Labiaplasty Raleigh Durham
What is
Labiaplasty?
Although it’s not often talked about, enlarged labia is a condition that many women face. The labia minora (inner labia) can be elongated or asymmetrical due to childbirth, hormones, aging, or simply genetics.
While many women are dissatisfied with the appearance of their enlarged labia, it’s not just about aesthetics. More commonly, women are bothered by the physical discomfort associated with this condition.
Why Pick Dr. Diehl?
Dr. Diehl has performed hundreds of labiaplasty procedures and considers it one of her favorite surgeries. The physical and emotional benefits women experience are profound—often beyond words. She takes great pride in helping women feel more comfortable and confident in their bodies, and finds deep fulfillment in improving both their well-being and quality of life. A recognized expert in this area, Dr. Diehl has lectured on sexual wellness at national plastic surgery conferences and is widely respected for her expertise in labiaplasty.
While many women are dissatisfied with the appearance of their enlarged labia, it’s not just about aesthetics. More commonly, women are bothered by the physical discomfort associated with this condition.
Benefits of Labiaplasty
Labiaplasty offers a permanent solution to the emotional and physical symptoms caused by excess labial tissue.
Women considering labiaplasty can expect to enjoy the following benefits from this procedure:
- Reduction of pinching and chafing during daily activities and exercise
- Decreased social anxiety that could increase sexual enjoyment
- Less moisture retention and associated discomfort
- Freedom to wear more swimsuit styles and clothing options
- Increased confidence and self-esteem
View Labiaplasty
Before & After Photos
Meet Dr. Diehl
- Dr. Diehl completed full training in general surgery before pursuing additional, specialized training in plastic surgery. She is board-certified by the American Board of Plastic Surgery—the only plastic or aesthetic board recognized by the American Board of Medical Specialties. This certification requires a rigorous, multi-year process, including written and oral exams, as well as in-depth case review. A practicing surgeon since 2001, Dr. Diehl brings over two decades of extensive surgical experience to every procedure she performs.
- Recognized among the top 7% of surgeons nationwide by Castle Connolly
- Born in Peru and Fluent in Spanish
- Inventor of the Diehl Liposuction Cannula(Black & Black Surgical)—a tool designed to enhance the safety and precision of liposuction procedures.
- National speaker on labiaplasty and sexual wellness
- Fully trained general surgeon/trauma surgeon
- Renowned for her expertise in labiaplasty, vaginal rejuvenation, and precision body contouring—including body, chin, and mons pubis liposuction
- As Medical Director of miraDry, she has also traveled the world as an international speaker and educator
- Previously certified by the American Board of Surgery
- Provides non-surgical cosmetic treatments including CoolSculpting®, Thermi®, miraDry®, and injectables to patients
- Trained in cosmetic facial, breast, and body procedures, including SmartLipo MPX, an FDA approved laser liposuction technology.
- Dr. Diehl is known not only for her surgical excellence, but for her honesty, warmth, and discretion. Patients seek her out for results that feel natural, empowering, and beautifully transformative.
- Member of the LIMITLESS Steering Committee – the LIMITLESS Leaders Summit is built to educate, elevate, and empower female surgeons through leadership development, collaboration, and networking.
Learn more about Dr. Diehl
Labiaplasty - Recovery
Highly Comfortable Labiaplasty with the Use of Pro-Nox Sedation
Pro-Nox can be used virtually any time a patient is concerned about physical or emotional discomfort during their procedure. The short half-life of this sedation system is perfect for use during shorter procedures, such as labiaplasty. The compounds within Pro-Nox, an inhaled sedative, are powerful enough to eliminate pain and anxiety, but gentle enough to leave the patient’s body without causing lasting fatigue.
The sedative medication clears from the body within about ten minutes (after cessation of use), leaving the patient free to resume their normal activities. Pro-Nox is not habit forming, and it often reduces the need for oral pain medication. Studies have shown that nitrous oxide is free of long-term effects when used in a safe clinical setting. In-office time is also reduced; patients do not have to wait in a recovery room for an extended time before they can safely stand and walk.
Labiaplasty Blog: written by patient
What Makes Labiaplasty Surgery Comfortable?
- Only a local anesthetic is needed.
- Sutures placed are dissolvable: there’s no need for a follow-up visit to have them removed.
- Some soreness is expected after treatment, but patients find the procedure and recovery process to be easily tolerated.
- Recovery does not require interruption of your daily life.
- Post-procedure medication is provided, but patients often do not need it after day two or three of recovery.
Dr. Cynthia Diehl has earned the nickname "Queen V"
Dr. Diehl has performed hundreds of labiaplasty procedures with patients not only from the Raleigh Durham area, but all over North Carolina, South Carolina and Virginia who want the best possible outcome from vaginal rejuvenation procedures and treatments. Vaginal Rejuvenation is a specialty of Dr. Diehl’s and she takes great pride in providing the best advice to educate patients about Mons Liposuction, ThermiVa®, CO2RE Intima® and O-Shot®, the other vaginal rejuvenation options available in our office.
What to Expect from Labiaplasty
For optimal safety and convenience, Dr. Diehl typically performs labiaplasty under local anesthesia. If you prefer, your procedure can be performed under general anesthesia in Diehl Plastic Surgery’s on-site operating room. The entire procedure usually takes approximately one hour, making it a convenient surgery for even busy schedules.
Labiaplasty is most commonly performed using either of the following techniques:
The Trim Technique
With the trim technique, excess tissue will be removed along the entire length of the inner labia. This method effectively reduces redundant tissue, and it also addresses hyperpigmentation (darkened skin) that is often present on the edges of excess labia minora tissue. Patients are drawn to this technique for its effectiveness and natural-looking results, and also because it tends to produce a quicker recovery time. Once healed, the resultant scar is generally imperceptible. Dissolvable sutures are used with the trim technique, so they do not have to be removed at a later date.
