Labial Reduction San Diego

San Diego Cosmetic Surgeon Dr. Tom Pousti Talks About Labiaplasty – Vaginal Lip Reduction


Patients from around California come to Pousti Plastic Surgery to have a consultation regarding labia reduction surgery. Enlarged or hypertrophic labia minora can be functionally or psycho-socially bothersome. Local irritation, problems with personal hygiene, interference with sexual intercourse and discomfort during cycling, horse back riding, wearing exercise clothing, walking or sitting are indications for surgical reduction. Patients usually like to decide the size of their labia but it is important to remember the function of the labia minora as well. The labia minora protect the vaginal orifice when the thighs are spread and therefore, overcorrection is not recommended. Dr. Pousti also performs Hymenorophy surgery (testimonial below).

Since Dr. Pousti is an expert in labia reduction surgery, many women from around California as well as around the country choose to fly to San Diego to obtain his services. If you are not from the San Diego area, please visit Fly in for Surgery to learn more about our out-of-town accommodations and scheduling information.

If you live in La Jolla, San Diego or Temecula/Murrieta Valley and you would like more information or to schedule a consultation, please call our offices at (619) 466-8851, (858) 454-6888 or (951) 501-9822.

The Surgical Procedure

During the procedure, the inner lips of the vulva are made to look symmetrical (reduced). Many of Dr. Pousti’s patients come in complaining of pain during exercise, horse back riding, cycling and/or intercourse so this procedure will assist with those symptoms. Other patients come in for the aesthetic correction and improving their self-image. Reduction of the labia minora is performed under local or general anesthesia with care taken to obtain as natural a result as possible. Care is taken to avoid over-resection of the labia and to avoid interference with the clitoris or urethral opening. This judicious reduction of the labia minora may serve to improve the physical comfort and sexuality of the patient. Scars are minimal and normally only visible to the trained eye. Sensitivity is normally not interfered with: psychological and relational components of dysfunctional vaginal experience can neither be caused, nor treated by surgery. This procedure can be called Labiaplasty, Labioplasty, Labial Reduction Surgery, Labia Reduction Surgery, or Vulvar Surgery.

What To Expect After Surgery

There will be a dressing in that area that will be similar to a pad worn during menstruation. Dr. Pousti expects the patients to be on bed rest for one week. Ice will be applied to the area for that week of bed rest.

Resumption of Physical Activity

Patients may go back to their daily routines after one week but with extreme caution. Patients are to avoid strenuous activity as well as sexual intercourse for 4-6 weeks after surgery.


Labial Reduction:

I had been researching Labial reduction for at least two years before I got lucky enough to meet Dr. Pousti and his amazing team. I was a little nervous calling to make the appointment and dreaded having to actually talk about this personal issue “out loud”. As soon as I heard Erika’s warmth and friendliness on the other end of the line, my nervousness disappeared. She made me feel so comfortable and put me instantly ease. My experience just kept getting better from there. When I walked into the office for my appointment, I was greeted by name and felt like I was visiting with friends rather than having a medical consultation. When Dr. Pousti entered the room and spoke with me, I knew my search for the ideal Doctor stopped right there. He obviously has a profound knowledge of his profession, but he offers so much more than just medical skill. One needs to be in the same room with him to understand. Mere old words can’t possibly do justice in expressing how this man restores peace with his mere presence.

The day of the surgery was a wonderful experience also. I felt more like I was checking into a day spa than a medical facility. When I woke from the anesthesia I felt no pain at all. In fact even days after surgery, the worst I felt was a slight discomfort once or twice. I kept waiting for the real pain Something’s gotta give right? How does one have such a major procedure, have it be a wonderful experience and not suffer any pain or side effects? It’s been almost a month and I feel better than ever! I can’t tell you how wonderful it is to shower or moisturize my body and be totally happy with it! I can look in the mirror and actually feel sexy now. I’m excited about having a sexual relationship where I am not self-conscious or inhibited. My spirit feels free!

