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DOVE Labiaplasty Surgery Sydney By Dr Georgina Konrat
Labiaplasty is a surgical procedure with various approaches. Different surgical methods involve different tissue depths and techniques. Like all surgical procedures, labiaplasty carries risks including scarring, altered sensation, asymmetry, infection, bleeding, and dissatisfaction with outcomes.
The DOVE labiaplasty surgery was developed by Dr Georgina Konrat and published in the Aesthetic Surgery Journal in 2005. DOVE is a surgical approach that works within surface tissue layers. Dr Konrat performs DOVE labiaplasty surgery at Double Bay Day Hospital in Sydney following detailed consultation and suitability assessment.
Like all surgical procedures, DOVE labiaplasty surgery carries risks and complications. Results vary between individuals. There is no guarantee of specific outcomes. Before proceeding with any cosmetic surgical procedure, you should seek a second opinion from an appropriately qualified health practitioner, such as a GP.
Educational information only. Any surgical or invasive procedure carries risks. Before you decide, Dr Konrat will explain the expected outcomes, recovery process, and possible complications in detail. No surgical result can be guaranteed.
Before you Decide
All surgical procedures carry risks and require careful consideration. During your consultation, Dr Konrat will explain the expected outcomes, recovery process, and possible complications in detail so you can make an informed decision. Every woman heals differently, and no surgical result can be guaranteed.
Understanding DOVE Labiaplasty Surgery Sydney
Labiaplasty is not a one-size-fits-all procedure. The structure, thickness, and sensitivity of the labia vary widely between individuals, which is why surgical technique matters. The DOVE labiaplasty surgery technique was developed to reduce risk by working carefully within the surface tissue layers, rather than removing deeper structures.
At her Sydney practice, Dr Georgina Konrat performs DOVE labiaplasty using a method designed to preserve blood flow and nerve pathways. This approach aims to support healing, sensation, and a balanced anatomical outcome, following a detailed consultation and assessment process. Learn more about labiaplasty surgery in Sydney with Dr Georgina Konrat. Learn more about our practice and our philosophy.
The Function of the Labia Minora
Before considering labiaplasty, it helps to understand the role of the labia minora and why preservation of tissue is important.
A Natural Protective Barrier
The labia minora help protect the vaginal opening and urethra from friction, debris, and irritation during daily activities.
Maintaining Moisture and Comfort
They contribute to maintaining natural moisture in the area, helping reduce dryness, irritation, and discomfort.
Sensation and Nerve Supply
This tissue contains a high concentration of nerve endings. The DOVE technique is designed to respect these structures by avoiding unnecessary disruption to nerve pathways.
Understanding these functions is central to choosing a surgical approach that prioritises long-term comfort and tissue health.
Common Physical Indications for DOVE Labiaplasty
Women seek labiaplasty for different reasons, often related to physical comfort rather than appearance alone. Common concerns discussed during consultation include:
→ Persistent Physical Discomfort: Irritation, chafing, or pulling sensations during exercise, sitting, or daily movement.
→ Clothing-Related Irritation: Discomfort caused by friction from fitted clothing, swimwear, or underwear.
→ Asymmetry or Tissue Imbalance: Differences in size or shape that cause discomfort or uneven pressure.
→ Sensitivity or Tenderness: Ongoing tenderness that affects comfort during everyday activities.
Labiaplasty using the DOVE technique is planned with these functional considerations in mind. Rather than focusing on tissue removal alone, the emphasis is on working within existing tissue layers to support comfort, healing, and anatomical balance.
Dr Konrat also performs revision labiaplasty surgery using the DOVE surgical approach.
Before proceeding, it is important to understand how the procedure is performed and to review the potential risks and complications as part of an informed decision-making process.
Determining Suitability for DOVE Labiaplasty
Labiaplasty is an individual procedure. There is no single approach that suits every woman, as anatomy, tissue thickness, and sensitivity vary widely. Determining whether labiaplasty is appropriate depends on your current anatomy, symptoms, and overall health, which are assessed during a detailed consultation.
Clinical Criteria for Surgical Patients
You may be a suitable candidate for DOVE labiaplasty if you are experiencing:
Physical Discomfort
Ongoing irritation, pulling, chafing, or discomfort during daily activities, exercise, or sitting.
Clothing-Related Irritation
Discomfort caused by friction from underwear, swimwear, or fitted clothing.
Anatomical Asymmetry
A difference in size or shape between the labia that contributes to physical discomfort.
Sensitivity or Tenderness
Persistent tenderness that affects comfort or daily movement.
Personal Preferences
A desire to address anatomical preferences discussed during consultation, following a clear understanding of risks and limitations.
General Suitability Requirements
→ Must be over 18 years of age.
