Reduction of the labia minora (labiaplasty)


Labiaplasty methods

Surgical method. With this method, the patient is given general or local anesthesia. After the onset of anesthesia, the plastic surgeon uses a scalpel to excise excess tissue and give the labia the correct appearance from a physiological point of view. The disadvantage of using this method is the scars that remain at the site of the sutures. The size of the scars varies from patient to patient and depends on their regenerative abilities.

Laser method. This method uses high-tech laser equipment. The main advantage of using this method is that tissue damage is minimized, so the rehabilitation period is significantly reduced.

Preparation for surgery (tests)

Correction of the external genitalia, as a rule, is not a complex intervention, and in most cases is performed under local anesthesia. However, this is still an operation, and therefore special preparation is required.

Before labiaplasty, you must undergo the following examinations:

  • blood and urine analysis (general and biochemical);
  • test for hepatitis, syphilis, AIDS;
  • coagulogram;
  • flora smear;
  • Ultrasound of the pelvic organs.

There are a number of other key points that are included in the preparatory period:

  1. Before the intervention, you must stop drinking alcohol and smoking.
  2. Stop taking medications - anticoagulants, drugs containing acetylsalicylic acid, herbal remedies, vitamin complexes.
  3. Undergo a complete physical examination.
  4. Follow the diet prescribed by your doctor.

Performing labiaplasty surgery

Before the actual labiaplasty operation, the patient is scheduled for an examination by a gynecological surgeon in order to determine the scope and technique of the surgical intervention. It is mandatory to take general tests from the patient to examine the state of health, during which the presence of inflammatory or infectious diseases in the body is determined.

The best time for surgery is about 1.5-2 weeks after the end of menstruation. When the examination is completed and the test results are known, the day of surgery is scheduled. Before undergoing labiaplasty, patients are given local or general anesthesia. Then the surgeon, using the technique chosen in a particular case, begins to make incisions with a scalpel along the marked lines, without affecting the erogenous zones. The total procedure time does not exceed 30-50 minutes.

How is the operation performed?

Correction of the labia minora can be performed with a scalpel or laser. The intervention technology is similar. There are two main types:

  1. Linear resection - allows you to deal with increased size, lack of symmetry, and even hyperpigmentation. The tissue is excised, after which the edges of the wound are sutured or coagulated with a laser.
  2. V-shaped resection - allows you to remove two wedge-shaped flaps of skin at once, while the natural folding is preserved. Shape correction is possible due to remote areas in the middle part.

Both interventions are performed under local anesthesia; complete anesthesia is rarely performed. The procedure takes 40-60 minutes. If a laser or radio knife is used, the procedure is as gentle as possible, and the duration of rehabilitation is reduced.

Correction of the labia majora is usually carried out simultaneously with correction of the pubic area. If a change in the shape and size of the labia majora is associated with an increase in the patient’s weight, a classic tummy tuck and liposuction are most often used. If the change occurred due to a woman’s sudden weight loss, lipofilling - the introduction of fillers - will help.

Labiaplasty results

The recovery period after this procedure lasts from 4 to 6 weeks. As a result of labiaplasty, women gain self-confidence, former discomfort disappears, and sensations during sexual intercourse become brighter. During the rehabilitation period, the sutures completely dissolve. If general anesthesia was used during the operation, the patient remains in the hospital, but if it was local anesthesia, then after the operation you can immediately return home.

Immediately after surgery, slight swelling, pain and slight bleeding are observed in the genital area. Minor scars after the procedure should disappear completely after 3 months. The main thing is to follow all doctor's instructions. Labiaplasty can change a woman's life. As a result of this operation, she will have symmetrical labia, which she no longer needs to be embarrassed about.

Labiaplasty – plastic surgery of the labia

What person is not upset by the imperfection of his own body? This applies not only to the usually exposed areas, but also to much more delicate areas, to which we always pay special attention.

Labiaplasty (plasty of the labia majora and/or labia minora) is a surgical correction of the shape and size of the female external genitalia. The ease of implementation, short recovery period and minimal risk of complications have made it one of the most popular services in the intimate plastic surgery segment.

In what cases will this operation help and how much does it cost? Are there any contraindications and side effects? Will it be possible to give birth and have a normal sex life in the future? TecRussia.ru asks the best plastic surgeons in the capital:

↑ Indications for labiaplasty

In most cases, women who seek this operation are guided by subjective aesthetic considerations, as well as the desire to enhance their sexual sensitivity and get rid of psychological complexes.

