Labiaplasty is a surgical procedure to re-contour the shape of the female genitalia with a specific focus on the smaller inner lip or the labia minora. Specifically, the area and size of the labia minora are reduced. This is an operation of high satisfaction and good results. Complications and risks of surgery are discussed at your consult. Labiaplasty may also involve changes to the mons pubis or labia majora ( the outer lip) depending on your request.
Thickening and excess skin of the labia is not uncommon. It may occur simply from a young age or congenital. During puberty, hormonal changes occur and affect the thickness of tissues of the labia. Childbirth at times may cause immense pressure on the perineal region and this also puts ongoing pressure on the labia causing it to thicken over time. There are many other causes not listed here but generally, they are benign causes and treatable with surgery. Non-surgical options are available but the best success is usually the surgical option. Dr.Nara emphasizes not to look for preventable reasons as to why this occurred as this may occur with any individual regardless of activity, age, race, occupation, childbearing status or general health.
Dr.Nara performs labiaplasty ( mainly inner lip contouring ) in patients who have realistic expectations and feel that their excessive labia tissue is affecting their lifestyle.
The aspects of lifestyle involve :-
Wearing fitting clothing
Sporting activities – running, cycling, or simply unable to go to group activities because of the inability to wear fitted sporting clothing.
Some patients feel that their excessive labia tissue whether on one side or both sides cause catching, irritation, pain, and chaffing. This, in turn, affects their lifestyles as described above.
What is a labiaplasty?
How does it occur?
How is labiaplasty surgery performed?
Dr. Nara performs labiaplasty either under general anaesthetic or under local anaesthetic depending on what the patient is comfortable with. Only when you are comfortable, the operation begins with antiseptic solution applied gently on the surface of the skin. You will be given antibiotics through the drip in your arm in order to reduce the risk of infection. A very thin layer of skin is carefully removed with advanced surgical technique and instruments and any risk of bleeding is therefore reduced. The majority of the important structures beneath the skin such as the deep tissue layers, blood vessels and especially nerves are aimed to be preserved. Sometimes smaller nerves that escape to the level of the skin cannot be seen are released since the excess skin would need to be removed. This is different from the traditional wedge resection techniques where a big segment of tissue is removed including skin, underlying soft tissue structure, vessels and nerves. Modern techniques, which Dr.Nara bases his surgical practice on, aims to respectfully preserve these deeper structures as much as possible. This, in turn, helps to reduce risks of surgery. When the tailored amount of tissue is removed then specialised stitches are carefully used so that the wound heals.
Sterile ointments are applied followed by thin dressings.
Dr. Nara will explain the technique used in further detail during your consult.
After surgery we will ensure that you are stable to return home by making a clinical assessment and to ensure you are comfortable. Supervision by a responsible person for the first 24 hours is mandatory.
You should not drive for the first 24 hours.
Light exercises can be resumed 3-4 weeks after surgery.
Usual exercises can be resumed at 6 weeks.
Depending on the work you do, Dr.Nara would prefer you to take time off work for at least1 week and to resume light duties for the week after.
How about after surgery?
Before and after pictures will be shown at your consult with Dr. Nara
All operations have their inherent risks and limitations which will be discussed at the consult.