→ In good general health and a non-smoker (or willing to pause smoking for surgery).
→ Not currently pregnant or breastfeeding.
→ Able to make an informed decision after discussing risks, recovery, and expected outcomes.
When Surgery May Not Be Recommended
It is a core value of the clinic to provide honest clinical advice. Labiaplasty is not appropriate for everyone. In some cases:
→ Normal Anatomical Variation
The appearance of the labia may fall within the normal range and not require surgical treatment.
→ Minimal Physical Symptoms
If discomfort is mild or intermittent, non-surgical measures may be considered first.
→ Underlying Health Factors
Certain medical or psychological factors may make surgery inappropriate or unsafe at that time.
→ Expectation Mismatch
If expected outcomes cannot be achieved safely, surgery may not be recommended.
Dr Georgina Konrat will assess your anatomy, symptoms, and goals during your consultation to determine whether DOVE labiaplasty is appropriate and to recommend the safest course of care.
How is a DOVE Labiaplasty Performed?
DOVE labiaplasty is a planned, tissue-preserving procedure designed for women undergoing labiaplasty for the first time. Because the labia are highly sensitive and vary significantly between individuals, each procedure is tailored to your anatomy following a detailed consultation.
The DOVE technique focuses on working within the superficial tissue layers to reduce unnecessary disruption to blood supply and nerve pathways, supporting healing, comfort, and anatomical balance.
The Surgical Journey: What Happens During Surgery
The procedure is performed as a day surgery at an accredited Sydney facility. Local anaesthetic with light sedation is commonly used, allowing you to remain comfortable and relaxed throughout the procedure.
→ Assessment & Marking: Before surgery, Dr Georgina Konrat carefully assesses your anatomy and confirms the surgical plan discussed during your consultation.
→ Anaesthesia: A local anaesthetic is administered, with light sedation provided and monitored by a qualified anaesthetist.
→ Tissue Reshaping: Using the DOVE labiaplasty surgical method, excess tissue is carefully reshaped while preserving blood flow and nerve structures. Where appropriate, adjacent areas such as the clitoral hood may be addressed at the same time to support overall symmetry.
→ Fine Closure: Dissolvable stitches are used. These naturally dissolve as healing progresses over the following weeks.
→ Recovery Before You Go Home: You will spend one to two hours in the recovery suite under nursing supervision before being discharged into the care of a responsible adult.
What Can I Expect After a DOVE Labiaplasty?
Healing after labiaplasty varies between individuals, as tissue thickness, sensitivity, and recovery response differ from person to person. The aim of DOVE labiaplasty is to support natural healing while preserving comfort, function, and tissue integrity.
Clinical Outcomes & Objectives
When performing DOVE labiaplasty, the procedure is planned with the following clinical objectives in mind:
→ Reduction of Physical Discomfort: Relief from irritation, chafing, or pulling sensations during daily movement, exercise, or clothing wear.
→ Improved Tissue Balance: Careful reshaping to support anatomical balance and symmetry where appropriate.
→ Preservation of Sensation: Working within superficial tissue layers to protect nerve pathways and blood supply.
→ Support for Natural Movement: Encouraging soft, flexible tissue that moves comfortably with the body.
→ Long-Term Comfort: A focus on outcomes that support ongoing comfort rather than excessive tissue removal.
Setting Realistic Expectations for Healing
Labiaplasty is a surgical procedure, and healing occurs gradually. Swelling and tenderness are common in the early weeks and usually reduce over time. Most patients notice steady improvement within the first few weeks, with the area continuing to soften and settle over several months.
While early healing occurs within the first 6–8 weeks, final results may take several months to fully stabilise as the tissue continues to mature.
All surgery results in scarring as part of the normal healing process. With gentle tissue handling and dissolvable sutures, incision lines typically heal into fine, soft lines that fade gradually over time.
It is important to understand that labiaplasty aims to improve comfort and anatomical balance, not to achieve a specific appearance. During your consultation, Dr Georgina Konrat will discuss what outcomes are achievable for your anatomy and outline the expected recovery process to support informed decision-making.
The Dove Surgical Technique for Revisions
Every previous surgery leaves its own unique "fingerprint" on the tissue. Because a secondary procedure involves navigating existing incision lines and scar tissue, the surgical method must be precise and protective of the remaining blood supply.
Principles of Tissue Preservation
Dr Konrat performs revision surgery using the DOVE Labiaplasty technique (Double Offset V-Plasty with Extended De-epithelialisation). Unlike traditional methods that may cut through the full thickness of the tissue, the DOVE approach works within the upper tissue layers. This assists with healing and helps maintain natural sensation by protecting delicate nerve pathways.
