What is Labiaplasty?

What is Labiaplasty?

The most performed operation among genital aesthetic operations is labiaplasty (small lip aesthetics). Labiaplasty is performed for both functional and aesthetic purposes. Labiaplasty operation is applied in order to shorten, reduce and give an aesthetic appearance to the sagging, darkening, thickening, enlarging and asymmetrical labia minora. In another sense, labiaplasty is the process of reshaping the bad and disturbing vaginal lips and giving them an aesthetic appearance. Labiaplasty has serious functional benefits.

The biggest reason for the abnormal appearance of the small lips is congenital problems, as well as various reasons such as infections, hereditary conditions, varicose veins, chemical products, hormonal disorders, pregnancy, sexual intercourse.

The abnormal appearance of the small lips, especially in young girls, cause lack of self-confidence, embarrassment of their partner, pain, infection, not being able to wear tights, trousers, discharge, frigidity, itching, pain at the time of intercourse and slipping of the small lips into the vagina during intercourse and this adversely affects the life comfort of the person. In short, abnormal small lips affect the patient seriously in terms of psychological, sociological and sexual life. Especially in some women, this situation manifests itself at the level of obsession. These patients constantly need to hide these areas and fix their laundry. Due to the phenomenon of insecurity in their sexual life, they always have problems with the opposite sex. Abnormal lips can lead to infections by disrupting the constantly moist environment and vaginal flora. Labiaplasty can be performed on anyone and the operation never damages the hymen.

The operation takes an average of 40-50 minutes. It is performed under local or general anesthesia. Along with labiaplasty, the folds on the clitoris are also removed. The person can return to work 1-2 days after the procedure, the most important point in the operation is the experience and experience of the doctor who performs the operation.

What is the Purpose of Labiaplasty Operation?

It is aimed to change the life comfort and quality of life of people who have undergone labiaplasty after the operation.

It is important to talk to the patient in detail before the operation and to make a joint decision with the patient when deciding on the operation.  It also important not to increase the patient’s expectation.

After the operation, it is aimed that the patient feels more self-confident towards his partner and that the sexual life of the patient changes positively.

It is aimed to reduce frequent infection, urinary tract infection, fungal infection due to hygienic problems, especially due to abnormal lips.

It is aimed that the patient should wear the clothes that he has avoided before after the operation, and this will affect the psychology of the patient in a positive way.

Fundamental mistakes made in labiaplasty operation.

Sometimes, the patient is not able to understand the operation well and keeps his expectations very high, just by being fooled by the wrong information in the social media.

If there is severe deformation and deterioration in the external genitalia of the patient, labiaplasty alone is never enough, so it is necessary to combine this operation with other operations. In particular, the folded and coarse-looking skin folds (clitoral hud) above the clitoris should be aesthetically corrected and given a good appearance, and this should be done simultaneously with labiaplasty.

When the clitoral hud defect is corrected, both the genital area looks better and the patient feels better.

Labiaplasty operation is a serious and complicated operation. Operations performed by doctors who are inexperienced and not trained in genital aesthetics often fail, which adversely affects the psychology of the patient. In these cases, the operation is mostly repeated, and revision is made. This is something we do not want.

How is Labiaplasty Operation Planning Made?

Before the labiaplasty operation, the patient is evaluated in detail. The patient’s history, sexual and gynecological history is listened to; The anatomy of the inner lip is examined in detail and the patient’s expectations are well established. In line with these expectations, it is decided jointly with the patient whether an additional operation is required with the labiaplasty procedure. If an additional operation is required, it is applied, but additional operations are never performed without the patient’s consent.

Especially the inner lips have an extremely sensitive anatomy during sexual stimulation due to their connective tissue and rich nerve endings. In the labiaplasty operation, not only the aesthetic appearance should be considered, but also the sexual life of the patient.

When planning labiaplasty, the inner lip blood supply and vascular distribution should also be closely monitored. Especially in smokers, since the inner lip blood supply is insufficient, opening of the sutures and bad appearance are observed after the operation.

Labiaplasty Surgery and How Many Types of Surgery Are There?

Surgical Success in Labiaplasty:

Labiaplasty surgery takes approximately 40-50 minutes, if an additional procedure is to be performed, the time may increase according to this procedure. Labiaplasty is performed under local and general anesthesia and sometimes sedation. It must be done under sterile conditions in hospital or clinical office conditions. While deciding on anesthesia, the patient is evaluated and the situation is finalized together with the anesthesiologist. Labiaplasty operation is not a procedure to be rushed. You need to allocate enough time. The same surgical procedure is not performed on every patient who wants labiaplasty. The appearance of the genital area, anatomy, patient’s wishes and symptoms are extremely important when deciding on the surgical procedure. The problems that make the patient most uncomfortable and unhappy are revealed and it is decided what kind of procedure should be applied. After thoroughly sharing the advantages and disadvantages of the operation with the patient, the final point is made.

The patient’s expectations and the factors that cause the patient’s lack of self-confidence are determined together with the patient, which creates a positive environment between the doctor and the patient after the operation. After the labiaplasty operation, the patient does not need to stay in the clinic or hospital unless there is an additional problem. The success of the surgery is mostly achieved by the doctor’s experience, knowledge and the correct analysis of the patient’s expectations. Since the threads used in the surgery are dissolving threads, there is no need to remove stitches. There is no scar after the operation. In the process, surgical methods or laser are used, sometimes both can be used together; this differs from patient to patient.

Most Preferred Procedures Today

Edge excision (inclined linear excision) method is applied especially in severe lip irregularities, darkening and thickening. This method is a method that responds well to the expectations of the patient. When it is done by an experienced and knowledgeable doctor, the chance of success is high. However, when performed by a physician who has no knowledge of genital aesthetics and is inexperienced in this field, asymmetry in the lips, bleeding, separation in the seams, scarring, combing and sometimes excessive cutting of the lips can result, and this is an unpleasant situation. Most patients now want the edges to be removed rather than preserved.

The wedge method is an extremely useful method for women who want to preserve the dark edges or contours of the inner lip. In this method, when the wound heals, the surgical scars are almost unnoticeable. However, patient selection is very important in the wedge method, this procedure should not be performed on unsuitable patients, otherwise separation in the seams, holes in the lips and an unpleasant appearance will occur. It is necessary to be careful in this regard, since wound healing will be difficult, especially in women who smoke.

Post-Surgery Care and What Should Be Considered

After the operation, the patient is discharged on the same day and the patient can return to work two days later, as long as there is no additional problem. The patient should definitely use the drugs given by the doctor and pay attention to the doctor’s recommendations. Heavy exercise and sexual intercourse should be avoided for 5 weeks. It is important not to wear tight clothes for a week or two. The wound area should be cleaned with batikon in the morning and evening, the creams given by the doctor should be used, the suture area should be kept dry, and ice application for 2-3 days should not be neglected as it is extremely beneficial. In the first days, we do not recommend taking a bath while sitting, as this may damage the stitches. In order to reduce the tension of the wound edges, it may be recommended to keep the legs closed or cross the legs in the first days. One week after the operation, the patient is called for control. Itching and fungal infection may occur in the wound area due to antibiotics, and additional medications may be recommended if necessary.

Stitches usually start to dissolve within 1-2 weeks. After 4-5 weeks, the wound area is completely closed, and the patient can return to all activities. In case of a problem, it is necessary to be in contact with the doctor and to come to the controls regularly. In case of abnormal discharge or bleeding, the doctor should be informed immediately. In cases where pain is felt in the stitches, pain reliever pomade or pills can be used. Sometimes tropical conjugated estrogen may be required