Labiaplasty swelling

For how long time can I expect swelling to occur?

Swelling after labiaplasty is typically at its most pronounced during the first 72 hours post-surgery. This is when inflammatory processes are most active, causing fluid to build up in the treated tissues.

In the majority of cases, significant swelling subsides within 4–6 weeks. However, it is not uncommon for subtle puffiness or asymmetry to persist for up to three months or longer. This prolonged swelling often reflects the deeper tissue healing that continues even after external signs of recovery have improved.

It’s also worth noting that swelling may fluctuate depending on factors such as activity level, hydration, hormonal changes, and heat exposure. Some patients report temporary increases in swelling during menstruation, which is entirely normal.

Labiaplasty swelling timeline

Day by day

Days 1–3

This is the acute inflammatory phase. Expect the area to appear significantly swollen, with some degree of bruising. The labia may feel tight or engorged. Discomfort or a burning sensation is common due to both swelling and nerve sensitivity. Keeping the area clean and cool is essential at this stage.

Days 4–7

Swelling typically begins to reduce, although the area may still be visibly enlarged and sensitive to pressure. Walking may remain uncomfortable, especially when wearing tight clothing. Mild, clear discharge from the incision line may occur as part of normal wound healing.

Week by week

Week 1–2

Swelling continues to decrease, though the pace may vary between individuals. Any bruising should begin to fade. Some asymmetry is common at this stage and should not be interpreted as a final result.

Week 3–4

Most patients can resume light physical activity. Any remaining swelling is typically mild and localised. You may start to recognise a more defined contour in the area, although small irregularities are still expected.

Week 5–6

The majority of swelling should be gone, although the tissue may still feel firm or slightly numb. This is due to nerve endings regenerating and deeper layers of tissue settling. It is still too early to evaluate the final aesthetic outcome.

After 6 weeks

Any lingering swelling is generally subtle and does not interfere with daily activities. Minor fluctuations may continue depending on physical exertion or hormonal cycles.

Tips to reduce swelling post-surgery

 
• Spray with water: Use a spray bottle with water to gently clean the area without irritating it.
 
• Rest: Ensure you get plenty of rest and avoid strenuous activities.
 
• No sex: Abstain from sexual activities to prevent additional irritation.
 
• No shaving or waxing: Avoid shaving or waxing the area to prevent irritation and infection.
 
• Use pain killers: Take prescribed pain medications to manage discomfort and reduce inflammation.
 
• Wear loose-fitting clothing: Choose loose and breathable clothing to avoid pressure on the treated area.

Swelling after labiaplasty cannot be entirely prevented, but there are certain measures that can help limit its severity and duration.

Cold compresses (first 48 hours)

Applying cold packs (wrapped in a cloth) to the area in short intervals during the first two days can help constrict blood vessels and reduce early swelling. Avoid direct ice contact.

Elevate the pelvis when resting

Keeping the pelvis slightly elevated while lying down can support lymphatic drainage and reduce fluid accumulation.

Gentle hygiene practices

Use a peri bottle or handheld spray with lukewarm water to clean the area after urination. Avoid soaps and wipes, which can irritate sensitive tissues.

Avoid heat and friction

Hot baths, saunas, and tight underwear can increase blood flow and worsen swelling. Stick to breathable, loose-fitting clothing.

Limit physical activity

Avoid prolonged standing, walking, or lifting during the first two weeks. Even light household activities can contribute to swelling if introduced too early.

No sexual activity

Penetrative sex after labiaplasty and even non-penetrative genital contact can disturb healing tissues and trigger swelling or bleeding. Wait until you’ve been cleared by your surgeon, usually after 6–8 weeks.

No hair removal

Refrain from shaving, waxing, or using any hair removal creams in the genital area until full healing has occurred.

If swelling worsens suddenly, becomes one-sided, or is accompanied by redness, fever, or foul-smelling discharge, it’s important to contact your clinic promptly to rule out infection or hematoma.

Learn more on different side effects from labiaplasty to look out for.

When will I have the final result?

The final results of labiaplasty can usually be seen within three to six months post-surgery. By this time, most of the swelling should have resolved, and the tissues will have settled into their final shape.

Although the most dramatic changes occur within the first six weeks, labiaplasty results evolve gradually over time. It’s typically around the three-month mark that tissues have settled enough to give a clear picture of the surgical outcome. In some cases, it can take up to six months or more before the final shape and texture of the labia are fully established.

Tissue softness, colour normalisation, and sensitivity all continue to improve over time. Mild asymmetries often even out as swelling resolves and internal healing completes.

Individualised support throughout recovery

Recovery looks different for everyone, and at Adoreal we make sure you get the support you need along the way. Our partner clinics offer clear information, reliable follow-up and help if anything feels unclear after your surgery. You can always reach out if you have questions or just want to check that everything is healing as it should.