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The procedure is aimed at treating atrophies of the vulvar and vaginal mucosa, removal of postpartum scars and improving the aesthetic appearance of the external genital organs.
Labioplasty is the direction of intimate plastic surgery, the purpose of which is to change the size and correction of the shape of the labia, improve the aesthetics of the genitals and their rejuvenation. The main tasks of labioplasty are to improve the appearance of the genitals, improve the quality of sexual life and solve functional problems caused by the increase or deformation of the labia.
Indications for labioplasty
Indication and labioplasty is a change in the size and shape of the genitals, which not only causes psychological discomfort, but also causes medical problems.
Elongation, excessive increase, deformation or asymmetry of the labia negatively affect the quality of sexual life. Due to psychological insecurity and acquired complexes, a woman does not receive full satisfaction in moments of intimate intimacy. Typical difficulties with achieving orgasm, including anorgasmia.
Enlargement of the labia often leads to functional problems. Women complain of a feeling of friction in the external genital area, which occurs or increases when walking, wearing tight underwear or while playing sports. On the skin and mucous membrane often appear irritation. A change in the shape of the genitals may contribute to the disruption of the vaginal microflora, which is manifested by thrush or bacterial vaginosis.
The main causes of these intimate problems are: deformation of the genital organs as a result of birth trauma, congenital features of the development of the genitalia and age-related changes, accompanied by a decrease in the elasticity of soft tissues, their sagging, sagging and, as a result, the formation of cosmetic defects. All these situations are considered as indications for labioplasty.
Indications for labioplasty:
- Traumatic deformation of the genitals after childbirth.
- Congenital features of the development of the labia: elongation, asymmetry, enhanced pigmentation, hypertrophy or malnutrition.
- Age changes with deterioration of aesthetics and function of the genitals.
- The desire of a woman to change the size or adjust the shape of the genital lips.
Labioplasty successfully solves all problems of aesthetic and functional nature. Intimate plastics can correct asymmetry, reduce or increase labia, remove scars and deformities after birth trauma. With age-related changes, the purpose of labioplasty is the rejuvenation of the genital organs, in which case the intimate plastic of the genitalia can be supplemented with vaginoplasty.
Objectives of labioplasty should be formulated as follows: correction of the shape and size, improvement of the aesthetics of the external genital organs and the solution of related functional problems.
Recreation of the beautiful and aesthetic form of the genital organs allows a woman to get rid of many complexes. Psychological discomfort disappears during intercourse, sexual sensitivity increases. Labioplasty gives women confidence in their beauty and attractiveness, helps to enjoy the pleasures of intimacy and improves the quality of life in general.
Types of labioplasty
Depending on the nature of the aesthetic problem, a decrease or increase in the labia, asymmetry correction, resection of deformed areas is carried out. During the operation, both traditional methods of plastic surgery and the newest methods and their combinations are used.
Reduction of the labia
Reducing labioplasty is performed with congenital, age-related or post-traumatic elongation of the labia. Based on the features of the cosmetic defect, a linear or V-shaped resection of a fragment of the skin and mucous membrane is performed. Liposuction can be used to reduce large labia.
Operations are performed using traditional surgical instruments or using a laser. Laser intimate plastic has several advantages due to the coagulating and antiseptic properties of the laser beam:
- There is no risk of infection of the wound.
- Minimal tissue injury.
- Minimal blood loss.
- High accuracy of correction.
- Simple and short rehabilitation period.
- Tissue healing after laser labioplasty is faster.
Enlarging labioplasty is performed with the help of lipofilling of the labia or the introduction of volume-forming fillers. Lipofilling uses the patient's own adipose tissue. Fat cells have full antigen compatibility, do not cause the immune system's response and are well integrated into the histological structure of the labia. Fillers are also biocompatible, but they give temporary results because they are destroyed by the body's enzyme systems.