Understanding Your Previous Surgery
To plan a successful revision, it helps to understand the "fingerprint" left by your primary operation:
Trim Technique
The trim method removes tissue along the outer edge of the labia minora. While it can shorten the labia, it leaves a fine scar along the edge and doesn’t usually address the clitoral hood or perineum. Some women later notice the edge feels a bit firm, sensitive, or that the natural border between the inner and outer labia has changed.
Wedge Technique
The wedge approach removes a small V-shaped section from the middle of the labia while keeping the natural pigmented edge. It maintains a natural outline, but because it removes full-thickness tissue, it can sometimes affect blood flow or tension at the join. This may lead to raised scars or areas that feel tight or uneven during recovery.
DOVE Surgery Technique
The DOVE Technique (Double Offset V-Plasty with Extended De-epithelialisation) takes a different approach. It works within the upper tissue layers instead of cutting through the full thickness, helping to preserve blood supply and nerve pathways. This assists with healing and helps maintain sensation - it’s why the same principles can often be applied in revision surgery, especially for issues like tightness, asymmetry, or scarring from earlier techniques.
Which Technique is Right for you?
During your consultation Dr Konrat will review your surgical history and examine how your tissue has matured. She will explain whether the DOVE approach is appropriate for your specific anatomy and goals. In some cases, additional procedures, such as mons pubis liposuction may be suggested to help achieve overall symmetry.
Request the Labiaplasty Guide
Our comprehensive Labiaplasty Information Guide provides detailed information about:
- The DOVE labiaplasty technique -
- The consultation process -
- Surgical fees and what is included -
- Recovery timeline and aftercare -
- Risks and complications-
This guide is designed to support your decision-making process and help you prepare for your consultation.
Recovery Timeline & Aftercare
Healing after DOVE labiaplasty is a gradual process. While most patients return to light daily activities within days, the tissue continues to soften and settle over several months.
First 48 Hours
Rest is important during the initial recovery period. Mild swelling and tenderness are expected. Cool compresses may be used over clothing to support comfort.
Week 1
Swelling typically begins to reduce. Light walking is encouraged. Avoid tight clothing and activities that place pressure on the surgical area.
Weeks 2–3
Many patients resume most normal daily activities. Swimming, tampon use, cycling, and sexual activity should still be avoided during this stage.
Week 6+
Following clinical review, a gradual return to exercise and intimacy may be recommended. Ongoing softening and tissue maturation continue beyond this point.
General Aftercare Tips
Clothing: Choose loose, breathable cotton underwear and avoid friction during early healing.
Hygiene: Gently cleanse the area using water or non-perfumed products, as advised by your care team.
Activity: Avoid prolonged sitting, cycling, or strenuous exercise until cleared during follow-up.
Follow-up: Attend all scheduled appointments to monitor healing and recovery.
Understanding Risks & Complications
All surgical procedures carry inherent risks that require careful consideration before proceeding.
The Importance of Informed Consent
During your consultation, Dr Konrat will provide a comprehensive overview of the potential complications specific to DOVE Labiaplasty. Every woman heals differently, and no surgical result can be guaranteed.
Australian Medical Regulations
To protect patient safety, Australian law requires a mandatory seven-day cooling-off period between your second consultation and the date of your surgery.
Consultation Process & Surgical Costs
Factors Influencing the Cost
No two labiaplasty surgeries are the same, which means costs can vary depending on what’s needed.
Your total surgical fee is influenced by:
➔ Procedure Complexity
➔ Theatre Time
➔ Facility Fees
➔ Anaesthetic Requirements
You will receive a detailed written quote after your consultation, once Dr Konrat has assessed your specific needs.
Medicare and Insurance Information
Understanding the financial landscape of cosmetic and revision surgery is important for your planning. We aim to provide clear information so there are no hidden or unexpected costs.
Consultation Fee: The initial assessment with Dr Konrat is $165 (non-refundable).
Medicare Rebates: Cosmetic and revision labiaplasty is generally not covered by Medicare.
Registration Status: Because Dr Konrat holds General Registration (MED0001407863), Medicare and private health insurance rebates do not apply to her procedures.
Payment Timing: All fees are discussed openly before you make any decisions to proceed with surgery.
For a full breakdown of what is included in your surgical package, you can request our Labiaplasty Guide.
What Can I Expect After a DOVE Labiaplasty?
Every DOVE labiaplasty is planned around your individual anatomy. Because vulval anatomy and healing vary from person to person, outcomes are focused on improving comfort, balance, and function rather than achieving a uniform appearance.
The DOVE technique is designed to preserve healthy tissue, blood supply, and nerve pathways while addressing concerns that interfere with daily comfort.
