Many women feel as though their vulva has too much skin or that their inner labia protrude noticeably beyond their outer lips. They often experience chaffing and discomfort during everyday activities or pain during intercourse. Women also may feel self-conscious about the prominence of their inner labia and avoid wearing tight clothing or allowing sexual partners to see them naked.

Labiaplasty can resolve these concerns for many patients. This common procedure shortens the inner labia to improve a woman’s comfort and to help her have the appearance that she wants. Beyond the physical changes, patients who have labiaplasty often report that the surgery has made them more confident and has enhanced their sexual experience.

Thinking About Labiaplasty?

A woman’s decision to have labiaplasty is a personal choice. Esprit Cosmetic Surgeons wants those in our care to be able to make their choice with comfort and confidence.

Through female genital cosmetic surgery, Dr. Nancy Salisbury helps women feel and look the way that they want. A board-certified surgeon, she is also an associate of the Laser Vaginal Rejuvenation Institute® (LVRI®) of America and has received labiaplasty training under Dr. David Matlock, widely recognized as “Dr. 90210.” With nearly 30 years of experience in practice, Dr. Salisbury brings comprehensive gynecological and surgical expertise to each patient’s care.

Following labiaplasty, women can expect their features to be anatomically natural, aesthetically appealing, and in harmony with their body. Women should have improved comfort in daily activities and intimate moments as well as greater satisfaction with their appearance.

“Dr. Salisbury made me feel like I was her daughter she made me feel like i was apart of her family I didn't have to go anywhere else..”

Robin W.

Experience Our Care

Dr. Salisbury Compared To A Plastic Surgeon

Dr. Salisbury is a board-certified gynecologist with special training in labiaplasty and vaginal tightening surgery. With over 30 years of experience in women’s health, she can assess each patient with an open mind. Since she is a master of all surgical and non-surgical treatments, she will help you chose the option that best suits your individual needs.

Most plastic surgeons can do a labiaplasty. But plastic surgeons have no significant training and experience with female sexuality and function. A plastic surgeon cannot come close to the insight Dr. Salisbury provides. As a gynecologist and a woman, Dr. Salisbury’s knowledge, decades of experience, and technical expertise provide a level care that simply cannot be matched by a plastic surgeon. This supreme level of care is what all women should seek when addressing their sexual well-being. Dr. Salisbury is here to provide it.


In their initial visit, patients will have extensive time to speak with Dr. Salisbury, to discuss their goals, and to become comfortable with their treatment. This will also be a great opportunity to learn more about how labiaplasty works. Dr. Salisbury will commonly conduct an examination with a mirror so that patients can better describe the areas that they want to change and how they prefer to look.

Many women will benefit from ancillary procedures along with labiaplasty, including:

  • This surgery fixes excess skin that may have developed north and south of the labia, creating smoother lines and a more natural appearance.
  • Clitoral hood reduction. The procedure reduces excess folds around the clitoris to improve the aesthetics of the genitalia.

At the conclusion of the visit, patients can schedule their procedure. Esprit Cosmetic Surgeons also invites patients to take some time before scheduling, to reconnect with our staff to ask questions, and to set a date when they decide that they are ready.


Patients typically have labiaplasty at a surgical center under general anesthesia, which improves their comfort and promotes the best outcome possible. The procedure takes about one hour, and most patients will be able to go home within four hours of arriving. Esprit Cosmetic Surgeons helps patients prepare for their recovery by providing medication and comprehensive post-surgical instructions before they leave.


Patients should plan appropriately for labiaplasty by scheduling a realistic timeframe for healing. Dr. Salisbury recommends:

  • Applying ice and taking the opportunity to rest their body.
  • Taking off from work for about 7-10 days.
  • Not participating in cardio, exercise, or intercourse for 6-8 weeks. Stitches typically dissolve by this point.

Dr. Salisbury has an open-door policy regarding follow-up visits. Patients may schedule checkups as often as needed, which for some women will be on a weekly basis and for others will be at the six-week mark.

“She’s amazing, she is not only a physician and a fantastic one at that, but she is a therapist, she is a healer I don’t have enough great things to say about her...”

Chelsea B.

What Patients Ask Us About Labiaplasty

Is labiaplasty painful?

Most patients will be under general anesthesia during the procedure and will experience no pain. Following surgery, patients can expect to feel discomfort for 1-2 weeks, after which point they should feel significantly better. Esprit Cosmetic Surgeons can provide resources and guidance to make the experience as comfortable as possible.

Will labiaplasty affect my sensation?

Nerve damage is very uncommon with labiaplasty, and Dr. Salisbury brings years of experience and expertise to procedures to provide safe and predictable outcomes.

Will labiaplasty diminish my sexual response?

Labiaplasty should not hinder a woman’s sexual response. Many patients find that the procedure adds to their confidence and comfort during intercourse, which can actually increase their response.

If you are ready to look and feel the way that you want, schedule an appointment to discuss labiaplasty with Dr. Salisbury. Contact Esprit Cosmetic Surgeons by calling (503) 783-0544 or contacting us online.