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Labiaplasty

Labiaplasty

One thing that many women have in common is that they aren’t totally comfortable with their genitalia. Whether you are unhappy with the shape and size of your labia or you’ve been experiencing discomfort, a labiaplasty can change your life.

Labiaplasty has become an extremely popular plastic surgery procedure for women who have functional and cosmetic concerns due to large or uneven labia. In fact, labiaplasty has a patient satisfaction rate of nearly 95% percent. Women who underwent this procedure are thrilled with the results and they are telling their friends. With around one-third of those women reported getting the procedure for strictly aesthetic reasons while the remaining did so to correct an impairment of some kind.

For years, women were unaware of their options and shy to discuss their issues. Fortunately, that is all changing. These days, women are empowered to make a change and get the body that they have always wanted. By eliminating discomfort, improving sexual response, and creating a beautiful vaginal area, a labiaplasty can be a dream come true.

What are the labia?

A woman’s vulva, or external genitalia, contains two sets of labia. These are the labia minora and the labia majora. The labia majora is the external genital area and it’s the hair-bearing part that you will see when your legs are together. While the labia minora are the pieces of skin that are located on either side of the vaginal opening, inside of the labia majora.

The labia minora are important for maintaining optimal levels of moisture and hygiene of the vulva and vagina. The labia majora is the part of your body that protects the delicate soft tissues of your vulva and contains pubic hairs.

What is the clitoral hood?

Your clitoris is covered by skin, which is called the clitoral hood (or prepuce). This clitoral hood is similar in many ways to the foreskin on the male penis. This skin protects your clitoris from irritation, friction, and injury. Due to the high level of sensitivity of the clitoris, protection is essential. Clitoral hood sizes vary. There’s no relationship between a woman’s frame size and her clitoral hood size. Having a large clitoral hood can be problematic. If the hood is large enough, it’s possible that the clitoris can’t be exposed. This can inhibit sexual arousal and reduce a woman’s satisfaction with her sex life.

A clitoral hood reduction surgery is usually done in conjunction with a labiaplasty.

How do normal looking labia appear?

Every woman is different and their genitals are no exception. The appearance of the labia varies widely and there is no universal aesthetic ‘normal’. Some women find that their labia minora begins to protrude beyond the labia majora during puberty while others may find that their labia minora becomes enlarged after pregnancy.

The ideal relationship is for the labia majora to completely cover the labia minora. Over time, the labia minora may become enlarged so that they protrude beyond the labia majora, with the delicate mucosal tissue of tissue of the labia minora exposed to friction, which causes pain, discomfort, and hygiene concerns.

Generally speaking, these changes are only cosmetic although, in some cases, they may cause discomfort. Since your labia minora has delicate mucosal tissue, it can be easily irritated by the friction of tight clothing or exercise. Also, enlarged labia can even be visible through tight clothing and swimsuits, which makes women feel uncomfortable in their own skin. The good news is that a labiaplasty can create a smooth look so you can feel confident wearing anything you like.

What can a labiaplasty do for me?

While it may not be something that women like to discuss, this is an incredibly common problem that affects countless women. Many women feel shy discussing a large or irregular labia, painful intercourse, or regular discomfort. This means that far too many women are unaware of their options. Our clinic provides a discreet and private environment where you can discuss your concerns openly with Dr Turner.

Some of the many benefits of labiaplasty surgery include:

•   Decrease pain and discomfort
•   Correct uneven labia minora
•   Improve the appearance of the external genitalia
•   Ability to wear tight clothing comfortably
•   Improve exercise tolerance
•   Minimize discomfort with sexual intercourse
•   Minimize recurrent infections

What Is a Labiaplasty Surgery?

With modern labiaplasty techniques, we aim to not only correct large or misshapen labia and enhances the external appearance of the vulva but restore your confidence and femininity.

Labiaplasty surgery is performed under general anaesthesia in a fully accredited hospital with the assistance of a consultant anaesthetist. You can expect your procedure to take one to two hours. Most women go home the same day.

During a labiaplasty procedure, small incisions are made to remove any excess tissue while reducing or reshaping the labia minora. The procedure doesn’t affect the clitoris and it won’t affect sexual sensation. In fact, many women report having an improvement in their sex life after the procedure 

How is labiaplasty Surgery done?

