LABIAPLASTY: LABIA REDUCTION SURGERY in Dubai, UAE

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Labiaplasty simplified

How the labia shape and size should be?

One of the most common procedures intended to genital aesthetics for women is labia reduction surgery (labia minora, labium minus). It also known as labiaplasty which is a part of vaginal rejuvenation.

In genital plastic surgery field, reconstructive surgery of the labia minora also restores labia minora formation like labiaplasty.

The labia minora is located between the outer labia (labia majora) on the mons pubis area. Its origin as a skin protuberance above the clitoris divides into left and right sides like a wing. Lower parts extend towards the posterior near the vaginal opening.

The size of the vaginal inner labia is averagely 3-4 cm in length, 1-2 cm in width. They widen from front to back, then taper towards the posterior near the vaginal opening.

The shapes and sizes of the inner labia is quite variable depending on the genetic characteristics, race, and age. In terms of aesthetic standpoint, it is normal that the inner labia exceeds slightly out from the outer labia. (Ref. What is the anatomical basis of labiaplasty? A review of normative datasets for female genital anatomy)

Why do women need labiaplasty surgery?

Characteristics and motivation of women seeking labiaplasty show diversity. According to the American Society of Plastic Surgeons, the indications of labiaplasty are classified as below:

What are the cosmetic problems related to enlarged labia?

Cosmetic concerns are the most common labiaplasty indication.

Pendulous, large or asymmetrical formation of the labia minora, namely labia hypertrophy are the most common problems. Those problems disorders the aesthetic appearance which necessitate labiaplasty.

In most women, the color of the inner labia darkens near the edges. Color darkening becomes more noticeable as the excess of the skin on the labia increases. Both saggy labia and color darkening cause an unpleasant appearance of the genital organ.

Though it is not a medically serious problem the excess skin of the inner labia may exceed the outer labia. Nevertheless it uglifies the appearance of the genital organs and pushes the woman to seek a remedy.

The problem that may occur congenitally or concomitant of the aging process especially is the effect of the sexual life negatively.

Aesthetic concerns constitute the majority of the patients (more than 90%) who visit me with the request of labiaplasty.

What are the psychological problems related to enlarged labia?

Psychologic concerns are the second common labiaplasty indication.

Enlarged labia influences women’s mental health as well.

Women who are not pleased with the appearance of their genital organ complain about various issues. No women wants to lose their self-esteem, therefore they avoid being naked in front of their partner and prefer to have sexual intercourse generally in a dark environment. This is due to them feeling embarrassed in front of their partners. Usually they pay intensive efforts to hide their genital area during sexual intercourse. Labiaplasty also improves the woman’s psychological status.

What are the health problems related to enlarged labia?

Health problems are relatively less common for labiaplasty indication.

On the other hand, redundant skin of the labia may cause the woman to feel pain, because the labia may trap in the vagina during sexual intercourse.

The skin folds of the labia cause a bad smell due to the accumulation of the secretions. Sweating may also lead to bacterial and fungal infections. Labiaplasty prevents such health problems by providing a more hygienic environment.

Furthermore, women feel deprived of wearing leggings, bikinis and some underwear which they wish.

Gathering of all those complaints causes women to lose self-confidence over time. Psychological depression, the estrangement of sexual intercourse, even failure to achieve an orgasm occurs. Reduced labia after labiaplasty also improves sexual life.

Are you a good candidate for labia reduction surgery?

Clean medical history, well medical conditions without systemic diseases such as heart disease are essential for a labiaplasty.

Labia reduction surgery is useful for any woman with labia hypertrophy who has completed genital organ development.

Labiaplasty is not related to whether you have given a birth or not.

You may have labiaplasty regardless of whether you have experienced sexual intercourse before or not. Since the hymen is located at the entrance of the vagina, the procedure does not damage the hymen. In other words, labiaplasty is possible for females also who have not had sexual experience before.

Labia reduction surgery is not an impediment to pregnancy, normal delivery, sexual intercourse and climax. Any woman who underwent labioplasty in the past may conceive in the future.

What will I aim in labiaplasty?

My objective is to make you happy by achieving a more beautiful and appealing genital organ form without a surgical mark. So, removal of redundant skin will improve your body image and restore your self-confidence.

Some patients seek a solution as they experienced a failed labiaplasty before. Asymmetric labia design, over-correction or under-correction are the most common complaint of the patients consulting me. Sometimes, their corrective surgery challenges are even more complex than the primary labiaplasty. Therefore your first surgery is crucial. The goal is to achieve the best outcome in a single shot.

Where will I perform your labiaplasty?

Joint Commission International (JCI) works to improve patient safety and quality of health care in the international community by offering education, publications, advisory services, and international accreditation and certification. It is the recognized global leader in healthcare accreditation with the highest standards built on maximum safety and minimum risk.

There are a couple of hospital options that I affiliated with, which accredited by JCI. I will perform your surgery at either one of the distinguished, cutting edge hospitals in Dubai. You may opt for one during the consultation.

Which type of anesthesia is necessary for labiaplasty?

There are three anesthesia options for you. Labiaplasty requires at least local anesthesia. Deep sedation or general anesthesia is also an option if you wish to feel more comfortable psychologically.

