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Miami revision labiaplasty

As a specialist in labiaplasty, Dr. Maercks has the ability to perform revision labiaplasty (or “secondary labiaplasty”), a procedure that is done to correct a previous labiaplasty surgery or to fix overlooked issues that may have not been addressed. Revision labiaplasty often takes place because the first procedure was botched or unsatisfactory, and therefore requires a surgeon who is highly experienced and skilled.

This revision surgeon needs to be someone who specializes in this specific area. It also takes a certain level of trust for the patient to feel comfortable enough to undergo a second surgery in this delicate area. Dr. Maercks is an expert in the realm of revision labiaplasty. He has the ability to correct previous mistakes, or to address the problems that were not handled the first time. 

Key benefits of labiaplasty

Labiaplasty can be used as both corrective and cosmetic surgery. Studies show that almost 40% of women that undergo the procedure have some type of functional impairment, such as urinary incontinence or vaginal dryness. There are several major benefits to labiaplasty surgery in Miami

  • Improved appearance of labia
  • Corrected symmetry  
  • Improved hygiene
  • Decreased discomfort during exercise, intercourse, and other physical activities
  • Less itching and/or irritation due to size or shape of labia
  • Freedom to wear tighter clothing
  • Easier to reach orgasm
  • Boosted self-confidence 

Common reasons for labiaplasty reconstruction in Miami

  • Too much of the labia retract is removed. While this part cannot grow back, Dr. Maercks may be able to repair it using a VY reconstruction if enough unresected tissue remains.
  • Inadequate removal of tissue. This is essentially the opposite of the issue above: too little is removed, leaving the patient unhappy with the appearance of her labia. This is better than too much being removed, but it does require the patient to undergo a secondary procedure.
  • Separation of the edges. Often, when a patient does not follow recovery instructions properly, she does not heal correctly, and the anastomosis widely separates. Dr. Maercks addresses this with a trim or a V-wedge procedure.

The MACIE labiaplasty

Because Dr. Maercks has seen many women with devastating complications from the “edge trim” or “wedge excision” labiaplasty techniques performed by other doctors, he has developed the MACIE labiaplasty. These other techniques remove needed deep tissues, but with the MACIE (Maercks Color-Corrected Intimate Enhancement) labiaplasty, the deep tissues of the labia are spared. Dr. Maercks believed that this tissue should never be removed. 

Not only does the MACIE labiaplasty preserve deep vaginal tissue; it’s also the only tissue-sparing technique that brings back the vaginal color and texture of youth. Therefore, the MACIE labiaplasty is the safer, more aesthetically-tuned feminine rejuvenation technique. This method:

  • Preserves all deep labial tissue
  • Prevents scarring
  • Prevents painful atrophy
  • Enhances sexual pleasure
  • Restores the vaginal color and texture of youth

Amputated Labiaplasty Reconstruction

Amputated Labiaplasty Reconstruction

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I found early in my labiaplasty practice that although the normal color and texture of the adult labia minora is brown to black and roughly rugated, this is not the aesthetic ideal of women seeking labial enhancement. Most women find a perfectly smooth and pink-colored labia minora to be the aesthetic ideal. This is why I devised this unique technique.

Dr. Rian Maercks

Labia majora reduction

When the larger, outer, hair-bearing vaginal lips (the labia majora) are oversized or droop down significantly, it can present both aesthetic and physical problems. This condition often occurs with childbirth or age and can be very uncomfortable or disheartening. Aesthetically, it can be difficult to hide this issue even when wearing clothing. Having an overly large labia majora may cause a woman to become embarrassed in intimate moments. This condition can also have an impact on exercise, playing sports, horseback riding, or intercourse. Labiaplasty is very often performed to correct this problem, providing the patient with a much higher quality of life, boosted self-confidence, and enhanced comfort.

Labia majora fat grafting

The labia majora often become thin, saggy, and aged-looking as a woman becomes older. This is due to the loss of volume and hormonal changes, and this appearance bothers many women who have it. This can be corrected with the use of labia majora fat grafting, a procedure in which fat is taken from another part of the body, purified, and then injected into the labia majora to provide a plumper, lifted, more youthful appearance. Because the patient’s own fat is used, the results appear soft and natural, and are often long-lasting. 

Labiaplasty in Miami at The Maercks Institute

Here at The Maercks Institute, we want every woman to embrace the beauty of her body and to feel comfortable with it when she should. We provide plastic surgery options to women that increase self-confidence and give our patients the courage to take what they want out of life. Labiaplasty is one of our main services, and our patients enjoy a higher quality of life, improved comfort, and boosted self-esteem. The Maercks Institute is a high-profile, Miami-based surgical center where patients are considered in a manner that is anything but cookie-cutter. Board-certified plastic surgeon Dr. Rian Maercks demonstrates skilled expertise in cosmetic breast and body procedures, as well as attention to detail and vision. With an elevated standard of patient care and safety, Dr. Maercks has successfully changed the lives of thousands of patients over the years. He is the expert who will formulate the right treatment for your goals. If you are in the Miami area and are interested in a labiaplasty, revision labiaplasty, or labiaplasty reconstruction, contact us

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Labiaplasty procedure details

Labiaplasty typically takes under an hour and is performed with the patient under a local or a general anesthetic. Another topical anesthetic solution may then be applied over the labia.

Once the patient is appropriately numbed, an incision is made in the labia minor or major to cut away any excess skin or tissue in the area. Once the excess is removed, the wound is sutured and bandaged. Once labiaplasty is performed, there is no need for additional surgery, as the results typically last throughout the patient’s lifetime.

