Labioplasty of the labia minora is used to achieve the desired appearance of the labia minora. The procedure consists in excision of the excess tissue forming the labia minora, which ensures not only an impeccable aesthetic effect but also reduces discomfort. The procedure can be performed in several techniques and a method is chosen by a physician together with the Patient.
As a result, this minor surgical procedure allows for correction of the size and shape of the labia, restoring aesthetic appearance and reducing any discomfort associated with labia overgrowth. The procedure can be performed, using the following techniques: – TRIM method, consisting in removal of the edges of the labia
– Wedge method, consisting in resection of a V-shaped wedge of tissue
– fenestration method, where a piece of tissue is removed after making an incision on the inside and outside of the labia
Removal of excess tissue can significantly improve the appearance of the labia minora, giving them the desired size and shape.
1
The TRIM method is a classic plastic surgery of the labia minora. The procedure is performed in women who suffer from the problem of labia minora overgrowth and asymmetry. Too long labia minora are corrected by means of shearing and levelling the edges to the desired length. The incision is performed with a CO2 laser. This type of surgery is used especially in those women who have significantly overgrown labia minora. The indication for the procedure is also uneven, irregular course of the labia minora edge as well as appearance of dark, unsightly discolouration at its edge. Thanks to this, the labia minora look perfect and young.
The procedure is usually performed under topical anaesthesia or, on Patient’s request, under intravenous sedation and lasts about one hour. The procedure is performed on an outpatient basis. Dissolvable sutures are used. After the procedure, the wound, which runs along the edges of the labia, needs time to heal. Postoperative care consists in the care of the intimate parts, washing them with a mild preparation and drying them with a paper towel and the use of a preparation recommended by a physician. Usually a prophylactic antibiotic ointment is recommended to minimise the risk of infection. Return to sexual activity is possible at the earliest after 5-6 weeks from the procedure.
2
Reduction of the labia minora, using the Wedge technique is another option used in aesthetic gynaecology. The procedure consists in correcting the shape and size of the labia minora, while maintaining its natural edge. This type of surgery is dedicated to women with slight or moderate hypertrophy of the labia minora. The incision is not made along the edge of the labia minora, but a V-shaped wedge of tissue is cut. Usually the post-treatment scarring is hidden in the fold of skin between the labia minora and the greater labia, which is a great advantage of this method. Another noteworthy fact is preservation of the edges of the labia minora. There are two advantages to this. First of all, the edges are the most innervated and therefore sensitive areas of the labia minora. Therefore, Wedge labioplasty allows for retaining full sensation. Secondly, it is possible to preserve the completely natural appearance of the labia minora.
The procedure is usually performed under topical anaesthesia or, on Patient’s request, under intravenous sedation and lasts about one hour. The procedure is performed on an outpatient basis. The procedure lasts for 90-120 minutes and is completed with placement of dissolvable sutures. As in case of TRIM labioplasty, appropriate care of the treatment area is necessary.
3
Labioplasty with the fenestration method is the most advanced labioplasty technique used in gynaecological surgery. The procedure consists in cutting a triangle-shaped or other shaped piece of skin according to individual Patient’s features. The fenestration procedure allows for correcting both the height and the length of the labia minora. A piece of tissue is cut in the central surface of the labia minora without disturbing its edges. The procedure is also referred to as a window incision. The skin is cut on the inside and outside of the labia minora and then both edges of the wound are sutured together. In order to preserve the innervation and to minimise visibility of the scars, during the procedure the skin is separated from the nerves and blood vessels. The treatment allows for maintaining the anatomical shape of the labia minora.
Thanks to the fenestration technique, moderate hypertrophy of the labia minora can be reduced. The procedure takes several dozen minutes and is performed under anaesthesia or intravenous sedation, and at the end of the procedure dissolvable sutures are placed in the incision site. As in the case of labioplasty performed with other techniques, the Patient has to take proper care of the post-treatment wound. The post-treatment control should take place at the time specified by a physician; at that time the final effect, the healing of the wound and the appearance of the scar are evaluated.
Labioplasty is indicated for women who, for various reasons, are unhappy with the appearance of their labia minora. This may be appropriate for women who simply do not like the shape of their labia as well as those who have had a deformation of the labia minora after childbirth. One of the indications for surgery may be aesthetic reasons. Many women feel embarrassed by overgrown labia minora or their asymmetry. The labia minora are then visible underneath the labia majora. Aesthetic concerns are not the only reason why women opt for labioplasty. Overgrown labia can be a source of serious discomfort when walking or playing sports. Sexual intercourse may also be difficult as pain may occur. There is one more aspect related to the enlarged labia which is worth mentioning – presence of such a defect promotes occurrence of infections of the genital tract. Labioplasty reduces incidence of such infections.