Rejuvenation of the labia. Elimination of deformations. Asymmetry correction
For rejuvenation of the genital organs, the above methods or their combinations are applied. Depending on the individual characteristics, the shape of the genitals is corrected with an increase or decrease in their volume. A similar approach is used when correcting congenital or post-traumatic asymmetry.
In the presence of cicatricial deformities after severe labor activity, additional resection of the deformed areas of the skin and mucous membrane is performed. According to the testimony performed vaginoplasty - colporrhaphy (narrowing of the vagina) or colpoez (expansion of the pathologically narrowed vagina and / or its vestibule).
Preparation for labioplasty
Labioplasty is performed using anesthesia or spinal anesthesia. To reduce the anesthetic and operational risk, the medical team should have relevant information about the patient's health. Before an intimate plastic surgery, a full examination is prescribed, including blood / urine tests, an ECG, tests for viral infections, a vaginal smear for flora, an STI test. According to indications, additional diagnostic procedures and consultations of narrow specialists are appointed.
During the consultation, you must provide the plastic surgeon with a complete list of the drugs you are taking. Some drugs have a negative effect on blood clotting. These include many remedies for colds, headaches, menstrual and joint pain. Intake of such drugs before surgery should be completely discontinued or as limited as possible. You also need to stop taking hormonal drugs, including oral contraceptives.
2-3 weeks before plastics, it is necessary to completely give up alcohol and smoking - this will greatly simplify and accelerate the healing of tissues after surgery. In the evening on the eve of labioplasty it is necessary to shave the hair from the pubis. For several days before plastic surgery, it is advisable to refrain from intimate intimacy. The date of surgery should be planned in such a way that at least a week will pass after the operation before the beginning of the next menstrual cycle.
Contraindications to labioplasty
- Infection of the genitourinary system.
- Genital herpes in the acute stage.
- Inflammatory processes of the external and internal genital organs.
- Pregnancy, lactation.
- Oncological pathology.
- Chronic diseases in the stage of exacerbation and decompensation.
- Hemophilia and other disorders of the hemostatic system.
The cost of surgery from 72 000 p.
The cost of the operation includes:
- Inspections (primary and subsequent)
- Stay in the ward (bathrobe, towel, slippers, disposable hygiene kit)
Upon admission to the department:
- On prescription of the anesthesiologist, compression stockings are issued,
- According to the appointment of a plastic surgeon issued compression clothing.
After the operation, as prescribed by a plastic surgeon, a referral for rehabilitation procedures is issued.
According to reviews of women who have done intimate plastic surgery, the rehabilitation period is easy. In the first days, swelling of tissues is preserved, there is discomfort and pain. Symptoms of the postoperative period are mild and are easily stopped by painkillers.
Accelerated recovery helps attention to all recommendations of the surgeon. Particular attention should be paid to the recommendations specific to this operation:
- In the first days after labioplasty, you can lie or walk, but you can not sit.
- Do not wear tight underwear.
- It is necessary to regularly treat the genitals with antiseptics.
- It is important to take antibiotics that are prescribed to prevent infection.
- Overheating and overcooling of the body should be avoided.
- About one and a half months should refrain from intimacy.
You should also follow the rules relevant in the rehabilitation period after any plastic surgery: you can not lift weights and play sports, you can not smoke, use alcohol. Cosmetology and physiotherapy procedures are contraindicated, with the exception of those prescribed by the operating surgeon.
Labioplasty gives a stable aesthetic result. The sensitivity of the genitals after surgery is not reduced. Intimate plasticity does not affect a woman’s ability to conceive, bear and give birth to a child.
How to perform an operation to reduce or increase the size of the genital lips?
To increase the volume and increase the elasticity of the female large labia, lipofilling technique is used, as well as injection injection of hyaluronic acid, while reducing their size is achieved using liposuction or surgery to remove excess tissue.
When conducting plastic surgery to reduce the labia minora, a V-shaped or linear excision technique is used. On the basis of the data of visual examination of the patient before the intervention, the surgeon determines the optimal method of intimate plasticity of the labia minora.
