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Pulling is the method used most frequently in tribal societies. The weight method is more common among practitioners in Western nations.

Traditional labia stretching in areas of Sub-Saharan Africa such as Rwanda is considered to be a rite of passage. It is typically practiced over the course of several years, from puberty onwards.

The girl will usually perform stretching by herself as a part of a regular routine, with possible inspection and guidance by an older female family member.

The length of the stretched labia in traditional cultures depends upon the tribe and the geographical area. There is a wide variance in length. Labia stretching equipment can also be purchased.

They enlarge during sexual arousal and can be a range of colours. There is no hard and fast rule about what they have to look like.

Shaving also leads to skin irritation and chafing. The labia are not protected by a cushioning blanket of pubic hairs and the girls feel discomfort and itching.

The banishment of pubic hair is not the only reason there is an epidemic of girls wanting labia reduction procedures.

Another massive change over the last decade is the kind of underwear that girls tend to wear. The tiny thongs that they prefer offer no support to the undercarriage.

If they would wear knickers that actually existed beyond a string, they may find that their problem vanishes overnight. The third thing that I think has made a huge difference is the rise of reality TV doctoring programmes, including Embarrassing Bodies made by Maverick for Channel 4.

Being very sensitive by their structure to any irritation, and situated in the excretion area where traces of urine, vaginal discharge , smegma and even feces may be present, the inner lips may be susceptible to inflammatory infections of the vulva such as vulvitis.

The likelihood of inflammation may be reduced through appropriate regular hygienic cleansing of the whole vulval vestibule, using water and medically tested cleansing agents designed for vulvas.

To avoid contamination of the vulva with fecal bacteria, it is recommended that the vulva is washed only from front to back, from mons pubis to the perineum and anus.

Apart from water and special liquid cleansing agents lotions , there are commercially available wet wipes for female intimate hygiene.

Some women wipe the vulval vestibule dry with toilet tissue after urination to avoid irritation and infections from residual drops of the urine in the area.

However, incorrect choice of cleansing agents, or their incorrect application, may itself cause labial irritation and require medical attention.

Over-vigorous rubbing of the labia of little girls while washing, combined with the lack of estrogen in their bodies, may lead to the mostly pediatric condition known as labial fusion.

If fused labia prevent urination, urine may accumulate and cause pain and inflammation. In adult females, irritation of the area may be caused by wearing too-tight underwear especially where wider inner labia protrude in the pudendal cleft ; while G-strings , which rub against the labia during body movements, may cause irritation or lead to infection from bacteria transferred from either the external environment or the anus.

From Wikipedia, the free encyclopedia. Flaps of skin on either side of the human vaginal opening in the vulva. Labia minora inner labia - vertical folds of skin in the very middle of the photo of a vulva external female genitals between rounded thicker labia majora the outer labia.

Merriam-Webster's Medical Dictionary. Merriam-Webster, Inc. Gender Forum. May British Journal of Obstetrics and Gynaecology.

Life and style. Archived from the original on Retrieved Nat Rev Urol. Aesthetic Plast Surg. Female reproductive system. Germinal epithelium Tunica albuginea cortex Cumulus oophorus Stroma Medulla.

Isthmus Ampulla Infundibulum Fimbria Ostium.

In this programme, women regularly talk about their overlarge labia and allow themselves to be intimately examined in front of the Trike patrol altea. Simply reducing the labia minora Blonde teen sucking cock women with complex anatomic issues may result in unnatural-appearing genitalia and the perception of genital deformity as unintended consequences. The three basic labia minora reduction techniques—edge excision, wedge excision, and central deepithelialization—as well as their advantages and disadvantages are discussed Debra dandrea assist the surgeon in tailoring technique selection to individual genital anatomy and aesthetic desires. Labia, which include the labia majora the outer lips and the labia minora the thinner inner lips are remnants of pigmented tissue that would have changed into the scrotum and male genitalia in Natural boob sucking womb had Midget doggy style foetus been male. Sign In. The labia minora vary widely in size, color and shape from individual to individual. Table Geile negerfotzen.

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She notes that labia majora reduction surgeries are actually a thing. Would they be dysfunctional?