There may also be medical indications. Thus, pronounced hypertrophy or elongation of the labia minora (this concept includes lips longer than 4-5 cm) causes considerable inconvenience - when walking they rub against each other, which leads to skin irritation and chronic pain. Similar consequences can occur after sexual contact.

As for the labia majora, they often differ from the aesthetic and medical norm in one direction or another. This may be a congenital feature of the body, or it may manifest itself under the influence of age-related factors, hormonal disorders, or, for example, after childbirth.

The main problems eliminated with labiaplasty:

  • changes in the shape and size of the labia majora and minora;
  • eliminating their asymmetry;
  • change in color of the labia;
  • correction of folding, flabbiness, sagging.

↑ Plastic surgery of the labia minora (MPG)

In most cases, labiaplasty is performed to reduce MPG. This operation is the excision of excess tissue, performed using one of two main techniques:

  • V-shaped - simple removal of skin flaps of the appropriate shape, while maintaining the natural appearance of the edges of the labia.
  • Linear - in this case, in addition to size correction, natural folding and pigmentation are removed. The method, in particular, has a chance to damage the clitoris, which will subsequently lead to a decrease in the level of sexual sensitivity.

This operation is often called “laser labiaplasty”, since for more than 15 years most surgeons and clinics have successfully used laser equipment to perform it, completely abandoning the traditional scalpel.

Photos before and after labiaplasty (MPG correction):

↑Plasty of the labia majora (LPG)

Surgery on the GPG can be performed using three different methods, depending on the task facing the surgeon:

  • Enlargement of the labia majora is carried out by injection of fillers based on hyaluronic acid or using lipofilling (in a similar way, if desired, you can also enlarge the labia minora). In the past, biopolymer gels were often used for the same purposes, but today in most developed countries they are completely prohibited for use due to a large number of complications.
  • If volume reduction is necessary, liposuction is performed.
  • If we are talking about sagging lips, the problem with excess skin is solved by surgical excision.

↑ Features of labiaplasty

Before scheduling an operation, the patient must undergo an examination by a gynecological surgeon to determine the scope and technique of the necessary intervention. A general health examination is also carried out, tests are taken for the presence of inflammatory or infectious diseases of the genital area.

  • Truths and myths about labiaplasty: is this operation dangerous? (candidate of medical sciences Sarvar Bakirkhanov)

The optimal time for surgery is the first 1.5-2 weeks after the end of menstrual bleeding. Labiaplasty is performed under local anesthesia or general anesthesia and takes from 30 to 50 minutes. The surgeon makes single or multiple incisions of various shapes and excises excess tissue along pre-marked lines. The choice of technique, number and shape of incisions is selected individually for each patient, depending on the desired result. In this case, erogenous zones or areas with protective functions are practically not affected.

  • Labiaplasty is often combined with vaginoplasty - this is advisable when changes in the external genitalia are caused by age-related or traumatic birth causes - as well as clitoral plastic surgery (removal of excess skin from its hood)

↑ How is rehabilitation going?

If local anesthesia was used, then almost immediately after the surgeon finishes work, you can go home. General treatment will require a standard day in the hospital. The full recovery period after labiaplasty takes about 6 weeks. The first 2-3 postoperative days should pass in a gentle manner - without physical exertion and sudden movements. At this time, the patient may feel pain or discomfort in the perineal area. After each visit to the toilet, you must wash yourself with antiseptic solutions. It is also important not to rub the labia and not wear tight underwear or clothing.

For the first 3-4 weeks after surgery, you will need to refrain from going to the gym (especially physical activities such as horse riding or exercise bikes), swimming pool, sauna or steam bath, as well as taking a hot bath or visiting a solarium. Intimate contacts are excluded for 4-6 weeks.

  • This is important: labiaplasty in no way affects reproductive function and does not cause problems with conception, further pregnancy or natural childbirth.
Photos before and after labiaplasty combined with plastic surgery of the clitoral “hood”:

↑ Contraindications, possible complications and side effects

The main factors excluding labiaplasty are:

  • the presence of inflammatory processes;
  • venereal diseases;
  • any acute diseases of the body;
  • bleeding disorders;
  • approaching (in 4-5 days) next menstruation;
  • age under 18 years;
  • pregnancy and lactation;
  • psychical deviations.

