Labiaplasty

Reduction of the vaginal lips (labiaplasty) consists of removing excess skin and mucosa from the labia minora, harmonizing their contours and proportions.

The labia minora have a function related to the protection of the female genital system and vaginal lubrication. Throughout life, they can grow exaggeratedly (hypertrophy) or asymmetrically due to a number of factors, such as puberty, pregnancy, childbirth, use of anabolic steroids and genetic tendencies. Plastic surgery to reduce the vaginal lips (labiaplasty) consists of removing excess skin and mucosa from the labia minora, harmonizing their contours and proportions in relation to the rest of the vulva, without causing functional damage.

Currently, more and more women are looking for labia reduction surgery (labiaplasty). This fact may be related to fashion concepts such as reducing the size of lingerie and bikinis and even the use of fully shaved pubis and perineum. Women who have voluminous and apparent vulvas may be embarrassed in this context. In addition to the psychological discomfort, patients who have exposed and exuberant labia minora may experience discomfort due to the friction generated during the sexual act. The correction of these genital aspects increases female self- esteem and the quality of social and sexual life.

Surgical technique

Antisepsis + anesthesia.
Bilateral marking of the area to be resected on the labia minora.
Removal of excess mucosa and skin from the labia minora.
Review of bleeding areas.
Closure of operative wounds.

Postoperative Guidelines

Recovery is quite fast. Relative rest for 2 to 3 days is usually required. After this time, the patient will be able to carry out most of her daily activities. Purple and bumps in the genital area are common and temporary. Major physical exertion and sexual intercourse should be stopped for at least 3 weeks. During the first week (2 to 3 times a day) it is recommended to maintain a rigorous hygiene of the region. Anesthetic ointments, cold compresses, and sitz baths may be necessary. Pain is not frequent.

COMMON QUESTIONS

Reduction of the vaginal lips (labiaplasty) – Indication

Plastic surgery indicated in women who have hypertrophy of the labia minora.

From what age is labiaplasty recommended?

From 17 – 18 years old.

What type of anesthesia is used in labiaplasty?

Local with sedation (most used), epidural with sedation or general.

How long does the sugery take?

From one to two hours.

What is the length of stay?

Hospitalization of six to eight hours. The patient is released the same day.

When will stitches be withdrawn?

Stitches do not need to be removed as they are absorbable.

Are there risks during or after plastic surgery?

Postoperative complications are rare. Among them we can mention: bleeding (hematoma), infection, opening of the surgical wound (suture dehiscence), asymmetry, residual excess of tissue, permanent change in sensitivity, etc.