Labiaplasty under Local Anaesthetic

Labiaplasty under Local Anaesthetic

Labiaplasty is a procedure some women consider when the labia minora cause discomfort, irritation, or a feeling of self-consciousness. Many women seeking labiaplasty in Brisbane or labiaplasty on the Gold Coast have similar questions — especially about pain, what the procedure feels like, and how labiaplasty recovery typically unfolds.

Understanding Labiaplasty Under Local Anaesthetic

Labiaplasty is a form of female genital surgery that reshapes or reduces the labia minora. Dr Sharon Li is a cosmetic gynaecologist and surgeon who performs labiaplasty in Brisbane and on the Gold Coast.

Many women choose to have the procedure performed under local anaesthetic, meaning the area is numbed while you remain awake. This option can be suitable for women who prefer a shorter recovery period, want to avoid general anaesthetic, or feel more comfortable remaining conscious during the procedure.

Is the Procedure Painful?

Most women report pressure, movement, and occasional mild discomfort, but minimal sharp pain during the procedure once the local anaesthetic has taken effect.

Here is what the experience usually involves:

1. The Local Anaesthetic

  • A numbing gel is applied first.

  • Local anaesthetic injections are then given — these may sting or burn briefly.

  • Once numb, the surgical area typically has no sharp sensation.

Women often describe the sensation as:

  • “Pressure, but not painful”

  • “A tugging or pulling feeling”

  • “Odd but tolerable”

2. During the Procedure

After numbing, most women feel comfortable enough to chat with Dr Li or listen to music. The focus is on maintaining privacy, dignity, and emotional comfort throughout. If any discomfort or pain is felt during the procedure, Dr Li can re-administer local anaesthetic as needed. For the incisions to the labial or clitoral area, Dr Li uses Soniquence radiofrequency device for surgical incisions.

Benefits of Using Soniquence (Radiofrequency Surgical Device)
Soniquence is a radiofrequency tool used for soft-tissue procedures. When used in labiaplasty, its potential benefits include:

  • Precision in tissue division – Radiofrequency allows controlled cutting in delicate areas.

  • Reduced lateral thermal spread – The energy is targeted, which helps limit heat to surrounding tissue.

  • Assistance with hemostasis – RF energy can help seal small blood vessels during the incision.

  • Smooth incision edges – Many clinicians find RF tools create fine, controlled incision lines.

  • Efficiency during surgery – Radiofrequency can allow the surgeon to cut and coagulate at the same time.

3. After the Procedure

It is normal to experience:

  • A feeling of heaviness or warmth

  • Mild aching

  • Swelling and sensitivity for a few days

Many women manage well with:

  • Simple pain relief (Paracetamol, Naprosyn, Tramadol if needed)

  • Cold packs (wrapped)

  • Rest, especially for the first 2 weeks. Clear, written instructions will be given for post-op care and pain relief after the surgery.

  • Dr Li will provide WeChat contact details for 24 hour support post-op.

Emotional Considerations: What Many Women Feel

It is completely normal to have mixed emotions before and after labiaplasty.

Before surgery

  • Nervousness about pain or the experience

  • A sense of vulnerability about an intimate procedure

  • Relief at addressing long-term discomfort

During and after surgery

  • Reassurance once they realise the anaesthetic is effective

  • A sense of calm as Dr Li explains each step

  • Temporary worries about swelling or appearance

  • Increasing comfort as healing progresses

A supportive environment and clear communication are essential parts of care.

Anaesthetic Options

Dr Li will discuss what is appropriate and safe for you. Options may include:

  1. Local Anaesthetic Only

    • Area is numbed while awake

    • Shorter recovery time

    • Suitable for many women

  2. General Anaesthetic

    • You are fully asleep

    • General anaesthetic may be considered for women with significant anxiety, needle-phobia, a history of depression affecting procedural tolerance, complex anatomy, vaginal or perineum repair procedures, or when individual comfort or safety requires it.

If you would like more information about labiaplasty or to book a consultation in Brisbane or the Gold Coast, please contact our clinic at 07 3219 6868. We welcome you to book a face-to-face appointment with Dr Sharon Li, as every patient’s needs are different, and the most accurate quote can be given after an in-person consultation.

You will receive a detailed, personalised quote following your consultation, based on your specific treatment plan.

All gynaecological treatments come with potential risks and complications. We recommend seeking a second opinion from a qualified health practitioner before proceeding. The photos and videos on our website and social media are shared with patient consent. Individual outcomes, including risks and recovery times, vary based on factors such as genetics, health, and lifestyle. As a result, these images do not guarantee similar results for everyone. The information on our page is general and should not be taken as medical advice. For more specific guidance, please contact us directly.