There are numerous different labiaplasty techniques that can be done to meet your unique needs and wishes. As a labiaplasty specialist, Dr Turner is highly skilled at creating almost imperceptible scars that are hidden along the natural creases of the labia.

There is a range of different techniques that can be used, alone or in conjunction with others.

Trim Technique

The original technique used in labiaplasty was simply removing the tissue at the free edge of the labia minora. This is a procedure used by many surgeons because it’s quick to perform and easy to learn. This method can be a good option for women who want to eliminate darkening of the inner labia, that comes with age and pregnancy.

The disadvantage of this technique is that the natural texture of the labia minora is lost. This creates an overly smooth and unnatural look. There’s also an increased risk of nerve damage.

A major limitation of this technique is that it can’t deal with excess tissue around the clitoral hood. Even if you aren’t concerned with the shape of your clitoral hood now, you may find this method creates an odd sized clitoral hood. With many women coming back after such operations to complain of tissue that looks like very small penis remaining.

De-Epithelization Technique

The de-epithelization technique allows you to maintain the natural texture of the labia minora edge. With this method, an incision is made in the inner and outer wall so that you can keep a natural labia edge

The disadvantage to the de-epithelialization technique is that the labium width could increase if a considerable amount of tissue needs to be de-epithelialised adding bulk to the labia. Also for those with large labia, the free margin is not reduced in length and appears wrinkly.

Wedge Resection Technique

The wedge resection technique removes a wedge of tissue from the labia minora in the central portion. This method preserves the labia’s natural texture for a natural look and has been a popular technique used by many surgeons performing labiaplasty surgery over the last decade.

There is, however, the potential for nerve damage when done as a full-thickness resection and if too much tension is applied there is a risk of wound separation requiring revisional surgery.

What technique does Dr Turner use?

There is no one best technique and, in fact, the best option for you could require a blend of multiple techniques. Every woman is different and so is her labia. To find the best approach, Dr Turner will create a plan that is customised to your unique needs and wishes. When several methods are used in combination, it is called a composite labiaplasty. With the composite labiaplasty developed by Dr Turner, we are able to accurately remove the thick and darkened free labia minora edge and restoring a natural labia contour without the risks of nerve damage or wound separation in the other techniques.

During labiaplasty surgery, the clitoral hood is also corrected during the same operation. Bilateral incisions are made on either side of the hood and the excess tissue covering the clitoris is removed to create a smooth and tight area without reducing sensation or the ability to become aroused. The clitoris itself is unaffected by the procedure. It is essential to create just the right amount of exposure for the clitoris. Removing too much of the clitoral hood, leading to ‘deroofing’ the clitoris can cause chronic irritation and discomfort. Dr Turner ensures that you that you have exactly the right amount of protection for your clitoris.

Complimentary Procedures

Labia Majora Reduction

As with many areas of the body, weight fluctuations, ageing and pregnancy can cause the labia majora to lose their fullness and volume, making them look deflated and saggy. With many women becoming unsatisfied with the appearance of their labia majora. With a combination of fat transfer and skin resection, the labia majora can be restored to a more youthful appearance.

While in some women the labia majora may have become enlarged, which may cause an embarrassing bulge in tight-fitting clothes or swimwear. A combination of liposuction and/or direct excision of the excess tissue can be performed to give a more balanced appearance to the external genitalia.

Mons Lift / Liposuction

The mons pubis is the fatty, hairy area that sits above the clitoral hood. Many women are unhappy with the amount of fat that they have in this area and, in many cases, the mound is obvious in clothing. Whether it’s been a lifelong issue or a problem that came up after pregnancy, you can transform your body with a pubic liposuction or a mons lift.

By removing the excess skin and fat in the pubic area, a mons lift can create a lifted and youthful look. A mons reduction is often done in conjunction with a tummy tuck to create a smooth and sleek abdominal contour.

Your Consultation

The first step to getting a labiaplasty is coming in for a consultation. We understand that this is a big step for many women and we aim to make the process as simple and comfortable as possible.

