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The labia minora are the skin structures that protect the entrance to the vagina. Sometimes women experience discomfort due to the length and symmetry of the labia and decide to correct aesthetic labial concerns. Discomfort may include:

  • Irritation during physical activity and intercourse
  • Appearance and fit of certain types of clothing and bathing suits
  • Declined self confidence


This surgery is designed to reduce the length of the labia minora and/or to correct asymmetry between one side and the other. After lengthy discussions regarding the individual desires of the patient, the excess tissue is excised using iris scissors. Care must be taken to not allow the inner and outer layers of the labia to separate. The skin edge is then meticulously sutured closed. The procedure typically takes about 1 ½ hours to complete.

G. Walton Smith, MD has been performing elective labiaplasty since 2006. Dr. Smith received his specialty training from Dr. David Matlock at the renowned Laser Vaginal Rejuvenation Institute of Los Angeles. After completing his certification, Dr. Smith opened the Laser Vaginal Rejuvenation Institute of Tennessee.

Dr. Smith continues to advance the techniques for correction of aesthetic labial concerns. “We took the principles inherit to the original laser technique and advanced them so we can obtain superior outcomes without having some of the negative effects of the laser,” notes Dr. Smith.

Reduction of Excess Prepuce

The prepuce is the skin that covers and surrounds the clitoris. Excess skin in this area can affect the appearance and fit of certain clothes and bathing suits. This surgery is typically performed at the same time as a labiaplasty if there is excess tissue involving this region. The removal of the excess skin involves an incision on either side of the clitoris but not directly over the clitoris. By removing extra tissue the skin more naturally drapes over the clitoris.


This is a surgical procedure to reconstruct the hymen. The hymeneal ring, or hymen, can be injured during an accident, from usage of tampons, or from vaginal penetration by consensual or non-consensual sex. The presence of an intact hymen can be extremely important for both social as well as psychological reasons.