Even childbirth will not “undo” the surgery — and in fact, some women feel it is easier to give birth after a labiaplasty. Labiaplasty is typically combined with other gynecologic procedures. Many patients prefer to have a labiaplasty and a vaginoplasty performed together. This allows Dr. Maercks to reduce the size of the labia and tighten the vagina in the same procedure.

Even though Dr. Maercks is happy to perform these procedures together, it’s always up to the patient whether both should be performed or not. During your consultation, he will be happy to go over both procedures with you. 

Techniques for labiaplasty in Miami

Labiaplasty may be performed in any one of five different ways, depending on the patient and the amount of tissue that must be removed. Every woman is different, and during your consultation with Dr. Maercks, he will determine which procedure is right for your specific goals and needs. 

Laser labiaplasty

In laser labiaplasty, rather than using a scalpel, Dr. Maercks uses a concentrated laser beam to remove extra skin. The downside of this technique is that the laser may remove too much of the labium epidermis.

Labiaplasty with clitoral unhooding

This technique combines labiaplasty with resecting of the clitoral hood. A V pattern is sutured in the hood in order to reshape it into a Y. Uncovering the clitoral hood helps to tighten up the tissue in the labia.


This procedure starts when the surface tissue of the labia minus is cut. Dr. Maercks then cuts around the back and middle part of the tissues. De-epithelialization can be done with either a laser beam or a scalpel, and is particularly beneficial because sensations and wrinkles are maintained after surgery. If the labia width is increased during surgery, a second procedure may be necessary in order to reduce the size.

Central wedge re-section 

With this technique, Dr. Maercks cuts and removes the thickest tissue out of the thickest section of the labia minus, maintaining and preserving the natural wrinkles of the labia minora. There is also less scarring, although this technique may numb the nerves in the area, and it is difficult to remove the perfect amount of skin from the area.  

Edge re-section

During an edge resection, excess skin is removed from the edges of the labia minora. The surgeon may clamp the area that is being treated in order to stop blood flow so the wound can be sutured, giving the surgeon complete control over the edges of the labia. With an edge re-section, the contours around the clitoral hood may be molded in order to reduce wrinkles around the edges of the labia minora, which may make the area look unnatural or expose the pink tissues of the labia.

Are there risks with labiaplasty?

Every surgery has risks and the chances of complications, and the benefits should always be weighed against them before you make a final decision about what’s right for your life.

In order to minimize the risks after surgery, it’s important to follow all directions provided by Dr. Maercks. This ensures optimal results. Some of the possible risks of labiaplasty include:

  • Discomfort during sexual intercourse after surgery
  • A larger-looking clitoris
  • Blood clots, infection, bleeding, and hematoma
  • Possible numbing of the area after surgery
  • A wrinkled, discolored, swollen, asymmetrical labia
  • Possibility of the wound opening after surgery

Preparing for labiaplasty

Before Dr. Maercks performs your labiaplasty, you will have a consultation with him to ensure you’re a good candidate.

Once you’re approved, no medication that causes bleeding should be taken for two weeks prior to the procedure. Patients must also stop smoking at least three weeks before the surgery. You will need to arrange for someone to drive you home from your appointment.

On the day of the surgery, a mild sedative will be applied by an anesthesiologist. Once you’re asleep, you will be given a local anesthetic through an injection. Labiaplasty is performed under anesthesia, and patients are typically asked to stay for several hours before returning home after the procedure. If the patient requests it, she may stay overnight for monitoring.


Recovery times will be dependent upon the individual and the procedure, but following the doctor’s orders ensures that you’ll be back on your feet and feeling great in no time. The simpler the procedure is, the shorter the recovery time will be for each patient. After four days, patients are allowed to return to work — although any strenuous exercise should be avoided for at least one month, and there should be no intercourse for six weeks. After returning home from surgery, the patient should not get out of bed for at least 24 hours, and will therefore need a caretaker during this time. It’s important that patients stick to the follow-up schedule, as this will allow the doctor to determine how the wounds are healing and if any additional procedures are needed. If a patient begins her period during the recovery period, tampons should not be used. Furthermore, thong underwear and restrictive clothing must be avoided during recovery. Patients can expect swelling to last for anywhere from 1 to 4 months after surgery.

Who is the ideal candidate for a labiaplasty?

If you’re considering a labiaplasty in Miami, it may be the perfect procedure for your needs. Candidates for labiaplasty: 

  • Don’t like the way the inner or outer lips of the vagina look and/or feel
  • May have pain or discomfort during exercise or physical activities
  • May have pain or discomfort during sexual intercourse
  • Typically seek surgery after a major weight loss or childbirth
  • Must not currently have any STDs
  • Must not be menstruating the day of the procedure
  • Must not smoke
  • Must be in good health
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Labiaplasty FAQ

Will a labiaplasty treat an STD?

If a woman is dealing with an STD, labiaplasty is not the correct procedure to repair the problem. At this point, the patient should see a gynecologist for treatment rather than a plastic surgeon, although labiaplasty may be a valuable option in the future.

How much does labiaplasty cost?

The cost of labiaplasty in Miami varies depending on the individual and how extensive the surgery is. Typically, the cost of labiaplasty starts at $8,500. If both the upper and lower labia must be reduced, the procedure can increase in cost. Because so much of the cost depends on the surgeon and the patient, we encourage you to schedule a consultation with a professional at The Maercks Institute before making any final decisions about your labiaplasty.

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