The average intervention time is 60 minutes. During the operation, the plastic surgeon uses a self-absorbable material, which eliminates the need to injure tissue once again - to remove the stitches. Painful sensations in the postoperative period are absent, and its duration is individual. In this part of the body, healing takes place very quickly, scars are minimal, and over time they practically disappear.
Rehabilitation after labioplasty
Full rehabilitation lasts about 2-3 weeks. During recovery, experts recommend to refrain from sexual activity and physical exertion. During the first week it is not recommended to be in a sitting position.
You can independently evaluate the result of plastic surgery on the large and small sexual lips, having familiarized yourself with the gallery of pictures of patients before and after surgical interventions.
How much does labioplasty cost in Moscow and St. Petersburg?
The cost of labioplasty - increasing and / or reducing the labia - is based on the technique of the intervention chosen by the surgeon, taking into account the individual characteristics and wishes of the patient.
In order to find out the exact prices for the reduction of the labia minora and other types of labioplasty, internal consultation with a specialist from the SPIK Beauty Institute clinic in Moscow or St. Petersburg is necessary.
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If a girl is dissatisfied with the appearance of her labia, the gynecologist may recommend reducing them with subsequent correction, because any asymmetry or an increase in the genitalia often causes stress in the fair sex.
How is the operation to reduce the genital lips
The gynecologist removes the excess tissue of the labia minora, and then stitches, after which no scars remain, since thin self-absorbable sutures and a special suturing technique are used.
Reduction of the labia occurs linearly over an unnecessarily protruding part. In the course of such a method, excessive folding inherent in female intimate organs disappears. Another method for reducing the labia of the lips is the reduction of V-shaped flaps on both sides, which preserve the natural pigmentation of the genitals and the folding.
Labioplasty is performed under local anesthesia and lasts no more than an hour, after which the patient can leave the clinic on her own. There are no scars after the plasticity of the labia, and the wounds heal quickly, without delivering any pain. After the correction, the labia minora should decrease in size and become more symmetrical.
After correction of the labia
After the procedure of lowering the labia, the patient may feel slight discomfort and weak pain that only occurs with heavy movement, swelling of the genitals, poor bleeding and reduced skin sensitivity in the zone of change of the small lips.
Gynecologists do not recommend that women who have just done labioplasty wear tight clothing and underwear. Patients should also be less likely to sit and treat the labia region in a timely manner, to avoid any physical exertion and weight lifting, drinking alcohol, and visiting saunas and baths.
The healing of stitches after correction of the labia, on average, occurs within a few weeks. The final appearance of the labia will be in six months.
It should be remembered that the correction of the labia is an aesthetic operation that requires professional knowledge and skills in the field of gynecology. This procedure will allow to solve the numerous physiological problems of a woman and make her more beautiful and desirable. Therefore, when choosing a specialist, pay attention to his qualifications and experience.
In the medical center "Meditsentr" work highly qualified gynecologists, who have extensive experience in carrying out the labioplasty procedure. Only here you can be completely confident in the quality of the medical services offered.
Despite the fact that this operation is considered simple, it has a number of contraindications:
- inflammation and infections
- severe damage to internal organs
- violation of blood clotting,
- sexually transmitted diseases
- minor age
- pregnancy and lactation period.
Preparing for surgery
Before the operation, the patient must undergo an examination of the body to identify contraindications (blood and urine tests, ECG, X-ray, vaginal smear on the flora), as well as consult with the surgeon and anesthesiologist.
On the day of the labioplasty, the patient must shave the hair on the genitals.
The procedure is performed under both local and general anesthesia, and takes about an hour on average.
The actions of the surgeon depend on the deficiency to be corrected. So, during the correction of the labia minora, the removal of excess tissue is carried out. To give elasticity, biopolymer gel or hyaluronic acid can be introduced.
In case of correction of the labia majora, local liposuction is often performed (to reduce) and fatty cells of the patient are injected under the skin (to increase). Biopolymer or hyaluronic acid is also used for size correction.
