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Labiaplasty

Surgical Name:

Labiaplasty

Hospital Admission:

1 night

Duration of Operation:

1 hour

Anesthetic:

General Anesthesia

Recommended stay in Bangkok:

7 days

Introduction

Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva.

Labiaplasty is a one to two hour surgical procedure designed to sculpt the external vaginal structures by reducing and/or reshaping long or uneven labia. Childbirth, the aging process and the effects of gravity may all erode the beauty of the female genitalia including the labia minora, labia majora, clitoral hood and perineum.

There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their genitals because they believe they do not fall within a normal range. Clients usually have these signs and symptoms:

  • Concerns with appearance due to the size, discoloration, or length of the inner or outer labia
  • Long, or ‘hanging’ vaginal lips
  • Labial discomfort, pain, or irritation, particularly during certain activities or while wearing certain clothes
  • Embarrassment during intimacy, such as pain, pulling, discomfort, and irritation

Labiaplasty surgeries can have substantial psychological benefits for patients who are self-conscious about the appearance of their genitalia. Patients with severe cases frequently report decreased pain or discomfort with daily activity and sexual intercourse after the procedure.

Preparation For Your Operation

The procedure can be done under local anesthesia.

DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.

The procedure usually takes 1-2 hours and you can go back home on the same of your surgery.

The Procedure

Step 1 – Anesthesia
Medications are administered. The procedure usually performed under local anesthesia.
Step 2 – Treatment
There are two basic surgical techniques used in Labiaplasty surgery, the trim method and the wedge method.

Trim Method: The trim method, also sometimes referred to as the strip method, is the most commonly used method for reducing the length of the labia. It basically takes excess labial skin away along the length (edge) of the labia minora. This method is less likely to cause complications and produces the best results for patients looking to remove the darker, longer edges of the labia.

Central wedge resection Method: Labial reduction by means of a central wedge-resection involves cutting and removing a partial-thickness wedge of tissue from the thickest portion of the labium minus. Unlike the edge-resection technique, the resection pattern of the central wedge technique preserves the natural rugosity (“wrinkled” edge) of the labia minora. If performed as a full-thickness resection, there exists the potential risk of damaging the pertinent labial nerves, which can result in painful neuromas, and numbness. A partial thickness removal of mucosa and skin, leaving the submucosa intact, decreases the risk of this complication

De-epithelialization Method: Labial reduction by means of the de-epithelialization of the tissues involves cutting the epithelium of a central area on the medial and lateral aspects of each labium minus (small lip), either with a scalpel or with a medical laser. This labiaplasty technique reduces the vertical excess tissue, whilst preserving the natural rugosity (corrugated free-edge) of the labia minora, and thus preserves the sensory and erectile characteristics of the labia. Yet, the technical disadvantage of de-epithelialization is that the width of the individual labium might increase if a large area of labial tissue must be de-epithelialized to achieve the labial reduction.

Step 3 – Suturing
The edge is gently closed with dissolving sutures.

Recovery

It is normal to expect some discomfort, swelling, bruising and discharge/ooze after the procedure. Oral pain medication (supplied or ‘over the counter) should be adequate. For more severe pain contact the office. You may need something to avoid constipation as the healing time is not the time to suffer from this – lots of water, fruit and vegetables, fibre or whatever works for you.

Wear loose underwear and clothes to prevent rubbing. No vaginal packing is used for Labiaplasty. Some patients find it useful to use sanitary pads in the first week. Icepacks can be used on the area on and off for the first 48 hours.

Keep the area clean and free from infection.

Sexual intercourse is prohibited atleast 3 weeks following surgery. While you can resume your normal activities after 4 weeks.

FAQ

Will everything look and feel normal after my procedure?
Yes. The scars are very fine and hidden within natural skin creases. It is very difficult to spot them even up close. Sensation is often improved since there are no flaps of extra skin in the way.
What are the risks and possible complications?
As with any surgery, there are risks and possible complications associated with Labiaplasty. The most common complications include:

  • Change in sensation
  • Ongoing pain
  • Infection
  • Bleeding
Who shouldn’t have it?
A labiaplasty should not be performed on girls younger than 18. Their labia may continue to grow and develop well beyond puberty, into early adulthood. Also to woman who has active gynecological disease, such as an infection or a malignancy; the woman who is a tobacco smoker and is unwilling to quit, either temporarily or permanently, in order to optimize her wound-healing capability; and the woman who is unrealistic in her aesthetic goals.
How soon can i get back to work?
It depends greatly on the procedure, but on average most patients are back to work after 7 days. If complications arise, additional time away from work may be required.
How long will it be before i can expect a final result?
This varies with the type of operation being performed. It also depends on the individual. Some people bruise easily, while others don’t. Generally there will be swelling and some bruising after surgery. Both will usually disappear over a week or two. The final optimal result can usually be appreciated a few months after surgery.
What do normal labia look like?
There is no such thing as “normal” labia. Every woman displays her own individualized anatomy – labia are thick or thin, dark or pink, and labia come in every variable size and shape. A woman’s labia are never considered abnormal. When women request labiaplasty of the labia minora (inner lips) they usually request that the labia not protrude beyond the labia majora (outer lips). Women wish to have tight, smooth and youthful looking labia majora that don’t sag or bulge. The bottom line is if your labia bother you it’s time to explore your options.
Is it possible to lighten the dark skin on my labia and in the vaginal area?
Darker skin, attributed to hormonal changes or genetic factors, can usually be addressed surgically, with prescription cream, or with in-office chemical peels.
Will sexual pleasures possibly be altered after Labiaplasty?
Sexual feelings and thoughts after a Labiaplasty are dependent on the extent of the labia malformation to start out with. In the event that excessive labia tissues interferes with intimate/ sexual activity just before Labiaplasty, then you definitely along with your partner may very well recognize improvements after surgical treatment.
Is there a risk of nerve damage during labiaplasty?
Labiaplasty performed properly should not cause any damage. There may be a slight loss of sensation on the edge of the labia minora from 2 weeks to 2 months after the procedure. Most women have reported an increase in satisfaction from wearing tight clothes, sexual pleasure and confidence after the procedure is performed.

Labiaplasty Prices

Prices include all hospital, operating room, anaesthetists' and doctors' fees, a single private room, standard meals, medications and medical supplies. Generally patients will only pay an additional amount for telephone calls and additional meals extra to the standard hospital supplied meals.

Procedure Price  
Revise vaginoplasty (GA)
Op. Time: 1 hours, Hospital: 2 nights, Stay: 7 days
THB85,000 Free Quote

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