The intimate area has always been taboo. But currently the tide is beginning to turn. Women are becoming more self-confident, no longer want to put up with physical conditions and now have the choice to regain their quality of life and end possible suffering. The trend towards intimate shaving also makes differences in size or asymmetries of the labia minora and labia majora visible and awakens the desire for aesthetic correction.

As individual as we humans are, so individual are our bodies. There are numerous differences and various forms of the female sexual organ. These limitations can be very stressful not only physically but also psychologically. Therefore, it is important to talk about this problem with a suitable and competent expert and to find an individual solution together.

Treatment spectrum:

  • Reduction of the labia minora
  • Padding of the labia majora
  • Reduction of the clitoral hood/clitoroplasty
  • Suction of the mons pubis

Most corrections in the female genital area affect the labia minora and labia majora. The following causes can lead to labia being too large, too small or too flaccid:

  • strenuous childbirth
  • severe weight loss
  • age-related changes in the body c
  • ongenital anomaly

Inner labia can be asymmetrical and too large in shape and can hurt during exercise and sports. This phenomenon must be considered not only from an aesthetic point of view, but also from a health perspective: whether during sports, sex or urination, asymmetrical labia can be restrictive in everyday life and lead to discomfort. In most cases, such asymmetries are the result of weight gain, childbirth or menopause, or result from predisposition. When they reach a certain degree, Dr. Bartsch advises surgical intervention. Excess tissue on the labia and clitoral sheath is removed extremely gently. The result is beautifully shaped labia minora, which are covered by the labia majora.


Outer labia can atrophy and lose a lot of volume over time. In some patients, the vaginal entrance and labia minora may also be uncovered, disrupting the protective function of the vagina – this can lead to vaginal infections. In this case, autologous fat can be the right solution to restore volume. In addition to the ability to permanently replace volume, autologous fat also has the power to positively influence the skin and mucous membrane from stem cells and growth factors.

PRP blood plasma in the intimate area can also regenerate the mucosa and thus support continuous moisture in the vaginal region.


Sagging or very small labia can regain fullness thanks to hyaluron. Hyaluronic acid is a substance produced naturally in the body and has been used successfully for years in the treatment of wrinkles. Its structure cushions wrinkles and thus smoothes the tissue. Intimate surgery also makes use of this function. Hyaluron has the advantage of saving a minor surgical procedure. Hyaluron injections in the intimate area have a shelf life of 6-9 months.

Labia that are too small can also be treated with autologous fat. This can be harvested from a suitable site, processed and reinjected in the same procedure. This also makes the labia plumper and fuller. The advantage of this treatment method is its long durability.


In some patients, stubborn subcutaneous fatty tissue is deposited on the mons pubis. If the excess volume is particularly pronounced, for example due to hormonal and age-related changes in the body, it is often perceived as bothersome. Even sport and a healthy diet often have no effect. Excess subcutaneous fat can be permanently reduced during pubic mound liposuction. The excess fat cells are suctioned out with the help of a cannula.


Together with Dr. Bartsch, the medical options, risks, the course of treatment and the healing process are discussed in detail. The combination of gentle surgical incision techniques, autologous fat, hyaluronic acid and PRP treatments are individually adapted to each problem and each patient in order to achieve the best possible result for you. Labiaplasty procedures take place in twilight sleep and are day-clinical. Three days after the procedure, bed rest should be maintained due to normal swelling. Sports activities and sexual intercourse are to be paused for six weeks.