Anyone considering having a labial reduction, or any procedure really, would be doing themselves a disservice if they didn’t make an appointment for a consultation with Dr Pousti. Please don’t hesitate call Dr Pousti’s office and get my contact details. I am more than happy to discuss my experience and procedure either via phone, email or in Dr Pousti’s office. I am so happy I took that first step and made the call. This is about more than just aesthetics, it’s about peace of mind. Dr Pousti has given me this peace and I want to pass it along. So pick up the phone…it really is that easy. Thank you so much to Dr Pousti and his crew! You’ve changed my life and I’m forever grateful!


Hello! First off, I would like to thank Dr. Pousti and his staff for the work they have done. They are very friendly. I was very nervous about having this procedure (and even talking about this procedure) but as time went on, Dr. Pousti and his staff helped me and put my mind at ease. I would highly recommend him for any surgery. Dr. Pousti takes time to know exactly what your needs are and makes you feel secure.

Breast Augmentation/Labial Reduction :

I am 31 years old, a teacher and a research practitioner. It was just seven weeks ago that I had both breast augmentation and labia minora reduction procedures by Dr. Tom Pousti. Since both procedures are in very sensitive and private areas, I would not go to just any plastic surgeon. I had many friends make recommendations to me as to where to go and had gone to approximately a dozen consultation (maybe more) from Coronado to Beverly Hills. Once I narrowed it down to the top two, I consulted with them again. I chose Dr. Pousti because he had the best credentials, he is a true artist, and he is the most personable doctor you will ever come across. I know I could trust him and I do not trust many people in general. He took A LOT of time to answer all of my questions and provided me with his expertise in assisting me to “design” the most natural look that I was unfortunately not born with. Additionally, he was very nurturing throughout the entire experience. I am naturally a very anxious person and was quite nervous. I never once felt like “just another patient”. I always felt taken care of.

After I had made my decision, I collected various pictures of what I did not want to look like as well as what I had wanted. Dr. Pousti studied these photos I had brought to him and then asked me questions and together we designed my new breasts and labia minora. You are probably thinking what is that? It is the stretchy inner lips of the vagina and I was very uncomfortable with the way mine appeared. It interfered with my sexual encounters since I was a late teen. I was embarrassed and I can say I am extremely happy with the results. (I had asked my OBGYN on various occasions if they could do this procedure and they did not recommend it. They even had said that there was a good chance of losing sensitivity during intercourse. Well, I can vouch that that is not true. It is even more wonderful than it was before!).

Before I really speak to my results, let me tell you about the actual day of the procedure. I showed up early on Friday morning at the Grossmont Surgical Center. The nurses were absolutely wonderful! They brought me into a little area where I changed out of my clothes and into my gown and slippers. Sounds like I was about to get a spa treatment, huh? Well, that is how they treated me. I sat in a very comfortable lazy-boy chair. The nurses put warm blankets on me and gave me something to feel very relaxed, but not too relaxed because I was to speak with Dr. Pousti one last time prior to being rolled into surgery. We looked at all of the pictures again and had conversations in regard to my desired results. I couldn’t have felt more comfortable! Then I began to feel the anxiety of pre-surgery and the nurses took care of that with a little IV. Didn’t feel a thing! Next, I was introduced to the other staff members ~ all very nice and taking care of my every need. Shortly after, I was rolled in but I do not remember.

Next thing I knew, I had breasts and an improved vaginal appearance! I felt no pain. My friend was there to take me home, but first they gave me a couple of pain-killers. It was a short ride home (I slept through it) and I walked up my stairs to my bedroom. My bed was arranged with three pillows propped up and smaller pillows for my arms to rest on. I also had a pillow for under my butt to prevent swelling in the labia area. (I had set this all up prior to leaving the house that morning which I highly recommend). I had all of my pills within reach as well as the remote to the TV and bottled water with a straw. The fridge was stocked and my friends who helped me the first three days were great!

