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labiaplasty (female genital surgery)


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  labiaplasty overview
  introduction reshaping or reducing the external appearance of the vagina can boost self esteem and enhance sexual enjoyment
  often combined with... liposuction, tummy tuck, breast augmentation
  incision placement & surgery details incisions are well concealed and are usually barely visible
  anesthesia local with IV sedation or general
  surgical facility usually outpatient surgery center
  length of surgery 1 to 2 hours
  discomfort mild to moderate
  what to expect after surgery swelling, bruising, abstain from intercourse for 6 weeks; back to work within 1 week
  risks bleeding, infection, scarring, asymmetry
  variations and techniques laser can be used for cutting which may reduce bleeding
  cost (surgeon's fee) $1500 to $3000
  duration of results results are permanent
  insurance labiaplasty is considered cosmetic surgery; insurance does not apply

Many factors may contribute to your confidence, sexuality, and femininity, but none is more personal or private than the appearance of your genitalia. In women, large, asymmetric or irregular genital labia (lips) can occur naturally or develop with age, childbirth, hormones, or even from sexual intercourse.

In most women, the labia minora (inner genital "lips") are seen only when the legs are separated, however in some women, large labia minora are visible even when the legs are not apart, or are barely separated, causing embarrassment, self-consciousness, distancing in relationships, and discomfort. Enlarged labia may also be noticeable in tightly fitting pants, and might cause discomfort during intercourse or bicycle riding.

For these reasons, many women with asymmetric or large labia choose to make the labia smaller, more defined, and/or more symmetric through a procedure known as labiaplasty or labia minora reduction. (The labia minora are the inner genital "lips" while the labia majora are the external genital "lips").

Typically, the procedure takes 1 to 2 hours and is performed with local anesthesia. Some patients prefer the addition of IV sedation or even general anesthesia. You will go home after surgery; there is no need for an overnight stay in the hospital.

There are several techniques that are used to reduce the labia minora. These include simply trimming the excess tissue, removing a wedge-shaped section of tissue, and removing the epithelium (top layer) of a section of the labia while keeping the underlying tissue intact. Your surgeon will have his or her desired method based on training, experience, and results.

After surgery, you will wear a menstrual-type pad to absorb any drainage and to provide padding and protection to the area. You can expect some swelling and discomfort for 1 to 2 weeks, most women return to work in 2 to 5 days, and sutures are dissolvable. Strenuous activity and exercise should be avoided for 3 weeks, and you should not use tampons, douches, or have intercourse for 6 weeks to allow the surgical area to heal properly.

Complications are rare but include scarring, changes in sensation, pigmentation (skin color) changes, asymmetry, infection, or wound separation. The majority of women are thrilled with their new, more aesthetically desirable appearance after labiaplasty, and are more confident, comfortable, and sexually active.

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genital plastic surgery