Labiaplasty (Vaginal Rejuvenation) is a surgical procedure that reduces the size or changes the shape of the labia minora. Large labia can be a life long problem or may develop after pregnancy or as a woman ages. Patients often tell me they are embarrassed by the enlarged labia and it can interfere with sexual and physical activity. Often it can be associated with chronic irritation and general discomfort particularly when wearing fitted clothing. Labia Majora sometimes may be enlarged or reduced in size requiring surgical reduction or enhancement with fat grafting or dermal fillers.