I saw Dr. Pousti on Monday and everything looked great. My breasts were a little swollen and my labia minora looked better than I had imagined! The first week I was slow but moving around by day 5 with no problems. If you are considering a cosmetic procedure, I would highly recommend Dr. Pousti as your surgeon. I am probably the most high maintenance patient Dr. Pousti has ever had “to deal with” and can be very difficult because of my very high expectations, but Dr. Pousti couldn’t have done a better job. Now I am back for laser hair removal!

Labial Reduction :

I had labial reduction surgery a few months ago and I’m extremely pleased with the results. Also, this is very important: extended labia is not something women discuss with even their closest friends, so I was very appreciative of the discretion given my case.

First a little history: I have always had somewhat of a problem with extended labia, even as a teenager. I was used to the inconvenience of having to push my labia open when I urinated (so I wouldn’t wet myself or the seat), but as time went by, I developed a more severe problem. I gave birth three times in my 30’s, and then I started menopause early at age 44. After a couple of years into menopause, my condition got more inconvenient and uncomfortable (no more bike rides, for example). Eventually I found that I had to push open my labia in order to have sex. Yikes, I said to myself – it’s time to get something done! I did a lot of research on the internet and found myself going back again and again to Dr. Pousti’s website. I made an appointment and when I arrived, I was treated with sensitivity and discretion. Everyone has experienced those “loud mouth” people in other offices – yelling out your name and problem for everyone to hear. Well, you don’t have to worry about that at Dr. Pousti’s office. Everyone acts like you’re there just to have a little chat with the doctor :-) And by the way, you will enjoy your visit with Dr. Pousti. He is really “with” you every time you see him. He is genuinely concerned and takes all the time you need for questions. His touch is very gentle, considerate, and professional.

The first thing I remember after waking from my surgery was Dr. Pousti’s face. He was patting my shoulder telling me I would feel no pain. Oh sure, I thought to myself. Well, it was true – he was right – I felt no pain! But I did feel a little pinch, so when I got home I took a pain pill, then I went to the bathroom. The little pinch turned out to be the sanitary napkin pinching my skin. After adjusting the pad, I was fine and never had to take another pill. This was the most amazing surgery I’ve ever experienced (and I’ve had plenty). And the best thing of all is that I am more than happy with the results. I feel “normal” again!

Ask Dr. Pousti if you can do this for yourself after surgery: I have a dark tan complexion (similar to Dr. Pousti) and I scar easily. When the incision was healed, I felt scar tissue forming, so I purchased some Maderma cream (for healing scar tissue) and put that on morning and night. It made a big difference in my comfort and the healing process. I was afraid I was going to get as tight as a virgin – but maybe that’s what “you” will want! :-)

Get in there and get your problem removed. I’m sorry I waited so many years. Oh, and if you’re wondering, yes sex is better than ever because Dr. Pousti was extra gentle and careful around that “sensitive” spot.

Labial Reduction :

Two weeks ago I had labial reduction surgery and I could not be more pleased. It looks so good and at only two weeks post surgery! I went in for a consult with Dr. Pousti and three weeks later I was having the surgery done. I am 23 years old and suffered problems from my labia minora since my very early teens. A few years ago I heard about the procedure and up until that time, I didn’t know there was anything wrong with me. After doing more and more research, I decided I wanted to have it done. I had it narrowed down to three doctors and out of those three, Dr. Pousti was the best doctor, in my eyes for the job. The day of my surgery, I was very nervous, like to the point of almost having a panic attack. Dr. Pousti reassured me everything would be fine and not to worry. One of my fears was pain. He told me that when I woke up, I would feel no pain and I didn’t. I could not believe how little pain this surgery involved. I was amazed when I walked right out of the hospital and ate my lunch on my ride back home to Palm Springs. Let me say that Dr. Pousti is the most considerate doctor that I have ever seen. He really cares about his patients. His staff is incredible. Everybody is so friendly and they make you feel so relaxed. Even the hospital where my procedure was performed was great. They just really make you feel good about yourself. If you are thinking of plastic surgery, Dr. Pousti is, in my opinion, the best doctor in the world! If I ever want more plastic surgery, he is the ONLY doctor I will let operate on me.