1. Local anesthesia: Since the genital area is pretty sensitive, you will feel pain inevitably during the injection of local anesthetic medicine. In the beginning of the labiaplasty, injection stage is a bit painful. Injection lasts 1 minute. A period of 5-10 minutes needs to lapse to get full numbness. After achieving the full numbness, you will not feel any pain throughout the procedure at all. In most of the labiaplasty cases, I use this option.
2. Local anesthesia + Deep sedation: If you are unsure to tolerate the pain during local anesthetic injection, deep sedation is also an option. Deep sedation makes you sleep as deep as you will not be aware of what is happening throughout the procedure.
3. General anesthesia: Local anesthesia with or without deep sedation is usually sufficient for labiaplasty. However, if you prefer general anesthesia, it is also another option.

Patient safety and comfort are a priority. Therefore, you may choose the anesthesia type, which one you feel is safer and more comfortable for you.

There are some common labiaplasty methods used for cosmetic surgery of the labia minora and labia majora.

How is my personal labiaplasty approach?

Marginal skin removal, which you can see in the first picture is my favorite labiaplasty technique. I performed this method and its modifications in more than 90% of my patients so far.

This labiaplasty technique is the one that provides the most satisfying outcome for both the surgeon and the patient. Apart from satisfaction, wound healing problems such as suture dehiscence do not occur in this technique.

Do you need customized clitoral hood reduction combined with labiaplasty?

Sometimes excess skin covering the clitoris which causes it to look protruding may occur. The skin covering the clitoris and its upward extension may look like an extra labia between the left and right outer labia. In such cases, unlike the other surgeons, I customise the labiaplasty design to correct it which requires special experience.

Clitoris is utmost sensitive structure. The hood covering the clitoris prevents it from outside contact. Over-resection of the hood leads it to be exposed, therefore continuous sexual arousal. So that, during the labiaplasty, I take care to preserve the hood part when removing the surrounding redundant skin.

This design which I developed by myself is not a standard labiaplasty design. If necessary, I remove the redundant skin of both the labia minora and clitoral hood together but leaving the part covering the clitoris intact. Thus I can achieve the natural form of the genital organ how it should be. (Ref. Labiaplasty with clitoropexy)

In extreme cases which are rarely seen, I can also make customized labiaplasty designs as regarding how the disfigurement is.

Labia reduction is feasible for combination with vaginal outer labia surgery and / or vaginal tightening as well.

How is the recovery period after labiaplasty?

Labiaplasty takes about 40 minutes. You will be able to leave the hospital on the same day.

Labiaplasty is not a painful procedure. Thanks to long-lasting local anesthetic I will use during the procedure, you will not feel any pain on the first day when the actual pain is mostly felt. The next day when the local anesthetic effect ends, you will feel mild pain. Pain medication that you may need 1-2 days will alleviate your pain.

Once you leave the hospital, you can resume your usual life during the recovery period.

The tissue on the surgical area will swell following the labiaplasty surgery. Concurrent bruising will also appear. Both swelling and bruising are expected likewise all the other surgical procedures. Swelling and bruising disappear in 1 week.

Since I always stitch the skin with absorbable and hidden sutures, you will not feel stitch removal stress.

The surgical wound does not need special care after labiaplasty. All you should do is to pay attention to keep the wound clean.

You will be able to have sexual intercourse 3-4 weeks after the procedure which is necessary to be wound pain-free.

How will you feel yourself after labia reduction surgery?

What should you care after labiaplasty?

Labiaplasty does not require special wound care. The only need you have to pay attention to is to clean the wound after every urination following 5-6 days.

You may even take a shower on the next day and wash your genital organ with baby shampoo.

You may see little blood oozing coming from the wound in the first days. No worries, it is normal after the labiaplasty procedure. Blood oozing stops itself in 1-2 days. Just use a pad just like you use during your period.

You may feel slight burning when the urine contacts with the fresh surgical wound during urination. However, as the wound heals, you will feel no burning after 1-2 days.

Can I see the labiaplasty before and after pictures?

UAE rules do not allow to share labiaplasty before and after pictures. However if you visit me for consultation, I would show you plenty of before and after pictures.

What are the risks and complications of labiaplasty?

The complication rate of the labiaplasty is the compilation of medical literature data. The rate may vary depending on the surgeon’s experience.

According to the medical literature, infection, bleeding, wound dehiscence, asymmetries are the risk and complications of the labiaplasty. That does not mean you will experience all those complications.

Infection and bleeding are avoidable risks by thorough surgical technique and antibiotic medication. Resulting asymmetric labia and wound dehiscence are related to the surgeon’s experience. Overall complications occur in less than 4% of cases according to literature data.

In my career, I have not witnessed such complications in more than 1000 labiaplasty cases. After the wound healed completely, there will be no visible surgical mark. Even any other doctor cannot notice that you had a labiaplasty before. (Ref. Indications, techniques and complications of labiaplasty)

When carried out thoroughly, the outcomes of the surgery are quite satisfying and pleasing. As a plastic surgeon, in terms of patient experience, this is one of my favorite procedures among all plastic surgery procedures.

The labiaplasty brings happiness to your sexual life by restoring self-confidence. Beautiful appearance to the genital organ and improvement of psychological conditions are all of the bonuses of the procedure.

 

Checklist before having labiaplasty in Dubai, UAE

IMPORTANT ! Before getting the appointment, check your medical conditions yourself.

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Useful links:

Labiaplasty Labia Minora Reduction

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