Labiaplasty is considered one of the simplest plastic surgeries with a minimal percentage of complications and side effects. However, an incorrectly carried out intervention can lead to some specific consequences:

  • Dyspareunia is an uncomfortable or slightly painful sensation during sexual intercourse that occurs due to a narrowing of the vaginal opening. Almost all patients experience them to one degree or another, but, as a rule, the situation normalizes quite quickly.
  • Constant gaping of the vaginal opening, which occurs as a result of erroneous actions of the surgeon - excessive resection of soft tissue. This condition can lead to dryness of the vaginal mucosa and increases the risk of infections, since the labia minora perform their barrier functions less well.
  • Changes in sensitivity in the labia area. A standard side effect of any surgical procedure, caused by damage to the nerve endings in the surgical area. The process is reversible, but sometimes takes a lot of time, from several months to 1 year.

↑ How much does labiaplasty cost? Current prices

Correction of the labia is considered one of the most inexpensive plastic surgeries. However, even here the price range is quite large, since it depends on several factors. First of all, this is the volume of intervention, then the chosen method of pain relief and the general pricing policy of the specialist or clinic:

Labiaplasty – prices in Moscow (RUB):
Average49.687
Minimum6,000 rub. (Beauty Institute clinic)
Maximum160,000 rub. (MedCor clinic)
* all prices listed are synchronized with the TecRussia.ru price list database and are current as of the current date.

↑ Experts' opinions:

Gagarina Svetlana Vyacheslavovna
plastic surgeon, doctor of medical sciences:

In my practice, there are several major factors that influence a patient's decision to undergo this surgery. In addition to inconvenience in sexual life, most often the reasons for visiting a surgeon are as follows:

  • the labia minora protrude beyond the edge of the labia majora and in a standing position it looks unaesthetic;
  • when wearing tight underwear, protruding ribs also create an unsightly outline;
  • Since hair removal has now become widespread, everything secret has become clear and women have to live up to those numerous pictures in which the labia minora are really small.

As for size, in medicine there is the concept of “elongation” - this is when the distance from the midline to the most protruding edge of the labia minora exceeds 5 cm. But, in general, this is a kind of convention, and the patient has the right to seek surgery regardless of the number of centimeters. At the same time, when performing resection of pharynx, it is important to know when to stop and avoid their complete amputation, as this leads to subsequent problems with perineal dryness.

All labiaplasty methods can be divided into two categories:

  • with resection of the edge (that is, eliminating its natural appearance) and
  • while maintaining the natural appearance of this very edge.

The second option includes V-shaped and fenestrated plastic surgery of the labia minora. But the laser technique, so advertised by some, is a linear resection, which can cause trauma to the legs of the clitoris, which can lead to certain problems in sexual life. Moreover, in some cases, linearly resected lips look too smooth and unnatural (in nature, perfectly straight lines are rare).

Regarding local anesthesia. Undoubtedly, each surgeon has the right to decide what type of anesthesia to use. And the patient has the right to agree with this fact or not. So, I operate using intravenous sedation, because it is not comfortable for me and the patient to work exclusively under local anesthesia, and if we are talking about performing any complex corrections, then it is almost technically impossible. At the same time, in my case, the operation still remains outpatient: the patient goes home on the same day.

As for the labia majora, contour plastic surgery gives good results - but, of course, the use of biopolymer gel is a big question. Usually, hyaluronic acid preparations are administered, which, although they dissolve after some time, do not produce permanent granulomas. Lipofilling is also a good option, due to it you can achieve closure of the perineum and thereby reduce dryness in this area. This is especially true for pre- and postmenopausal patients. In addition, fat in the labia area survives well, which almost always eliminates the need for repeated procedures.

Bakirkhanov Sarvar Kazimovich
Plastic surgeon, Candidate of Medical Sciences, Mont Blanc Clinic:

Despite the great popularity of labiaplasty, we should not forget that the parameters of the labia minora and majora are not regulated anywhere. Those. any of their shapes and sizes are variations of the norm. Therefore, when deciding on an operation, we primarily focus on the desire of the woman herself. Now many people lead an active lifestyle: they go to fitness centers, swimming pools, wear revealing clothes... If the labia cause discomfort, a woman has the right to think about solving the problem. The aesthetic component also plays an important role.

The labia correction surgery itself is relatively simple. But it is important to understand that the labia have a barrier function and, at the same time, they are associated with areas that are sensitive during sexual intercourse: the clitoris and its legs. Therefore, surgical correction must be carried out competently, taking into account areas that absolutely cannot be touched. These points must be taken into account so as not to harm the patient, but to make her life more comfortable.