Expected Outcomes of DOVE Labiaplasty
Following a DOVE labiaplasty, many women report:
• Reduced friction, rubbing, or physical discomfort
• Improved balance and proportion of the labia minora
• Softer tissue that moves more naturally
• Greater comfort during walking, exercise, or intimacy
• Careful preservation of nerve sensation and blood flow
Outcomes depend on your anatomy, tissue quality, and healing response.
Healing and Recovery Timeline
Healing after DOVE labiaplasty occurs gradually. Swelling, firmness, and minor asymmetry are common in the early weeks and are part of the normal recovery process.
Most women notice a return to everyday comfort suggests improvement within several weeks. The area typically feels more settled by around three months, with continued refinement as healing progresses over subsequent months.
Scarring After DOVE Labiaplasty
All surgical procedures result in scars.
The DOVE labiaplasty technique uses precise incision placement, gentle tissue handling, and fine sutures to support smooth healing. Scar lines generally soften and fade over time, often becoming subtle within 6–12 months as the tissue matures.
Setting Realistic Expectations
Labiaplasty can improve comfort and anatomical balance, but it cannot create tissue where none exists or override natural anatomical limits.
During your consultation, Dr Georgina Konrat will:
• Explain what can and cannot be safely changed
• Discuss how your anatomy influences surgical planning
• Outline expected healing stages and recovery timelines
Educational before-and-after images may be used to support informed decision-making where appropriate.
Registered Medical Practitioner | General Registration
MED0001407863
Meet Dr Georgina Konrat
Dr Georgina Konrat (MBBS, FACCSM) is a registered medical practitioner (MED0001407863) with General Registration and Fellow of the Australasian College of Cosmetic Surgery and Medicine.
She has over twenty years’ experience in women’s health and intimate surgery and developed the DOVE labiaplasty surgical procedure. All procedures are performed by Dr Konrat and her all-female team at Double Bay Day Hospital, an accredited Sydney facility.
Frequently Asked Questions
These are common questions women ask when considering DOVE labiaplasty. If you’re wondering about something, you’re not alone.
Is there something wrong with my labia?
No. Everyone’s anatomy is unique, and variations in size, shape, or symmetry are normal. Surgery is a personal choice for comfort or function, not because something is “wrong.”
How do I know if I actually need a labiaplasty?
If you experience discomfort, irritation, or hygiene difficulties, labiaplasty may help. A consultation clarifies whether your symptoms relate to tissue shape and whether surgery would meaningfully improve them.
Will it hurt?
The procedure is done under local anaesthetic with sedation, so you won’t feel pain during surgery. Mild soreness or swelling can occur for a few days and is managed with prescribed medication.
Will my partner notice scars or know I’ve had surgery?
Scars are minimal and fade over time. The DOVE Technique uses fine incisions that are difficult to see once healed. Most partners don’t notice any visible change.
How long before I can have sex again?
Usually around six weeks, once cleared by Dr Konrat. Temporary changes in sensation are common for a few months and generally return to normal as healing completes.
How do I avoid a “botched” result?
Choose an experienced practitioner who performs this procedure regularly in accredited facilities.
Will it look obvious that I’ve had surgery?
No. The goal is balanced, natural-looking proportions that fit your anatomy, not a standardised appearance.
How do I go to the bathroom after surgery?
You’ll urinate normally. Rinsing gently with warm water and patting dry (not wiping) helps keep the area clean and comfortable.
Can I sit, drive, or work after surgery?
\Yes, but use a cushion when sitting in the first few days. Most women return to desk work within a week once they’re comfortable and off strong pain medication.
What if I’m unhappy with the results?
Revision is possible but more complex, as healed tissue behaves differently. The DOVE Technique can often address asymmetry or scarring from prior surgery.
How much does labiaplasty cost?
A detailed quote is provided after consultation. Cosmetic labiaplasty isn’t covered by Medicare or private health insurance.
How long do results last?
Results are generally long-lasting. Tissue removed doesn’t regrow, but ageing, weight changes, or childbirth can alter the area over time.
Can labiaplasty cause permanent loss of sensation?
Permanent loss is rare. Temporary numbness or sensitivity for several months is normal and usually resolves as nerves recover.
What’s the best age to have labiaplasty?
\You must be at least 18 for cosmetic surgery. There’s no ideal age, what matters is your symptoms, health, and whether you’ve finished having children.
Should I wait until after having children?
Pregnancy can change labial anatomy. If you plan pregnancy soon, waiting may be best. If discomfort is affecting daily life now, surgery can be considered sooner.
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AHPRA Registration: Dr Georgina Konrat MED0001407863 – Registered Medical Practitioner (General Registration)
Any surgical or invasive procedure carries risks. Individual results may vary. The information on this website is general in nature and does not constitute medical advice. A consultation with a qualified health practitioner is required to determine suitability.
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