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    Intimate Surgery (Labiaplasty)


    If you're considering an intimate surgery…

    Enlargement of the labia minora and majora can be caused by a variety of factors, including pregnancy and childbirth, some sports and hormonal effects.

    Labiaplasty or Labial Reduction surgery involves reshaping the inner and or outer labia to achieve a normal aesthetic appearance, in which the inner labia are just visible inside the outer labia.

    If you are troubled by enlarged labia which cause discomfort, become sore and are self-conscious of your appearance, then Labiaplasty, Labial reduction surgery is likely to be beneficial for you. You should be realistic as to what can be achieved by Labiaplasty surgeries.

    Introduction

    Large inner labial lips can be natural or acquired (as a result of major weight gain, chronic irritation or due to hormones). The reason for the patient wanting to alter their labial lips surgically can thus vary. It can be a question of appearance, discomfort when wearing tight clothing, difficulty playing certain sports or discomfort during sex.
    During a medical consultation the inner labial lips are more visible than the outer labial lips when standing. There are often considerable differences in shape and size between the left and right hand inner labial lips.

     
    Operation

    Reduction of the inner labial lips can be performed under anaesthetic or alternatively using only a local anaesthetic. Usually a long incision is made along the lip edge to remove the section which the patient feels is troublesome. Alternatively a wedge shaped section can be cut out.

    Risks

    Common to all surgical procedures there are always risks associated with surgery. However, complications are uncommon. Bruising is uncommon and may take 2 weeks to resolve, while major bleeding is rare (less than 0.5%). Infection is rare (less than 0.5%) and will require a course of appropriate antibiotics. Irregularity or asymmetry of the labia is uncommon and may result from excessive swelling or disruption of stitches. This may require revision surgery to improve the result. Sensitivity is expected for 4 – 6 weeks before normal sensation returns.

    Post-op

    It may take up to six weeks for the full results of a labiaplasty to show. Post labial surgery reduction you will have to wear a dressing that will be similar to a pad worn during menstruation. There might also be some swelling and wound fluid in the labia so bed rest helps for the first day. You will need to wear a small sanitary towel until the ooze stops, usually after 1-2 weeks after labial reduction.

    Treatment of the labiaplasty wound during the first days is important; take a shower once or twice a day and then dry the area.

    Avoid strenuous activityas well as sexual intercourse for 2-3 weeks after surgery. Sitting, using the toilet and having sexual intercourse will be painful initially.

    The patient returns for check-up appointment with Dr. Freschi one week after the procedure. Any remaining stitches are removed.

    Results

    In a medical study published in the Swedish medical paper (Läkartidningen no. 38, 2004) some 92 % of women who underwent labial lip surgery recommended the procedure other women suffering from similar problems.

    Dr. Andrés Freschi