Labiaplasty : Reduction/Augmentation

Cosmetic gynaecology is a growing field of plastic surgery, that involves a variety of different procedures which is designed to enhance or rejuvenate the female genitalia. The different types of this cosmetic gynaecology include monsplasty, vaginoplasty, hymenoplasty, labiaplasty, G-spot augmentation, clitoral unhooding, frenuloplasty, perineoplasty, fat injections, and combinations of these procedures.

What is a labiaplasty?

Surgery to the labium, also known as labiaplasty is a surgical procedure which is designed to sculpt the external genitalia by reducing and/or reshaping long or uneven labia. It is the most commonly performed vaginal rejuvenation procedure and can relieve symptoms that women experience from twisting and tugging of the labia. This surgery may also involve multiple procedures like the labia minora (inner lips), labia majora (outer lips), perineum, clitoral hood, prepuce, and frenulum in order to provide for a pleasing aesthetic outcome.

Labia minora reductions are more common than labia majora reductions or augmentations, although both are moving fast in the field of cosmetic gynaecology. The reason why this have gained a lot of popularity is because of the growing cultural acceptance, availability of Internet genital exposure, and hair removal procedures that expose tissue that had previously been unnoticed. The main aim of this procedure is to remove any functional problems and create labia that are aesthetically appealing. Patients with severe cases frequently report decrease in their pain or having any discomfort with daily activity and sexual intercourse after the procedure.

Reasons patients want a labiaplasty

Women opt for this surgery for a variety of reasons like relief from genital pain caused due to twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness., while others may have cosmetic concerns about the look of their vagina, still others may be hoping to enhance their sexual satisfaction. Some transgender women may undergo labiaplasty following gender reassignment surgery.

What does a labiaplasty do?

The main purpose of this procedure is to reduce the size of the labia minora so that they don't hang below the hair-bearing labia majora. A labiaplasty could be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia can no longer twist, tug or fall out of a bathing suit.

Preparing for the Procedure

The patients have to stop smoking and consuming alcohol for at least a week before your surgery. Your surgeon wouldl likely suggest that you stop taking certain medications, like aspirin, non-steroidal anti-inflammatory drugs (NSAIDs) and blood thinners, all of which can increase bleeding risk. Certain kinds of herbal remedies, like vitamin E, omega-3 fatty acids, green tea and ginkgo biloba, also may increase bleeding risk during and after surgery. You should avoid having any sexual intercourse the night before your labiaplasty surgery.

What is the procedure for a Labiaplasty?

Labiaplasty is performed under a general or local anaesthesia. The most common type of Labiaplasty is the trim procedure, in which the extra tissue is removed and stitched up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been cut off. Additional folds of the clitoral hood could likewise be reduced at the same time. The surgeon will then suture the incision(s) closed with dissolvable stitches.

What are the risks involved in a labiaplasty?

The risks associated with a labiaplasty include:

  • Infection
  • Bleeding
  • Temporary Numbness
  • Asymmetry between the inner and outer labia lips
  • Pigmentation changes
  • Decreased feeling in that area
  • Pain
  • Excess scar tissue build up (appearing as lumps on the treated area)
  • Hematoma (break in blood vessel causing localized blood-filled area or blood clot)
  • Puckering or creases of the skin
  • Sexual dysfunction
    • Recovering from a Labiaplasty

      After the surgery, you must abstain from having intercourse for 1 month. Your genitals would be tender and swollen for several weeks, and your labia and the surrounding area might be slightly bruised. Most women take a 7 day off from work, during which they can reduce the swelling and pain by icing with a cold pack sandwiched between the patient's underpants and an elastic garment, like Spanx. This can be done " 20 minutes on, 20 minutes off." The patient can also lie with her bottom elevated to reduce swelling. You would be asked to avoid any heavy or exhausting exercises for 3 or more weeks after surgery. Tampons should not be used in the 10 days after your surgery, but you will need to wear a pad for at least 1 week due to postsurgical bleeding. Trim labiaplasty normally allows for a faster recovery.

      Labiaplasty Cost

      This surgical procedure includes three costs: local anaesthesia fees, facility fees and the surgeon fees. You might have a labia majora reduction or labia minora reduction, or both, to produce a fully satisfactory outcome. Both of these procedures could be performed at the same time, which reduces the overall cost, since you pay only once for anaesthesia and for the facility.

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