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Treatment · Cosmetic Surgery

Labia Reconstruction - Medical Experts

Author of this articleLeading Medicine Guide editorial team

Surgery in the genital area is a sensitive topic: As a cosmetic procedure, it comes with high expectations on the part of the patient. This makes the disappointment and psychological distress all the greater when the result is not as desired. Labia reconstruction performed by a specialist can provide a solution.

What is labia reconstruction?

Unfortunately, procedures in the genital area are increasingly being performed by doctors who lack the necessary expertise. However, even in this supposedly “simple” operation, many things can go wrong if the surgeon lacks the necessary knowledge or experience.

Possible consequences include not only an unattractive appearance but also pain and sensory disturbances. Many affected women face significant limitations in their daily lives, self-confidence, and sexuality.

Common undesirable outcomes include:

  • Under-correction
  • Overcorrection
  • Incomplete correction
  • Asymmetrical correction
  • Protruding clitoris
  • Unattractive wound edges

In labiaplasty, the surgeon corrects the unsatisfactory results of a previous procedure.

During a revision surgery, the specialist corrects issues such as:

  • Excessive, insufficient, or incomplete corrections
  • Frayed wound edges
  • Contour defects or 
  • micro-penis effect

In cases of asymmetry, the specialist performs labia symmetrization.

The goal of the treatment is to achieve an aesthetically pleasing genital area with which the patient is satisfied.

What surgical methods are available?

The surgical options for the labia are varied.

The most common procedures include:

  • Reduction of the inner labia
  • Clitoral reduction
  • Clitoral lift
  • Labia majora tightening
  • Correction of asymmetries
  • Contour correction

The most common procedure in the genital area is labia reduction.

In most cases, patients request a reduction of the inner labia so that the outer labia completely cover them.

Possible complications following a previous surgery that require a second procedure include excessive, insufficient, or incomplete reduction. In the latter case, doctors correct the labia only below the clitoris.

Clitoral correction is also a common procedure. It is usually performed following labia minora reduction: In this case, the “micro-penis effect” frequently occurs, as the tip of the clitoris protrudes above the labia and is visibly prominent. 

The surgeon corrects clitoral protrusion by removing a strip of skin below the clitoris and suturing the resulting wound edges together. As a result, the clitoris is lowered.

However, clitoral correction can also be performed as part of a clitoral tightening procedure. The reason for this is usually an exposed clitoral tip. 

Many women seek a tightening procedure so that the clitoral hood (part of the labia minora) completely covers the tip of the clitoris. 

True clitoral reduction, on the other hand, is rarely performed: an abnormally large clitoris usually occurs only in cases of an intersex condition or a hormonal disorder.

Tightening of the outer labia can be achieved either by removing tissue or by injecting the patient’s own fat.

Correcting asymmetries is also a common request: Asymmetrical labia are either congenital or the result of a botched procedure.

Smoothing the edges of the incision is indicated as part of corrective surgery if, for example, the edges heal in a wavy pattern or fray. Possible causes include inappropriate suturing techniques and sutures that are too thick.

What should you keep in mind after the procedure?

Immediately after the procedure, rest is recommended: Avoid driving yourself or walking long distances right after the surgery. Instead, have someone pick you up or call a taxi.

Rest is also necessary at home: Avoid physically strenuous activities and move as little as possible.

This will help prevent your blood pressure from rising and the operated area from swelling. Gentle cooling can also help reduce swelling and pain.

To ensure proper healing, you should avoid showering on the day of the surgery and the following day. After that, wash your genital area with water only until the seventh day after the procedure.

By wearing a pad between your labia for the first 14 days, you’ll prevent friction when walking.

You should avoid tampons and activities that involve friction or pressure on the genital area for at least 6 weeks. This includes, among other things, sports and sexual intercourse.

You may experience itching after a few days. This is usually due to the sutures beginning to dissolve as intended. Special ointments can provide relief.

Follow-up appointments are normally conducted by the treating surgeon. The first wound check usually takes place the day after the procedure.

What is the prognosis?

When performed by a surgeon specializing in aesthetic surgery, complications following labiaplasty are rare. The only risks worth noting are the general risks associated with any surgery, such as wound infections.

In the case of a revision following an initial surgery, the prognosis depends on the type of procedure. For example, following an undercorrection, an incomplete correction, or a failure to lower the clitoris, the revision surgery is relatively simple: the surgeon simply removes additional tissue from the labia that were not reduced sufficiently.

It is more difficult to correct overcorrection, i.e., labia that have been reduced too much. This occurs when the surgeon fails to take into account during the procedure that the tissue will subsequently scar and contract.

Contour irregularities with unsightly wound edges, on the other hand, are easy to correct.

Conclusion

To ensure that labiaplasty yields optimal results, you should always consult a specialist. This way, you can avoid the stress of a second surgery.

If you’ve already undergone an unsuccessful procedure, don’t hesitate to consult a specialist. They will perform a customized corrective surgery so that you can feel comfortable again and no longer experience any discomfort.

Sources
https://www.sensualmedics.com/

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