While this shape is normal, it tends to be the one that bothers women most. Bleeding, scarring, and uncomfortable intercourse can, in rare cases, result.

If you consider that the labia majora are basically an extension of the inner thighs and buttocks, it's kind of surprising that they're a totally different color than the rest of your skin.

Your labia minora can be dramatically darker than the rest of your lady parts too. Weight Loss.

United States. Type keyword s to search. This may indicate an infection or sexually transmitted disease, both of which should be treated by a medical professional.

Infections often start in these folds of skin in part because of how moist they are, as well as their proximity to the urethra and vaginal opening.

In many women the initial symptoms of infections, particularly itching, burning, swelling, and discomfort, begin with irritation here, then progress to the rest of the vulva and vagina.

Other symptoms that may occur at the same time include lower abdominal pain, burning during urination, and increased vaginal discharge that is thick, yellow, green, or chunky in nature.

The most common causes for vulval-vaginal discomfort are yeast infections and bacterial vaginosis, and both can be successfully treated with prescription medications.

Sexually transmitted diseases are also a concern. Most of the time, the size and shape of the labia minora are of no consequence to a woman.

Some women become self-conscious of their appearance, however, and may even elect to have surgery to make the folds smaller. Those seeking surgery, in my experience, have labia minora that, albeit large, fall within the normal minora size range.

Very few women have minora that can be considered abnormally large. Female genital cosmetic surgery is overwhelmingly sought for aesthetic reasons.

Although minor functional complaints ie, irritation are common, significant issues are rare. This experience mirrors the published findings of Crouch et al.

The main indication for labiaplasty, therefore, is overwhelmingly the same as for other aesthetic procedures: patient preference. Veale et al 17 found that labiaplasty patients did not differ from controls on measures of depression or anxiety, but reported a significantly greater frequency of avoidance behaviors.

Eighteen percent of women in their study met the diagnostic criteria for body dysmorphic disorder.

A Preoperative photograph of a year-old woman with large labia minora. B Postoperative photograph obtained 3 months after bilateral labia minora reduction edge excision.

A Preoperative photograph of a year-old woman with large labia minora and right lateral clitoral hood fold. B Postoperative photograph obtained 3 months after bilateral labia minora reduction wedge excision and right clitoral hood fold excision.

Labia minora size and shape show almost unlimited variations. Surgical procedures must be tailored to individual anatomy and preference.

Labia thickness, pigmentation, and pigment variation, if present, must be considered. Clitoral hood redundancy, in either a vertical hood too long or horizontal redundant lateral folds dimension, should be addressed if present.

Significant pigmentation variation from the labia free edge inward, if present, may warrant edge preservation.

This situation is most often encountered in women of color. Excising the pigmented edge in this cohort may result in unnatural-appearing labia.

Edge excision techniques are preferable for these patients. Prominent lateral clitoral hood folds and redundant labial tissue posterior to the introitus, when present, should be excised Figure 5.

Failure to do so may yield an unacceptable result. A Preoperative photograph of a year-old woman with large labia minora, bilateral lateral clitoral hood folds, and labial tissue posterior to introitus.

B Postoperative photograph obtained 3 months after bilateral labia minora reduction edge excision , lateral clitoral hood fold excision, and excision of posterior labial tissue.

Labiaplasty technique selection should be based on the patient's unique anatomy and aesthetic preference. Generally, the minora should remain at least one centimeter in length from free edge to base inter-labial sulcus in its central portion.

Edge excision, with its many variations, was the first popularly reported labiaplasty technique. Overzealous resection, however, is possible, and can result in labial amputation: a disastrous outcome.

Excision of the minora edges can result in unnatural-appearing labia in women with significant pigmentation variation. Although commonly reiterated in the literature, but rarely, in my opinion, observed in clinical practice, edge excision techniques can be complicated by tender scars or scar contractures.

Edge scalloping may also occur and, if significant, compromise the aesthetic result. It has been suggested that it may be mitigated by minimizing tension when tying sutures.

Wedge excision techniques, first described and popularized by Alter, 14 , 18 preserve labia edges and edge pigmentation.

As previously stated, this is often desirable in those women with significant pigmentation variation from the free minora margins inward.