The Wedge Technique
Another popular option for labiaplasty is the wedge technique. During this procedure, a V-shaped wedge of tissue is removed from the inner labia. The surrounding portions are then stitched together, which neatly brings the labia minora together for a tidy appearance. This method produces a natural cosmetic result, but because it keeps the original labia edges, any hyperpigmentation present or irregular edges can’t be addressed. The resultant scar is well hidden, and dissolvable sutures can also be used with this method.
Performing
Labiaplasty Surgery
ON A FLOWER.
Dr. Diehl specializes in feminine and vaginal rejuvenation treatments and procedures. In this video she uses a ‘flower’ power patient to demonstrate and talk about who makes a good candidate for the procedure, how the surgery is performed, anesthesia, recovery, and more.
Your Consultation
Dr. Cynthia Diehl understands that having enlarged labia can be a source of embarrassment for patients, which is why she holds comforting, educational consultations where patients can feel at ease.
Your personal consultation with Dr. Diehl will give you a chance to have all of your questions or concerns about labiaplasty answered in a no-pressure atmosphere. She will take the time to listen to your needs, evaluate your candidacy for this procedure, and educate you about what it entails.
If you decide to take the next step, you will be provided with a completely customized treatment plan that is tailored to your cosmetic goals. There are several techniques for labiaplasty, and Dr. Diehl will evaluate which one is best for you.
FAQs About Labiaplasty
What is labiaplasty?
Labiaplasty is a surgical procedure to reduce the size of the labia minora for improved comfort, aesthetics, and confidence.
Why do women choose labiaplasty?
Common reasons include discomfort in clothing, pain during exercise or intimacy, and a desire for improved appearance.
What Is Recovery Like After Labiaplasty?
After surgery, you can expect to have mild discomfort and swelling. In most cases, these temporary symptoms will subside in 1-2 weeks. In the days following your labiaplasty, you should use Neosporin or Polysporin on your incisions and ice the area as much as possible.
Most patients can return to work and regular activities in 3 days, but strenuous exercise and sexual activity should be avoided for 4 weeks. You should also avoid wearing tight clothing until your incisions have fully healed.
Is Labiaplasty the Same Thing as Vaginal Rejuvenation?
These terms are sometimes used interchangeably. Vaginal rejuvenation typically refers to non-surgical treatments like ThermiVa®, which produces internal and external tightening, reduces stress urinary incontinence, decreases painful atrophy, and improves sexual function. Labiaplasty is specifically the surgical reduction of labia tissue.
Am I a good candidate for labiaplasty?
A: Ideal candidates have labial discomfort due to the inner labia protruding beyond the outer labia. This more sensitive tissue can cause irritation with exercise, when sitting and walking, with intercourse, and sometimes appear prominent in swim suits, yoga pants or leggings.
How much does labiaplasty cost in Raleigh, NC?
Labiaplasty in Raleigh typically ranges from $4,500 to $7,000. Pricing depends on the complexity of the procedure, if it is one side or 2 sides and the type of anesthesia used.
Is labiaplasty painful?
Most patients report mild soreness after the procedure, which is easily managed with oral pain medication and rest.
Will labiaplasty affect sexual sensation?
When performed on the labia minora alone, labiaplasty should not affect sexual sensation. The area more sensitive to sensory nerve disruption is the clitoral hood. By avoiding incisions in that region, the risk to clitoral sensitivity is minimized. In many cases, the clitoral hood can be left untouched while still achieving a natural, aesthetic result that addresses discomfort. For many women, labiaplasty not only relieves physical symptoms but also enhances comfort and confidence during intimacy.
Are the results of labiaplasty permanent?
Yes—the results of labiaplasty are long-lasting once healing is complete. While natural changes from pregnancy, childbirth, aging, or menopause can affect the area over time, the anatomy will continue to evolve from a smaller, more balanced starting point.
Can labiaplasty be done under local anesthesia?
Yes—labiaplasty can be safely and comfortably performed under local anesthesia. This approach avoids the risks of general anesthesia, reduces downtime, and helps keep costs lower. The procedure is typically well tolerated with the use of topical numbing and local anesthetic injections. Oral medications and Pro-Nox (a patient-controlled nitrous oxide system – a.k.a. “laughing gas”) are also available for added relaxation, though most patients find they aren’t needed.
What are the risks of labiaplasty?
The main risks (although rare) include swelling, bruising, asymmetry, bleeding, infection, or delayed healing. Choosing a qualified board certified plastic surgeon minimizes these risks.
How do I choose the best labiaplasty surgeon in Raleigh, NC?
Look for a board-certified plastic surgeon with specialized experience in female genital aesthetics and consistently positive patient reviews. At Diehl Plastic Surgery, we’ve performed hundreds of labiaplasty procedures with a strong focus on safety, comfort, and natural-looking results. During your consultation, be sure to review the surgeon’s before-and-after photos of actual patients to help set realistic expectations and assess the quality of their work.
Will there be visible scars after labiaplasty?
While all surgery involves some scarring, labiaplasty scars typically heal very well and are discreetly hidden within the natural folds and texture of the labial edge. With proper healing, they often become barely noticeable over time.
Labiaplasty Blog Posts
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Does Insurance Cover Labiaplasty?
When Will I See My Labiaplasty Results
Why Would Someone Get A Labiaplasty?
What Can You Expect from Your Labiaplasty Recovery It’s Easier Than You Think
How To Manage Labiaplasty Swelling
What Can Be Done About Botched Labiaplasty
Contact Diehl Plastic Surgery at (919) 381-5540 to schedule a consultation for labiaplasty in Raleigh or book an appointment using the form below.
*Individual results may vary.