Genital rejuvenation typically falls in three categories: labiaplasty, vaginoplasty and liposuction. Labiaplasty surgery involves reduction of the labia majora or labia minora by removing excess tissue occurring in the outer folds of this tissue. The surgery may include clitoral unhooding if requested. Unhooding is implemented if excess tissue hinders sensitivity during sexual stimulation.
Overly large, wrinkled, or uneven labia may be a congenital trait or may be the result of pregnancy, hormones, or overstretching during childbirth. Women may desire a more rejuvenated look after they are through having children. Young women who have this surgery often do so because they are active in sports and feel discomfort during exercise or because they are self-conscious about their appearance. Tight clothing can irritate labia that protrude excessively, and some women find that sexual interaction is hindered because of discomfort. Other women feel that the upper pubic region – the “mons pubis” – is too full or prominent – especially if a tummy tuck has been performed and tissue in the pubic region is not flattened or tightened at the same time. Some clients believe this gives them a masculine contour under clothes. Liposuction or direct physical excision can remedy this bulging.
There are three common female genital plastic surgeries:
Labiaplasty surgery addresses the enlargement of inner lips (labia minora), which are of concern to many women. This enlargement develops during puberty and is problematic beginning in the teen years extending into adulthood. In other women, the enlargement occurs during the childbearing period and is of both cosmetic and functional concern. Additionally, enlargement of the labia can create irritation and pain in certain types of clothing and with certain activities. Cosmetic labia surgery can safely eliminate the unwanted tissue in the labial area with a resulting natural, aesthetically pleasing appearance.
Vaginoplasty – Our Board Certified Plastic Surgeons also perform vaginoplasty. The vaginoplasty procedure can restore vaginal contour and tightness, which is sometimes lost after successive childbearing.
Clitoral Unhooding Procedures – The clitoral unhooding procedure is beneficial to some women who have excess tissue covering the clitoral organ preventing adequate stimulation during sexual activity. Many women find that this procedure can significantly enhance their sensitivity and their sexual experience.
Thermiva is an exciting new addition to the spectrum of genital rejuvenation care. Thermiva is a non-invasive treatment for moderate vaginal laxity which also improves urinary incontinence in women. Radiofrequency treatment of the vaginal lining will tighten the vagina and decrease vaginal dryness in 3 office treatments without the operating room or surgery. In many women, Themiva treatments eliminate stress incontinence as well and improve sexual satisfaction. This is a significant advancement in the field of genital rejuvenation
First we will conduct an initial consultation and after the surgery is planned specifically for each individual, taking all considerations into account, to give the desired result with minimal scarring and a natural appearance. You will have the opportunity to discuss all of your questions and concerns with your doctor. We pride ourselves on creating a comfortable, professional and confidential environment for each of our patients. Labiaplasty surgery is performed as an outpatient procedure under general anesthetic. Patients are asked to shave prior to surgery. Specific planning is performed to gain the result desired by each patient, particularly with regard to the amount of residual labial tissue left.
Incisions are made to result in minimal scarring or scar contracture with the final result. Dissolvable sutures are used so that suture removal is not necessary. Minimal dressings are put in place after the surgery and ice is applied to decrease swelling after the surgery. The surgery takes approximately 1½ hours. Patients can go home approximately 1 to 2 hours after the surgery after receiving care instructions and pain medication prescriptions.
On the evening following Labiaplasty surgery, patients are encouraged to rest and do minimal standing or walking. Ice should be applied and sanitary napkin may be utilized. Gentle washing with an irrigation bottle or a low pressure shower head can be performed carefully when needed. Ointment (such as Polysporin ointment) should be applied to the stitch lines liberally and frequently in this early postoperative period.
Patients are encouraged to take the pain medication with the prescribed antinausea medication as pain is developing rather than waiting until it becomes severe. This will result in the best overall pain control. Standing and walking may be gradually increased in the second and third days but patients are encouraged not to overdo any activity during the first week. Laxatives are encouraged while pain medication is being used since constipation is a side effect of the pain medication and may be problematic if not addressed early. A postoperative visit will be scheduled within the first week after surgery. At the time of that visit swelling and bruising may still be present but this should subside during the second week after surgery.
Recovery to normal daily activity is between one week and ten days. Most patients are fully active at two weeks. There is an extremely low complication rate and a very high satisfaction rate with this operative procedure. Because of the swelling the final result may not be evident for three to four weeks.
Discomfort from Labiaplasty surgery will diminish steadily after the first postoperative week. In the second week the patient should be able to wear normal clothing with perhaps only a panty liner and ointment. Standing and walking should not be problematic in this period but patients are advised not to perform vigorous physical activity such as running, weightlifting, or bicycle riding. Gentle washing with soap and water and gentle drying in the suture line area is encouraged.
Because full healing without complication is desired for all patients, vigorous physical activity such as bicycle riding, horseback riding or sexual activity should be avoided for 5-6 weeks after the surgery. It is recommended that an examination by your surgeon be performed in this timeframe prior to engaging in any of these activities to ensure full healing has taken place.
You will return to your plastic surgeon’s office for follow-up care at designated intervals to evaluate your progress.
To make your Labiaplasty consult a success, plan on discussing the following information with your doctor:
At the time of your Labiaplasty consultation, your doctor will discuss all of your concerns and what you wish to achieve. An examination will be performed and photographs taken. The photographs taken will be utilized to demonstrate how the surgery will be performed and what results are expected. Your doctor will then discuss your desires and issues along with a plan for the surgery.
Surgery is planned specifically for each individual, taking all considerations into account, to give the desired result with minimal scarring and a natural appearance. You will have the opportunity to discuss all of your questions and concerns with your doctor. We pride ourselves on creating a comfortable, professional and confidential environment for each of our patients.