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During the consultation, we discuss the expected effect and chose the best method for the Patient. The procedure takes place under topical anaesthesia and lasts for 1-2 hours. Incision is made with laser, which prevents bleeding and makes the healing process smoother.
A labioplasty procedure significantly corrects appearance of the labia minora. The changes in the appearance consist mainly in reduction of the labia minora width and length. Thanks to this, the labia minora are not so visible and the discomfort connected with the overgrowth of the labia minora is reduced. The procedure also allows for correcting asymmetry of the labia minora. Labioplasty results not only in improvement of the labia majora appearance. Apart from the aesthetic effect, it reduces discomfort related to the labia majora overgrowth, such as pain during intercourse or sport. Moreover, incidence of intimate infections, which are a common ailment accompanying hypertrophied labia minora, is reduced.
The effects of the surgery depend on the initial appearance of the labia minora and the method of correction chosen by a physician. The final effect can be assessed after the perineum has healed and swelling has subsided, which usually takes place within 4-6 weeks after the procedure.
Labioplasty is a surgical procedure, so it requires performing a number of laboratory tests. First of all, the Patient should have a blood count, blood group, electrolyte level, glucose level. An extremely important test is determination of blood clotting parameters, such as APTT.
Other recommended test is determination of the following antigens: HBS for hepatitis B, HCV for hepatitis C and HIV.
In addition, a general urine test and an ECG are recommended. Sometimes a physician may also order a vaginal swab with an antibiogram. Test results should be up-to-date, which means that blood counts, blood clotting tests, glucose and electrolyte levels should be done no later than two weeks before the procedure, cultures should be done no later than one month before the procedure, and tests for HIV and HBV and HCV should be done 3 months before the procedure.
Healing of the perineum after the labioplasty procedure takes about 4-6 weeks and only after this period can the effects of the procedure be fully evaluated. Immediately after the procedure the labia minora are swollen and red, the area around the procedure may be painful. A physician may prescribe painkillers. In the first days after the procedure, the Patient must take care of the intimate parts with a delicate washing product and may use globules with hyaluronic acid in order to soothe irritation. Over-the-counter medications may be taken to relieve pain or fever. It is also necessary to apply topically antibiotic ointment. During the first two weeks, the Patient should not sit directly on the perineum in order not to tear the sutures. It is also advisable to ventilate the perineum, which means staying without underwear as often as possible. For 30 days after the surgery, the Patient should avoid intense physical effort as well as bathing (pools, bathtubs). In addition, for a period of about 6-8 weeks, the Patient should refrain from the intercourse.
Asymptomatic carrier of hepatitis B or hepatitis C.
Viral hepatitis often affects autoimmune reactions. It mainly depends on the stage of the disease as well as its activity. Only your attending physician may decide whether you are eligible for a aesthetic medicine procedure. Ask them for a written consent for the procedure. Only then, we can perform the procedure.
Diabetes.
In case of advanced diabetes wound healing is impaired. However, when treated and controlled, diabetes is not a problem. If you have diabetes, please ask your attending physician for a written consent for the aesthetic medicine procedure and present it to us on the day of the procedure.
Active cancer.
Cancer that occurred less than 5 years prior to the procedure.
Chemo- and radiotherapy
Autoimmune diseases apart from thyroid disease, acquired vitiligo, and alopecia areata. For example, these diseases include psoriasis, rheumatoid arthritis, lupus, myasthenia gravis, multiple sclerosis, amyotrophic lateral sclerosis, sarcoidosis, Crohn’s disease, ulcerative colitis.
Treatment with Izotec or its substitutes less than 6 months prior the procedure date.
Taking blood thinners or NSAIDs.
Steroids, except asthma medications and inhaled steroids, taken less than one month prior to the scheduled procedure.
Fungal medications or antibiotics taken less than one week prior to the procedure.
Tendency to keloids.
Hemophilia.
Epilepsy.
Pregnancy and breastfeeding. We do not perform procedures in pregnant ladies or nursing mothers, even with the physician’s consent. When it comes to children, one can’t be too careful!
Asymptomatic HIV infection or active AIDS.
Skin diseases in the planned treatment site.
Fever, viral or bacterial infection on the day of the procedure.
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Princesse® is a modern aesthetic medicine clinic and training centre. It was established in 2005. Thanks to extensive experience and over 35,000 procedures performed to date, we have been able to select only the best procedures and equipment.
Princesse® employs highly specialised medical and cosmetology staff, who continue to improve their skills by participating in seminars and conferences devoted to the fields they practice, both in Poland and worldwide.
At Princesse®, we focus on naturalness and perfection as well as spectacular effects presented by models and celebrities. We believe that aesthetic medicine procedures are meant not to be a disguise, but to emphasise and highlight the strengths that each of us has.
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