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Swan Clinic Ginza
4F UK Building, 6-9-8 Ginza, Chuo-ku, Tokyo
Directions: 1-minute walk from Exit A2 of Ginza Station on the Tokyo Metro Ginza Line
Consultation appointments
Phone:(+81)03-3572-2622
Reception hours: 10:00 AM – 6:00 PM
Note: Currently, our clinic doesn’t have dedicated interpreters on staff. We kindly request that you either communicate in Japanese or arrange for your interpreter if translation services are needed.
What is labiaplasty?
ABOUT
Labiaplasty is a surgical procedure that involves removing excess labial tissue and reshaping the labia minora to achieve a more natural and aesthetically pleasing appearance of the female genitalia.
Due to the delicate nature of the labia minora, this procedure requires a high level of surgical skill. However, when performed with care, recovery is typically quick and scarring is minimal.
At Swan Clinic, we have performed over 8,100 cases, led by our female medical director, a board-certified plastic surgeon. We strive to provide meticulous, medically appropriate treatment while achieving natural and beautiful results.
All of our physicians are board-certified female plastic surgeons. We also collaborate with gynecologists and urologists to ensure functional and aesthetic satisfaction for our patients as they age.
Common Concerns About the Labia Minora
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SizeWe aim for a design that aligns with the patient’s wishes while remaining medically sound. -
AsymmetryIn some cases, it’s better to reduce both sides, while in others, addressing only one side suffices. We’ll recommend treatment for only the necessary areas. -
Irregular edgesWe design for a smooth and natural shape. -
DiscolorationBy excising the darkened areas, we can simultaneously address color and shape. Generally, the treated areas do not re-darken after excision.
Are you experiencing any of the following concerns with your labia minora?
- Noticeable protrusion or size issues
- Irregular or jagged edges that bother you
- Asymmetry in size or shape between the left and right sides
- Discoloration or pigmentation of the labia minora
- Tendency for debris accumulation, leading to odor concerns
- Occasional discomfort from urine contact
- Desire for aesthetic improvement before potentially needing care assistance
- Increased awareness of labial appearance after VIO hair removal
These are common concerns shared by many women. While it can be challenging to gauge what’s normal, please don’t hesitate to consult with us about any of these issues. We’re here to help you address your concerns confidentially and professionally.
- Why do labia minora enlarge?
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The size of the labia minora is primarily influenced by genetic factors and varies significantly among individuals.
However, it’s reported that various factors can contribute to their enlargement over time.
Studies suggest that labial hypertrophy may occur due to:
Physical stimulation, such as
– Stretching
– Atopic dermatitis
– Hormonal influences
– Lymphedema
– Childbirth
These factors have been associated with changes in the size and shape of the labia minora.
- What is considered abnormal?
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The size, shape, and color of labia minora vary greatly among individuals.
At Swan Clinic, we’ve leveraged our experience, having treated the highest number of cases in Japan, to conduct clinical research on the morphology of Japanese women’s external genitalia, including the labia minora. (This research was presented at the 2023 Japan Society of Aesthetic Surgery (JSAS) conference.)
According to our statistical data, the average size of labia minora in Asian women is 1.4 cm, with about 30% having labia minora exceeding 2 cm. Additionally, for 60% of women, the labia minora are concealed when the legs are closed. Those with labia extending beyond this might be considered to have larger than average labia (Study sample: 722 individuals).
Our clinic is unique in conducting this type of clinical research. The findings we’ve presented at conferences are now used as a reference by doctors across Japan when performing labiaplasty procedures.
Enlarged labia minora can cause various issues, including discomfort from rubbing against underwear, itching and moisture buildup when wearing pads, as well as occasional pain. Additionally, smegma, a secretion that can accumulate between the labia majora and labia minora, may decompose and lead to unpleasant odors.
Labiaplasty at Swan Clinic
HOW TO
At Swan Clinic, we achieve a natural-looking result by using a V-shaped incision technique when suturing. This approach prevents the thickening at the sutured edges, ensuring a more aesthetically pleasing outcome.
At Swan Clinic, we perform labiaplasty by making a V-shaped excision at the edge of the labia minora and suturing the two sides together. This technique prevents thickening of the edges, resulting in a natural appearance as if the labia were always small.
Furthermore, we use absorbable sutures and employ an intracuticular suturing technique, which leaves no visible stitches on the surface. This method eliminates the risk of visible scarring that can occur when sutures dig into the skin.
In general, most clinics perform labiaplasty by making a straight cut at the edge of the labia minora. As a result, when suturing both sides together, the edges can become thick and unnatural-looking,which may result in an unattractive appearance.
Moreover, these clinics often use superficial sutures that can dig into the tissue. This may leave visible scars even after the stitches are removed. Consequently, while the overall size of the labia may be reduced, there’s a risk of an uneven or irregular final appearance.
Five Benefits of Labiaplasty at Swan Clinic
Short Surgery Duration
Prolonged surgeries can increase the risk of bleeding, tissue edema, and infection, all of which are undesirable outcomes.
