Intimate feminine surgery
Intimate surgery Labiaplasty labia minora reduction Dr Jérémie Zeitoun · Gynaecological Surgeon Paris 8th
A precise procedure, respectful of anatomy. Day surgery, reimbursement possible.
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A precise procedure, respectful of anatomy. Day surgery, reimbursement possible.
If you are reading this page, it is probably because something has been bothering you for a while. Perhaps for a long time. Perhaps you have never spoken about it aloud — not to your doctor, not to those close to you. This is common. It is understandable.
Discomfort related to the labia minora affects women of all ages, all body types. It can appear at puberty, after childbirth, or gradually without identifiable cause. It is not a sign of an abnormality. It says nothing about your femininity. What matters is the impact on your daily life.
The consultation does not commit you to anything. It is first and foremost an opportunity to be heard, examined, and to receive an honest answer — whether surgical or not.
Anatomical diversity is the rule, not the exception. Surgery is not there to conform to a norm — it is there to relieve real discomfort. Published anatomical studies show extreme variability in the labia minora in healthy adult women: length from 20 mm to over 100 mm, width from 7 to 50 mm, right-left asymmetry in more than 50% of cases. None of these morphologies is pathological in itself.
The best published satisfaction studies on labiaplasty (Miklos & Moore, 2013; Motakef, 2015; Goodman, 2016) show patient satisfaction rates above 95% — provided the indication is correctly established and the patient is properly informed beforehand. This is why the pre-operative consultation is not a formality. It is the most important moment of the pathway.
The decision to consult belongs entirely to the patient. It may be motivated by functional discomfort in daily life, psychological unease, or both. All these reasons are legitimate and deserve attentive, non-judgemental listening.
Two techniques are available according to the official CNGOF/SCGP 2024 information sheet. The choice depends on your anatomy and surgical practice — we discuss it together during the consultation.
Longitudinal resection involves directly resecting the excess portion of the labia minora protruding beyond the labia majora. This is the CNGOF/SCGP reference technique — simple and reproducible. It produces a regular result but may slightly alter the natural pigmentation of the labial edge. It is particularly indicated when the free edge is irregular or hyperpigmented.
Sutures are performed with absorbable threads that will fall away spontaneously in the weeks following surgery — no removal necessary.
Wedge resection treats both an excess of length and height of the labia minora. A triangle of mucosa is drawn, excised, and the labium is then reconstructed. This technique preserves the original free edge and the natural pigmentation of the mucosa. It is technically more demanding and requires precise planning of the incision.
The risk of partial dehiscence is slightly higher in cases of post-operative haematoma. It is preferred when the patient wishes a very natural result, with an intact free edge.
The procedure is performed under general anaesthesia, as day surgery, at the Groupe Hospitalier Hartmann in Neuilly-sur-Seine. It lasts approximately 20 minutes. The patient arrives in the morning and returns home in the afternoon, accompanied.
A pre-operative anaesthetic consultation is mandatory. Standard blood tests are prescribed. No particular dietary restrictions beyond standard fasting before general anaesthesia.
Six clear steps, with no surprises. Each patient is accompanied individually from the initial consultation through to the definitive result.
Recovery is generally straightforward. Swelling and a pulling sensation are expected in the first week — well attenuated by simple analgesics. The definitive result can be assessed from 2 months, scars at 12 months.
The recommendations of the official CNGOF/SCGP 2024 information sheet are as follows. In the first 15 days: loose clothing or skirts, cotton underwear. It is very important to avoid any maceration — dry carefully after showering and after each urination.
It is recommended to avoid all sexual intercourse, tampon use, baths, aquatic activities and any strenuous physical activity until the post-operative consultation at one month. Ice can be applied locally to reduce swelling in the first few days.
Labiaplasty is listed in the surgical procedure nomenclature and reimbursed by French National Health Insurance. A detailed quote is systematically provided during the consultation, and I show you photographs of results so you know exactly what to expect.
Labiaplasty is a procedure listed in the CCAM nomenclature under the code JLMA004. It is reimbursed by French National Health Insurance, with a coverage base of €46.48 at 70% by the Assurance Maladie. The remainder is reimbursed according to your complementary health insurance.
There are no restrictive conditions to know about before consulting. It is during the consultation that we jointly assess your situation, I explain the applicable coverage to your case, and provide you with a complete and detailed quote — surgical fees, anaesthetic fees and facility fees included. No hidden costs. A mandatory legal reflection period of 15 days applies before signing.
Additional fees apply in sector 2. A detailed and transparent quote is provided at the consultation. No hidden costs.
During each consultation, I show you photographs of operative results — before and after — to allow you to visualise concretely what labiaplasty can bring. These photographs come from my practice and are presented to you in a strictly medical and confidential context.
This is an important moment in the consultation: it allows you to have realistic expectations, to understand the differences between the two techniques (direct resection and wedge), and to choose with full knowledge. No decision is taken on the day of the consultation — the legal reflection period is mandatory.
No judgement, no obligation. Come as you are, with your questions. We take the time to listen and to answer honestly.