Lisichkina Elena Gennadievna
gynecologist of the highest category, “DoctorPlastic”:

The main problem with which people come to us is hypertrophy of the labia minora, which leads to discomfort, the formation of cracks in the mucous membranes and other complaints in such patients. In this case, we perform an operation to reduce them. As for enlargement, this is done by introducing a special gel, but the effect of such a procedure lasts from six months to a year and requires repeated intervention.

Question answer

How long does the rehabilitation period last after labia minora plastic surgery?
Approximately 4-6 weeks, it all depends on the regenerative abilities of each individual woman.

Will sutures need to be removed during surgery?

No, the procedure uses self-absorbing sutures.

Comments and questions

Zoya 08/30/2016 at 09:29 # Reply
Real art, perfect results and no scars. One can only dream about this. What is a closed correction method and how exactly is it done? The fact that there are then no signs from the outside is very good, I’m just curious how everything is done.

Mirabela 12/05/2016 at 09:31 pm # Reply

The closed correction method is when rhinoplasty is done in the nose itself, through the nostrils, and the chin, as written above, was done through the mouth. The only scars left were inside the nose and inside the mouth, which is not visible to others.

Veronica 09/07/2016 at 15:08 # Reply

I can only suggest you watch the video on the website, Zoya, it shows everything how it’s done. If you are able to look at this, if it doesn’t scare you and you are curious, then watch it. I prefer to look only at the result, or before and after, to compare.

Alena I 11/18/2016 at 11:43 pm # Reply

I couldn’t pass by this photo - GREAT RESULT!!! The girl has become so beautiful, and everything is sooooo harmonious!! BRAVO to the surgeon!!

Redhead 12/05/2016 at 09:45 pm # Reply

If I didn’t know that this was the same person, I would have thought that these photos were different girls. The before and after pictures are completely different from each other. The patient has changed very well!

What complications may arise?

The operation itself is quite easy, but sometimes complications can arise. After surgery, a woman may develop hematomas and postoperative scars (an exception is laser labiaplasty). After 48 hours, you may notice bleeding or an inflammatory process. Depending on the individual characteristics, wounds may take a long time to heal. If a woman plans to give birth after surgery, the postoperative scars may disperse.

Very often, the result of the operation is not particularly pleasing to patients, so in order to prevent serious complications and negative consequences, it is necessary to approach this issue responsibly. To do this, you need to choose a good specialist and clinic.

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Reviews and photos before and after labiaplasty

Reviews after labiaplasty from all patients of our clinic are enthusiastic. Women solve many of their psychological problems intimately. The embarrassment to show your partner your genitals dissolves without a trace.

Discomfortable sensations (for example, when walking or riding a bicycle) also disappear forever. Self-confidence returns, patients know that they are beautiful. I would like to especially note that the sensations during sexual contact are preserved 100%, but in general they are felt even stronger and brighter.

If you have any questions, call us at: +7(495) 735-735-6. We'll help.

Rehabilitation period

The postoperative period of patients in our Clinic takes place in the most comfortable conditions. At their service are cozy rooms, equipped with functional beds and everything necessary, and responsive staff, ready to help or answer all questions at any time.

Throughout the entire rehabilitation period, the doctor monitors the patient’s condition and invites her for repeated examinations. At the slightest concern, the patient can always call her surgeon, ask questions or visit the clinic at an unscheduled time.

Labiaplasty at the Medoc Clinic

Advantages of labiaplasty at the Medoc Clinic:

  • submitting tests as quickly as possible;
  • absence of pain;
  • conditions of complete sterility;
  • consultation with gynecologists with an average of 10 years of experience.

Select a clinic in Moscow that is suitable for its location and make an appointment by phone number, or use the call back service.

Bibliography:

  1. Maxim Vasilievich Kabkov. 28. The structure of the external female genitalia // Normal human anatomy. - Moscow: Eksmo, 2007.
  2. Plastic surgery course: A guide for doctors. In 2 volumes / Ed. K. P. Pshenisnova. Yaroslavl; Rybinsk: Publishing house "Rybinsk House of Printing)" 2010.
  3. Ryazantsev E. L., Ryazantsev M. E. Reconstructive plastic surgery in gynecology. A textbook for obstetricians-gynecologists and surgeons. — Ryazan: 2004.
  4. Lysenkov S. P., Myasnikova V. V., Ponomarev V. V. Emergency conditions and anesthesia in obstetrics. Clinical pathophysiology and pharmacotherapy. 2nd ed. - St. Petersburg: ELBI-SPb LLC, 2004.
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