Labioplasty is the procedure used to address issues with excess skin at the entrance of the vagina. This may be a product of normal development or after childbirth.
Apart from the obvious social embarrassment caused, commonly the procedure is also performed for discomfort with clothing and exercise, hygiene issues, and pain with intercourse.
It is a procedure with very successful outcomes and high patient satisfaction as not only is the look improved but also sensation.
Traditionally, the procedure involved literally a quick trim of the excess skin that was protruding and the raw edges oversewn with sutures. This I feel leads to risks of poor scarring and healing with unpredictable post-operative sensation. The more modern technique that I prefer to use removes excess skin from internally, thus preserving nerves and blood vessels to the natural external skin. This technique is more involved and time consuming but I feel provides much better outcomes in appearance and sensation.
I use dissolvable sutures throughout to avoid the discomfort of them being removed.