Pubic mound reduction
The female intimate zone is a sensitive area and varies greatly from woman to woman. This can be seen, for example, in the labia minora, which in some women are completely covered by the labia majora and in others are very pronounced and protrude significantly or even hang down. Many women find the latter in particular unpleasant and disturbing. Some feel so strongly that they avoid intimacy with their partner or refrain from wearing clothing such as bikinis because of the feeling of shame. It is also not uncommon for long labia to cause discomfort due to friction with clothing such as pants or pain when riding a bicycle.
With a surgical reduction, it is possible to optimize the size and shape of the labia minora according to your wishes, compensate for congenital asymmetries and thus help you to achieve a more positive body image and new self-confidence. As a specialist in plastic and aesthetic surgery, Dr. Nichlos is the right person to talk to. Make an appointment now by telephone for a no-obligation consultation at our practice in Frankfurt!
Labia reduction (labiaplasty) is a surgical procedure to reduce the labia minora or – in rare cases – the labia majora. The aim of labiaplasty is to improve a woman’s physical well-being and alleviate any discomfort caused by the labia majora.

Dr. Emmanouil Nichlos has specialized in labia minora reduction for over 17 years and has extensive experience in aesthetic genital surgery.
With great sensitivity and precise technique, Dr. Nichlos achieves aesthetic results and improved physical well-being. During the healing phase, patients who have recently undergone surgery receive personalized care, and Dr. Nichlos is available at any time, even around the clock, if needed.
The labia minora can change visibly with age (e.g. during the menopause) or due to factors such as pregnancy, childbirth and weight fluctuations, becoming increasingly slack, starting to sag and eventually appearing longer. However, labia that are too large usually appear during puberty, when the labia begin to grow in the same way as the breasts.
Regardless of the cause, many women find it unaesthetic and feel uncomfortable with their intimate area if the labia minora protrude too far between the labia majora and/or hang down limply and therefore look for ways to correct this.
However, aesthetics is only one reason why women want labiaplasty surgery. Due to the labia being too large, they often also suffer from physical discomfort such as unpleasant chafing when wearing tight clothing and during sport, are unable to take part in certain sports such as horse riding or cycling or experience pain during intimate contact with their partner. Skin irritation and recurring inflammation can also occur.
Depending on the findings and your individual wishes, various methods are available for labiaplasty, which we would like to briefly introduce to you here.
With this method, Dr. Nichlos removes the excess tissue below the clitoris with precise incisions. The incision is made in an arc from the lower base of the labia minora upwards, which gives a very attractive and natural result. In most cases, this simple labiaplasty is sufficient to alleviate discomfort and make you feel comfortable with your intimate area again.
In some patients, the clitoral hood (clitoral hood) is too pronounced in addition to the labia minora, so that correction by removing the excess tissue is also desired here. Using a sophisticated cutting technique that requires a great deal of experience and dexterity, Dr. Nichlos removes the tissue so precisely that an aesthetic overall appearance is achieved at the end of the procedure and the sensitivity of the clitoris is fully preserved.
3D labia reduction is a new intimate surgery procedure to reduce the size of the labia minora. Basically, the labia minora are first reduced through precise incisions and the clitoral hood is tightened. This special method also involves moving the clitoris downwards. This is useful if the clitoris is visibly protruding below the clitoral hood. With the 3D Reduction Labiaplasty, Dr. Nichlos can correct this and create a harmonious intimate area. Here too, the sensitivity to touch is fully retained.
If you would like a labiaplasty, we would be happy to invite you to a consultation at our practice in Frankfurt. Here, Dr. Nichlos will welcome you for a personal consultation and talk to you about your reasons and wishes. It is particularly important to the specialist in aesthetic and plastic surgery to find out what problems your labia are causing you.
Following a physical examination, Dr. Nichlos will present you with possible treatment methods for labiaplasty that will best meet your expectations or alleviate your symptoms. The specialist will then explain the procedure to you and what you should pay attention to before and after. He will also inform you about the possible risks associated with a procedure such as labiaplasty. Dr. Nichlos will also answer any questions you may have about the cost of treatment.
If you decide to undergo labiaplasty, we will arrange an appointment for you to come to the Berger Clinic in Frankfurt. Here, Dr. Nichlos uses modern operating theatres to guarantee you the highest possible quality of treatment.
Do you have any questions of your own or is there something on your mind that you feel uncomfortable about? You can be completely open during your consultation. Dr. Nichlos puts discretion first, especially in a sensitive area such as intimate surgery.
Dr. Nichlos performs the routine procedure on an outpatient or short inpatient basis (with an overnight stay in the clinic) and either under local anaesthetic or twilight sleep/general anaesthetic. You should allow about one hour for the operation itself.