Return home is allowed immediately after the end of the anesthesia. If general anesthesia was applied, doctors recommend spending the day under observation in the hospital.
During the recovery phase, it is extremely important to follow all the instructions of the attending physician. Antibiotics may be prescribed to prevent infection. Also, it is necessary to treat postoperative sutures with an antiseptic.
During the first week you can not sit and wear tight underwear. For a month you need to abandon sports and other physical activities, not to overheat the body. The doctors of the medical center "SM-Clinic" also recommend to quit smoking, as it significantly impairs the healing process. It is allowed to return to intimate life after complete healing (1.5-2 months).
Labioplasty in the medical center "SM-Clinic" is conducted by experienced surgeons using the most modern equipment. Contact the "SM-Clinic" to get qualified medical care from professionals in their field.
Indications and contraindications for labioplasty
In most cases, labioplasty is performed for subjective aesthetic reasons of the patient, the desire of the woman to increase her sexual sensitivity and get rid of the complexes of a psychological nature.
In some cases, the operation is carried out for medical reasons. Thus, hypertrophy or elongation of the labia minora (the length of the small lips is more than 4–5 centimeters) gives women considerable discomfort when walking or having sexual contact, which leads to the appearance of irritations on the skin and chronic painful sensations.
Large labia are often significantly different from the aesthetic and medical standards, which may be a congenital feature of the female body or the result of age factors, hormonal disorders after childbirth.
Indications for plastic surgery are the following factors:
- Asymmetrical or elongated small and large labia.
- Sagging, flabby, folded labia.
- Labia large size.
- The modified shape or size of the labia minora protruding beyond the edges of the large.
Contraindications for labioplasty are the following circumstances or diseases:
- Venereal diseases.
- Diseases of the female genital organs of an inflammatory nature.
- Blood diseases (bleeding disorders, increased tendency to bleeding).
- The patient is under 18 years old.
- Mental disorders.
- Oncological diseases.
- Acute infectious diseases.
Labioplasty is not recommended for patients who have not given birth, and also later than 4-5 days before the next menstruation, since during this period the pain threshold for women is significantly reduced, there is a risk of postoperative hematomas.
Labioplasty of the labia minora
In most cases, plastic surgery is performed to reduce the size of the labia minora. Labioplasty of the labia minora is the excision of excess skin tissue.
Doctors during plastic surgery use such methods:
- V-shaped: simple removal of skin scraps of the corresponding form.
- Linear: in addition to correcting the size of the labia minora, natural folding and pronounced pigmentation are removed.
- Traditional: excision is made with a scalpel.
- Laser: excision of excess tissue is carried out with a laser scalpel.
Labioplasty of large genital lips
Plastic surgery can be performed by various methods, which depend on the task of the plastic surgeon:
- Injections of biopolymer gel or lipofilling: similar techniques are used to enlarge the labia majora (in the same way, the labia can be enlarged if the patient wishes.
- Liposuction: performed to reduce the volume of the labia majora.
- Excision of excess skin: to eliminate sagging of the genital lips.
Labioplasty of the labia majora can also be performed with a conventional surgical scalpel (traditional method) or with laser equipment (laser labioplasty).
Laser labioplasty of the genital lips
Many clinics and medical centers for more than 15 years have successfully used laser equipment for plastic surgery.
The advantages of this technique are that the laser scalpel guarantees the accuracy of the tissue incision line, increased sterility due to the bactericidal and antimicrobial properties of the laser, the complete absence of postoperative scars and sutures on the genitals, the possibility of using a local anesthetic.
The duration of laser labioplasty is from 10 to 20 minutes, the rehabilitation and recovery period is about 10 days.
During the preliminary examination and consultation with the patient, the plastic surgeon establishes the indications and limitations for carrying out laser labioplasty.
When using laser equipment for labioplasty, the risk of various postoperative complications is minimized, the patient should not worry about possible bleeding and swelling. Laser labioplasty of the labia greatly reduces and facilitates the rehabilitation period after plastic surgery. The procedure is performed using special laser clamps, which allows the plastic surgeon to more accurately and accurately simulate the postoperative shape of the labia majora and labia.
