diplomate of the American Board of Plastic Surgery. Member of ASPS and ASAPS, with hospital privileges at Baptist Hospital and South Miami Hospital. Since founding the Aesthetic Surgery Center in Coral Gables in 1989, Dr. Lenny has devoted his career to one pursuit: natural, beautiful breast surgery, and the personal, unhurried care behind every result.




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550 Biltmore Way, Suite #890
Coral Gables, FL 33134
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