After induction of anaesthesia and careful disinfection of the surgical area, the surgeon begins to remove the excess tissue from the labia with precise incisions. If desired, he can also perform a clitoral hood lift and/or move the clitoris a little further down for a harmonious overall appearance.
Finally, Dr. Nichlos stops the bleeding and sutures the wounds with self-dissolving stitches so that they do not need to be removed later. If the procedure is performed on an outpatient basis, you can leave the clinic immediately afterwards. Please have someone else accompany you and drive you if necessary, as your ability to drive may be impaired by the anesthesia.
Take sufficient time to recover after labiaplasty so as not to impair the healing process. You can shower the very next day, but you should not use soap or shower gel in the genital area, only tap water. Sitz baths are also recommended. You can do this twice a day for three to five minutes each time for the first few days, preferably with a lukewarm camomile solution.
To support healing, you can apply a wound ointment to the affected areas. During this time, please wear sanitary towels, loose-fitting underwear and loose-fitting clothing that does not irritate your genital area. Refrain from sexual intercourse and sport, especially horse riding and cycling, for the following 6 weeks.
In order to monitor wound healing, a follow-up check is usually carried out in our practice in Frankfurt after two weeks and, if necessary, in the following months. We will discuss the details of the follow-up appointments with you on the day of the operation.
Labia reduction is considered a comparatively minor procedure in intimate surgery that is associated with few risks. General surgical risks such as post-operative bleeding, wound healing disorders or infections are rare if the procedure is carried out professionally under the strictest hygiene standards.
Following the operation, however, some patients may experience temporary slight swelling, redness, pain or loss of sensation, which will subside during the healing process. You can support this process by carefully cooling the area. Please also note our further information on aftercare.
In very rare cases, labiaplasty can also lead to permanent loss of sensation or sensitivity. However, this risk can be significantly reduced by choosing a qualified surgeon such as Dr. Nichlos, who, as a specialist in plastic and aesthetic surgery, has years of experience in intimate surgery.
The cost of labia reduction depends on the extent of the procedure and the type of anesthesia chosen. In most cases, the procedure involves reducing the inner labia (labiaplasty), which can be performed on an outpatient basis or with a short hospital stay.
At our practice, the cost of labia reduction generally starts at:
The final price depends, among other things, on the individual findings, the duration of the surgery, and any additional procedures such as a clitoral hood reduction. Following a personal examination, Dr. Nichlos will create a personalized treatment and cost plan that transparently outlines all aspects of the procedure.
The total cost of labia reduction consists of several medical services. These typically include:
In addition, the following costs may arise during a labiaplasty:
For procedures performed at our partner clinics, these services are billed directly by the respective clinic.
Since labiaplasty is a surgical procedure that is planned on an individual basis, there is generally also the option of financing through monthly installments.
Financing is provided by an external financing partner and can be structured flexibly, depending on your creditworthiness. This allows the cost of treatment to be conveniently spread out over monthly payments.
We would be happy to provide you with detailed information about financing options during a personal consultation.
In labiaplasty, the labia minora are surgically tightened or reduced in size if they are perceived as disturbing or too large. The aim is to achieve a harmonious, aesthetic and functionally pleasing result.
You will not feel any pain during the procedure as the genital area is locally anesthetized. Mild pain may occur after the operation, which can be treated well with cooling or painkillers.
Yes, the labia minora can also be reduced in size – either by removing excess skin or through targeted liposuction.
As a rule, you will be able to return to work after a few days. For physically demanding activities, however, you should allow about 1 to 2 weeks recovery time.
Dr. Nichlos recommends waiting at least six weeks before having sexual intercourse so that healing is complete.
Light exercise is possible again after about two weeks. You should avoid intensive sport, especially cycling or horse riding, for four to six weeks.
The incision is made very precisely in the area of the inner labia. Visible scars are usually not noticeable later on.
The operation takes about 60 to 90 minutes and is performed on an outpatient basis under local anesthesia or in twilight sleep.
As with any surgical procedure, swelling, bruising or wound healing problems can occur. However, complications are rare in Dr. Nichlos’ practice.
Yes, it can be combined with a reduction of the outer labia, a vaginal tightening or a mons pubis correction, for example – depending on the desired result.
The result is permanent, as the removed tissue does not grow back.
Dr. Emmanouil Nichlos, MD, is a board-certified specialist in plastic and aesthetic surgery in Frankfurt and has specialized in labia reduction and aesthetic procedures in the genital area for over 17 years.
All content on this page has been personally reviewed by him and is in accordance with the current state of medical knowledge as well as the professional standards of plastic and aesthetic surgery.
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Would you like personal advice on the options for labiaplasty and find out whether the procedure is right for you? Dr. Nichlos will be happy to provide you with comprehensive and discreet information about labiaplasty surgery. Make an appointment now for a no-obligation consultation!
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