Labiaplasty Majora

Labiaplasty Majora

What is Labiaplasty Majora?

The Labia Majora are the two elongated outer folds of skin surrounding the vaginal opening of the female external genitalia. There are some instances wherein this area is enlarged or asymmetrical, usually already present at birth, or because of aging and excessive weight loss. Labiaplasty Majora is the surgery performed to reduce the size of the enlarged labia and to correct any irregularities in its shape. Beverly Hills Medical Group has refined different techniques over the years to safely reduce the size of the labia majora by excising a crescent shaped portion of the inner portion of the labia majora. The scar is hidden in the crease between the inner and outer labia.

Candidates for Labiaplasty

Labiaplasty is indicated for women, who have asymmetrical or enlarged Labia Majora.

Those who would benefit the most in this procedure are the women having realistic expectations of improvement, not perfection, in the way they look.

Who should not have labiaplasty?

A Labiaplasty should not be performed if you:

  • Are pregnant or menstruating
  • Have complications from an episioto
  • Have a yeast infection or genital herpes outbreak
  • Have problems with bladder incontinence
  • Have a prolapsed uterus (your uterus has fallen into the vaginal canal)

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How is labiaplasty performed?

Labiaplasty is an outpatient surgical procedure which usually takes about 60 minutes to perform. Under local or general anesthesia, the surgeon removes the excess fat and tissue from the Labia Majora. The incisions are then stitched together using self-dissolving sutures which typically dissolve within a week. The length of the scar depends on the amount of tissue removed, but is typically about two inches long. The patient is allowed to go home after a few hours of recovery. Normally, the patient can go back to work three to five days later. You may resume normal sexual relations at least 6 weeks after the surgery.

Types of Labiaplasty techniques available

Traditionally, most gynecologists or plastic surgeons utilize the direct excision and reduction method of Labiaplasty. With this method a long strip of the Labia Minora is excised, leaving a surgical incision at the edge of the Labia. Alternatively, other labiaplasty surgeons use a wedge excision technique which removes a V-shaped area of Labia Minora, eliminating the excess tissue and avoiding the incision along the labial edge.

Reduction of the Labia Majora may also be performed using liposculpture and liposuction to reduce the unsightly protuberance of the Labia Majora. At times it is combined with the reduction and tightening of the Mons Pubis, otherwise called Monsplasty.

Is laser used for Labiaplasty?

Although laser may be used to create the surgical incision, it does not offer any added benefits in terms of comfort, safety, or healing time.

Recovery after Labioplasty

After surgery, patients will experience mild swelling and discomfort in the post-operative area, which will subside in a few days. The patient is advised to get plenty of rest and to avoid showering at least 24 hours after the procedure. It is also important to wear loosely fitted underwear during the first 2 weeks after surgery. Showering at least twice a day is recommended for good hygiene.

The patient can usually return to work within a week after surgery. Strenuous activities can be resumed after 2-3 weeks and vaginal intercourse may be allowed after 6-7 weeks. Sutures (stitches) are self-dissolving; hence, there is no need to go back to have your sutures removed. Often times, your surgeon would still recommend a follow-up consult to check the post-operative status of the patient.

Labioplasty Complications

As with most cosmetic surgical procedures, complications are unlikely when performed by a skilled and competent surgeon. Complications include, but are limited to, anesthesia risks, bleeding, infection, asymmetry, poor or delayed wound healing, incision separation, under- or over-correction, and need for revisional surgery.

FAQs

Q: When is the right time for labiaplasty?

A: The appropriate time for having a Labiaplasty would all depend on the patients preferences. As long as the patient would be able to take a few weeks off for recovery after the procedure, surgery could be scheduled anytime. Although right before childbirth, wouldnt be an ideal time for a labiaplasty.

Q: What if I plan to have children?

A: Labiaplasty should not interfere with having children, although pregnancy may cause a recurrence of the excess labial tissue.

Q: Is labiaplasty cosmetic or reconstructive surgery?

A: That all depends on the patients case. If large or uneven labia are causing medical problems such as trapped moisture resulting in skin rashes and irritation, labiaplasty may be considered reconstructive. If the procedure is done solely for aesthetic reasons, it is considered cosmetic surgery.

Q:Is labiaplasty covered by insurance?

A: If the surgery is medically necessary and reconstructive in purpose, it may be covered by health insurance. Check your insurance policy to see what benefits you may qualify for if you are considering labiaplasty.

If the surgery is simply cosmetic, insurance will not pay for labiaplasty.

Q: Does Labiaplasty interfere with having normal childbirth?

A: No, Labiaplasty does not interfere with normal childbirth.