Most of the changes with the inner labia are the result of puberty although some can occur during pregnancy and with vaginal delivery. Hormones are the primary driver of labia minora growth, and so women and young girls as early as 10 to 13 years of age can start to see changes to the genitalia along with puberty (similar to the changes that occur to the genitalia in men). But again, the majority of the changes to the inner labia happen during puberty and therefore, there is no reason to necessarily wait until after pregnancy to have a Labiaplasty. It’s very unlikely that the tissues will grow back after this procedure, and so if the inner labia are a source of concern both cosmetically and functionally, Labiaplasty can be pursued.