While the average duration for gynecological procedures is typically reported to be 60 to 90 minutes, our clinic stands out by typically completing the procedure within just 30 to 40 minutes. This efficiency is due to our extensive experience with a high volume of cases and precise surgical technique, which minimizes unnecessary tissue damage. As a result, we offer a minimally invasive procedure that reduces potential complications.
Significantly Reduced Bleeding
Patients who undergo surgery at our clinic experience postoperative bleeding for an average of 5 days. In contrast, bleeding typically persists for about two weeks after the procedure at other clinics, with some cases extending up to a month. Prolonged bleeding not only delays healing but also causes ongoing discomfort.
At our clinic, we minimize bleeding both during and after surgery. This approach allows our patients to undergo the procedure with minimal disruption to their daily lives. By minimizing bleeding, we help ensure a more comfortable recovery process and a quicker return to normal activities.
Minimized Pain and Swelling
Patients who undergo surgery at our clinic experience significantly less postoperative pain, and this has been reflected in our positive reviews. In many hospitals, it typically takes about a week for patients to be free from post-surgical pain, with some experiencing significant discomfort, especially during the first few days after surgery.
However, patients at our clinic report remarkably low pain levels. On a scale of 0 (no pain) to 10 (extreme pain), our patients rate their pain at an average of 1.8, even on the day of surgery and the day after, which are typically considered the most painful. Additionally, the average duration of pain medication use is only 2.7 days, indicating significantly less pain than at other clinics.
Unless particularly sensitive to pain, most patients can return to work the day after surgery. While swelling typically lasts about a month at other clinics, our patients report an average of just 5 days of noticeable swelling. This rapid recovery after surgery is one of the major benefits of our approach.
Exceptionally Low Rate of Revision Surgeries
Some patients seek revision surgery after labiaplasty due to dissatisfaction with the results. In some clinics, the revision rate can be as high as 30%. However, at Swan Clinic, since our opening, only 0.2% of our patients have undergone revision surgery. This means 99.8% of our patients, as of December 1, 2022, are satisfied with their results after just one procedure.
Surgery Possible During Menstruation
Most clinics refuse to perform gynecological plastic surgery during menstruation. This is because menstrual blood can mix with surgical bleeding, potentially masking excessive bleeding from the surgical site and delaying its detection.
However, at Swan Clinic, we can perform surgery even during menstruation. This is due to our track record of minimal bleeding and the fact that we have never experienced a case of excessive bleeding or hematoma. Our confidence in our techniques allows us to offer this option to our patients.
This flexibility is particularly beneficial for patients traveling from afar, including overseas. Even if you unexpectedly start your menstrual cycle upon arrival, we can proceed with your surgery as scheduled.
It’s worth noting that this approach is unique and showcases our clinic’s advanced techniques and safety record in labiaplasty procedures.
Treatment Process at Swan Clinic
FLOW
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step 01Consultation
Upon arrival at our clinic, you’ll be asked to fill out a specialized questionnaire designed for gynecological plastic surgery. This allows us to gather detailed information about your concerns.
We understand that many patients find it challenging to openly discuss sensitive issues during a face-to-face examination with a doctor. Our comprehensive questionnaire is designed to ensure that the physician can understand all your concerns, even the most minute details, without you having to verbalize them directly.
During the examination, we conduct precise measurements of the area (including length and color assessment using a colorimeter) to thoroughly evaluate your condition. For those who wish, we offer the option of capturing images of the external genitalia using an iPad. We can then discuss the necessity of surgery and potential design options by drawing directly on these images.
Our clinic doesn’t have a communal waiting area. Instead, you’re immediately guided to a private room upon arrival, ensuring you generally won’t encounter other patients.
Additionally, our staff members have personal experience with gynecological plastic surgery procedures. This enables us to provide empathetic support and address any anxieties you may have before and after the surgery with genuine understanding. -
step 02Payment
All procedures at our clinic require payment in advance.
We offer medical financing options for your convenience. With our financing plans, you can receive treatment for as little as 4,800 yen per month, with payment terms extending up to 84 months.
Please feel free to inquire about the details of our financing options. We’re happy to discuss payment plans that best suit your needs. -
step 03Surgical Procedure
Specialized leg supports are used during surgery. These supports have a soft yet sturdy structure that gently cradles the legs from the knee down, minimizing strain on the lower limbs. This design further minimizes the risk of complications such as nerve damage to the lower extremities.
During the procedure, the lower body is exposed, which can result in cooling. However, the cover portion of our supports wraps around the legs, keeping them warm throughout the surgery. Notably, this equipment is both expensive and large, typically only found in facilities specializing in gynecological plastic surgery.
After the surgery, the physician will directly discuss the intraoperative findings with you prior to discharge. This allows you to ask any questions or voice any concerns about the procedure or recovery. -
step 04Aftercare
We conduct a follow-up via LINE (a messaging app) 10 days after the surgery. It’s natural for everyone to feel anxious post-surgery, and this service allows you to easily ask questions about even minor concerns without visiting the clinic in person.
This service was born from our staff’s desire to support our patients closely during their recovery period. Swan Clinic is unique in offering this type of follow-up care in the field of gynecological plastic surgery.