Plastic surgery of the labia majora and labia is performed under general anesthesia or local anesthesia. Duration of labioplasty from 30 to 50 minutes.
If plastic surgery was performed under local anesthesia, then after it is over, the woman is immediately sent home. If the labioplasty was performed under general anesthesia, then it is possible to leave the clinic only after the final cessation of the anesthesia.
During the operation, the patient lies on her back, on the operating table. The doctor makes small incisions with a laser or scalpel, removes excess tissue and levels the edges. Thereafter, small sutures are placed in the incisions, which dissolve completely within a few weeks after the operation.
The full period of rehabilitation and recovery takes from 3 weeks to 1 month. The initial recovery period takes only 1-2 days, after which the woman can return to the usual daily routine, following the recommendations of the doctor.
In the postoperative period it is necessary to avoid intense physical exertion, stop drinking alcohol, smoking, taking hot water procedures (including saunas and baths).
The patient should conduct daily hygiene.
Postoperative stitches finally heal within 3-4 weeks, and postoperative scars disappear in 3-4 months.
Within 2-3 weeks after labioplasty, you must refrain from sexual intercourse. The patient after the operation can not sit long and wear constraining synthetic underwear. Every day it is necessary to carry out treatment of postoperative sutures.
During the week it is necessary to take a complex of antibiotics prescribed by a doctor.
Laboplasty for the correction of the labia minora and labia minora is not among the complex plastic surgeries, but, like any surgical intervention in the activity of the organism, labioplasty can lead to postoperative complications. According to statistics, about 6% of plastic operations performed are considered unsuccessful, and about 11% of women decide on repeated labioplasty.
Low qualifications of a doctor, violation by the surgeon of the technique of carrying out labioplasty or sanitary and hygienic norms, not following the patient’s recommendations of the doctor during the rehabilitation period can lead to the following complications:
- Painful and uncomfortable sensation, feeling of tightness in the genital area.
- Violation after the operation of the protective barrier of the genitals and a high risk of divergence of scars during childbirth.
- Bleeding of postoperative scars, inflammatory processes in the genital area.
- The long postoperative period of rehabilitation and healing of tissues.
A negative result of the labioplasty of the labia is also considered to be a discrepancy between the result expected by the patient and that obtained, which will require repeated plastic surgery.
In order to avoid and minimize possible complications, negative consequences, it is necessary to choose specialized clinics and medical centers that are licensed to carry out medical activities, special certified equipment, qualified personnel, positive feedback on their activities, as well as practical experience in labioplasty not less than 5 years.
Successful operation allows to achieve the following results:
- Change the shape and size of small, large labia.
- Eliminate asymmetry, folding, sagging and flabbiness of the labia.
- Change the color and pigmentation of the genital lips.
The result of the operation is maintained for life.
Cost of labioplasty
The cost of plastic surgery depends on the nature and methodology of the operation, the price policy of the clinic. The average cost of labioplasty from 15 000 to 80 000 rubles.
Thus, plastic surgery to reduce the labia minora costs from 20,000 to 70,000 rubles. Labioplasty to reduce large labia - from 20 000 to 80 000 rubles. Plastic surgery to increase the large sexual lips costs from 30,000 to 80,000 rubles.
Some clinics divide plastic surgery by category of difficulty. Thus, labioplasty of the 1st category of complexity (correction of one sexual lip) costs from 20,000 to 40,000 rubles, plastic surgery of the 2nd category of complexity (correction of 2 labia, most often a decrease) - 50,000–70,000 rubles, operation of the 3rd category of complexity (correction 2 sexual lips: reduction and increase, increase) - 60 000 - 80 000 rubles.
The cost of a preliminary examination before labioplasty, which includes a consultation with a plastic surgeon, inspection, planning of an operation, blood and urine tests, smears for flora and infections of the sexual environment - from 7,500 to 10,000 rubles.