Incision line dehiscence, usually a consequence of excess tension, can be problematic. When it occurs, repair is required to avoid notching of the labium with persisting deformity.

Wedge excision techniques also frequently require modification to adequately address clitoral hood issues or other anatomic variations.

Central deepithelialization or excision procedures are, in my opinion and practice, less commonly utilized than either edge excision or wedge resection techniques.

The procedures have several shortcomings. They result in multiple incision lines medial and lateral surfaces of the labia and prolonged postoperative minora edema.

Inclusion cyst formation, as a consequence on incomplete deepithelialization, can occur. Central deepithelialization can increase labia minora thickness, which, in my experience, is usually undesirable.

Furthermore, it is difficult to make the minora as small as is possible with the other, aforementioned labiaplasty techniques.

Clitoral hood redundancy, when present, may be in the horizontal or vertical planes, or both. Horizontal excess, in the form of extra hood folds parallel and lateral to the central portion of the clitoral hood, is most commonly observed Figure 6.

Clitoral hood folds may be unilateral or bilateral, and result in a widened appearance. Vertical excess manifests as a ptotic, elongated clitoral hood.

A Preoperative photograph of a year-old woman with prominent bilateral lateral clitoral hood folds and hyperpigmented, thick labia minora.

B Postoperative photograph obtained 3 months after bilateral labia minora reduction edge excision and excision of bilateral lateral clitoral hood folds.

When present, clitoral hood redundancy should be dealt with during labiaplasty. Not doing so may yield unnatural-appearing genitalia.

Excision is generally oriented parallel to the sulcus between the clitoral hood and the labia majora Figure 7 A. Vertical hood excess is addressed by transverse excision of a portion of the hood, usually as an inverted V wedge, across its full width.

Excision is usually done cephalic to the free margin of the hood Figure 7 B. In no circumstance, in my opinion, should the clitoral glans be exposed if covered or further exposed if partially covered.

Doing either will result in an unpredictable, and perhaps undesirable, effect on clitoral sensation. In all cases, excision must be superficial. Photographs of a year-old woman with digitally-added clitoral hood alteration markings.

A Lateral vertically-oriented excision markings for horizontal excess, with digitally-added wedge excision minora reduction markings patient's left labium and edge excision minora reduction markings patient's right labium.

Labia majora alteration is sought by women bothered by puffy, prominent majora at one extreme, and deflated, sagging majora at the other Figure 8. Fatty fullness without skin redundancy may occasionally be effectively treated by liposuction.

Improvement is usually modest. Prolonged postoperative edema is common. Women with flat majora, or deflated majora with minimal skin excess, may seek augmentation.

It is easily achieved utilizing standard autologous fat grafting techniques. Usually several grafting sessions are necessary to achieve the desired result.

In general, no more than 20 cc of fat should be injected into each labium at one sitting. Ptotic, deflated labia majora, in my opinion, are best treated by reduction rather than augmentation.

Surgical excision of redundant majora, in my experience, yields consistently excellent results and high patient satisfaction.

Although others suggest that excision should be from the central portion of the majora 20 or laterally at the vulva-thigh crease, 5 I disagree.

I see no benefit in placing the resulting excision scar in the thigh crease or on the labia majora itself.

I always resect the medial segment of the majora. The medial incision is in the sulcus between the minora and majora, with the lateral incision in the majora.

Incisions are made along the full anterior-posterior length of the majora. Cresenteric excision of the redundant width of the majora is performed.

The resulting scar, located within the interlabial sulcus, is virtually imperceptible. It is therefore determined with the patient supine in maximum frog leg position.

Pinching of redundant majora, without tension on the introitus, is done. The lateral incision line is then marked.

Resection should always be in a superficial plane: skin and subcutaneous tissue only. The labia majora are very vascular.

Absolute hemostasis prior to closure is essential to avoid hematoma formation. A Preoperative labia majora reduction markings on a year-old woman with ptotic labia majora and moderately large, asymmetric labia minora.

B Immediately postoperative photograph after bilateral labia majora and labia minora edge excision reduction and left clitoral hood fold excision.

A Preoperative photograph of a year-old woman with redundant labia majora.

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