Recommended for
RECOMMEND
- Experiencing pain or discomfort when riding a bicycle or wearing jeans
- Feeling pain in the genital area when sitting or when compressed by underwear
- Being told by a partner that the labia minora are large
- Becoming self-conscious about genital appearance after childbirth
- Concern about visible contours when wearing swimwear or underwear
- Urine splashing during urination
- Pain during intercourse due to the labia minora getting pulled in
- Asymmetry of the labia minora
- Concerns about darkening, moisture buildup, or odor in the labial area
- Labia protruding beyond underwear
- Labia minora extending beyond the labia majora and appearing wrinkled
- Desiring to improve genital appearance in preparation for potential future care
F.A.Q.
FAQ
- Is hospitalization necessary?
- You can return home the same day.
- What is the typical size of the labia minora?
- The size of the labia minora varies from person to person. For Asian women, as a general guideline, it’s considered average if they extend slightly beyond the labia majora.
- Will the labia minora get bigger again after labiaplasty?
- There’s no need to worry about that. You can rest assured it won’t happen.
- How long do we need to take off work?
- This procedure doesn’t put much strain on your body, so if you have a desk job or do household chores, you can typically return to work the next day. However, taking two days off would be ideal for peace of mind.
If your job involves standing for long periods or working outside, it’s best to take 2-3 days off and rest properly. This will help speed up your recovery process. - Will the surgery affect sexual sensation or cause any problems during intercourse?
- While there may be some temporary numbness after the procedure, this surgery doesn’t risk damaging any nerves. As the incision heals, you’ll regain your normal sensation. There’s no need to worry about long-term loss of feeling or sexual dysfunction.
- I’m worried about pain during the surgery.
- At our clinic, we typically perform the procedure under intravenous anesthesia. This means you won’t feel any pain from start to finish.
- Will this affect my ability to give birth?
- This procedure doesn’t affect the function of the vagina, which is what’s involved in childbirth. So there’s no need to worry about it impacting future deliveries.
- Can you remove the dark discoloration on the labia minora?
- Yes, it’s possible to improve this. During the labiaplasty procedure, we can remove the areas with noticeable dark pigmentation.
Case Photos
CASE PHOTO
You can view the case photos here
Procedure Details
DETAILS
| Duration | 30-60 minutes |
|---|---|
| Anesthesia | Typically intravenous sedation, so you’ll be asleep during the procedure. (May vary based on medical history.) We also provide anesthesia to manage post-operative pain. |
| Pain | Subsides within 3 days to 1 week after surgery. |
| Swelling and Scarring | Scars are minimal. Swelling and redness vary by individual but usually resolve within 1-2 weeks. |
| Pace of Hospital Visits | For one-day procedures (no sutures): No follow-up visit is required. |
| Medication | You’ll receive a 3-day oral medication (antibiotics and pain relievers) and a topical ointment. |
| Showering and Bathing | You can take showers starting the day after your procedure. However, please avoid baths as soaking in warm water may prolong swelling. For one-day procedures (without sutures), avoid baths for 2 weeks. For procedures with sutures, please wait 1 month before taking a bath. |
| Sexual Activity | For one-day procedures (without sutures), you can resume sexual activity after 2 weeks. For procedures with sutures, please wait 1 month before resuming sexual activity. (Please note that healing time, pain levels, and recovery periods can vary from person to person. These guidelines may change based on your post-operative progress.) |
| Post-Operative Care | On the day of your procedure, avoid long periods of walking. Once you’re home, rest as much as possible and avoid touching the treated area unnecessarily. You can typically return to regular desk work the next day, but we recommend using Exparel alongside your other pain medication for better pain management. |
Pricing Information
PRICE
| Labiaplasty | with Suture Removal (Unilateral) |
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| with Suture Removal (Bilateral) |
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| with No Suture Removal (Unilateral, One-Day Procedure) |
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| with No Suture Removal (Bilateral, One-Day Procedure) |
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Number One in Japan for Gynecological Plastic Surgery Procedures
Director of Swan Clinic Ginza
Specialist of the Japan Society of Plastic and Reconstructive Surgery
Ph.D. in Medicine
- Education and Career
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- 2006 Graduated from Keio University School of Medicine
- 2008 Joined the Department of Plastic and Aesthetic Surgery, University of Tokyo Hospital
- 2012 Appointed Director of Otsuka Cosmetic Plastic Surgery Clinic, Chiba
- 2017 Appointed Director of Shonan Beauty Clinic, Matsudo
- 2019 Appointed Director of Shonan Beauty Clinic, Akasaka-Mitsuke
- 2020 Obtained Ph.D. in Medicine
- Qualifications
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- Active Member of Japan Society of Aesthetic Plastic Surgery (JSAPS) and Japan Society of Aesthetic Surgery (JSAS)
- Board Certified Plastic Surgeon by Japan Society of Plastic and Reconstructive Surgery / Ph.D. in Medicine
- Part-time Lecturer, Department of Plastic and Aesthetic Surgery, Saitama Medical University International Medical Center