Your labiaplasty consultation begins with a personal one on one consultation with Dr Turner. We go through your medical history in detail and discuss your reasons for seeking labiaplasty surgery. Dr Turner will examine you and assess the area you wish to be altered to determine your suitability for labiaplasty surgery. There is no need for an internal examination and any physical discomfort is minimal.

Dr Turner is a leader in labiaplasty surgery, not only in Sydney but with women all over Australia seeking his expertise. While many clinics may offer labiaplasty, very few surgeons perform this procedure on a regular basis. Dr Turner has dedicated himself to learning the latest labiaplasty techniques.

FAQ’s

What is the difference between labiaplasty and vaginoplasty?

Labiaplasty is focused on the external appearance of your genitalia. While it is largely focused on aesthetics, it will also address external issues that can cause discomfort. The procedure is based around reducing and reshaping the labia minora.

On the other hand, vaginoplasty, is focused on tightening of the vagina. This means reducing the diameter of the vaginal canal. A vaginoplasty can be done alongside a labiaplasty to enhance both the outer appearance and the inner size.

What is the difference between labiaplasty and female circumcision?

Labiaplasty has been mistakenly linked to female circumcision in the past. While both procedures are done around the vagina, they couldn’t be more different.

Female circumcision is a procedure done primarily in Africa and Asia. A female circumcision procedure removes part or all of the clitoris in an effort to reduce sexual satisfaction. Female circumcision is illegal in a large number of countries and is often performed by untrained individuals with no medical background, often in the homes of young girls who are underage and have rarely given consent.

The practice of female circumcision, also referred to as female genital mutilation, is widely frowned upon and has no connection whatsoever to the labiaplasty procedure.

What are the potential risks of a labiaplasty?

While a labiaplasty is a very safe procedure, there is always some level of risk involved in any operation. It is possible to have bruising, bleeding, swelling, infection, and scarring. There’s also a chance of developing asymmetry, under or over resection of labial tissue, or wound dehiscence / separation.
It’s important to note, however, that the clitoris is not affected by a labiaplasty procedure. Sensation levels won’t be affected by the operation and your sexual satisfaction won’t be impacted.

Will there be scarring after my labiaplasty procedure?

Any operation will leave a scar. Dr Turner, however, specialises in labiaplasty and scar minimisation. We take every precaution possible to ensure that you have minimal scarring. The labia minora typically heals extremely well with minimal scarring and Dr Turner will place the scar along your body’s natural creases so they are well hidden.

What should you expect after labiaplasty surgery?

Good hygiene plays an essential role in reducing the risk of infection and discomfort. Dr Turner highly recommends taking a salt bath everyday. Baby wipes are another great way to keep your perineum clean.

Dr Turner recommends that you wear a panty liner to absorb any spotting or light bleeding for the first two weeks after surgery. Since dissolvable stitches are used, your body will gradually heal itself.

Swelling and discomfort of the vulva will gradually disappear over the first week after the surgery. Analgesia and ice packs are ideal for pain control after your procedure. Dr Turner will also give you a topical numbing cream and pain relieving medication to take home.

You can also expect to return to work five to seven days after your procedure. It’s important, however, that you take it easy for the first six weeks. Avoid exercise and sex for the first six weeks after your procedure.

One week after your procedure, you will return to our Sydney clinic for a post-operative check. Dr Turner will examine you and ensure that you are healing properly. You will return again in one month for a follow-up with the doctor.

The full results will be evident in about four to six months.

Will I be able to urinate right after the procedure? Will it hurt?

You won’t have any problem using the toilet after your procedure. There won’t be any stinging or pain. The only thing that will be different is that you’ll need to be careful when you are cleaning yourself. You will want to keep some water handy so that you can gently rinse your genital area then pat it dry. When it comes to defecating, you’ll want to be careful not too push too hard in the days immediately following your procedure.

How should I prepare for a labiaplasty surgery?

When you visit our clinic, you will be given a full list of instructions that will walk you through the process step by step.
•   If necessary, stop smoking one month before your scheduled surgery
•   Stop drink one week before your scheduled surgery
•   Find a friend or family member who can take you to and from the Sydney hospital
•   Organise to take at least three days off of work
•   Buy menstrual pads and comfortable underwear

Does Health Insurance or Medicare cover labiaplasty Surgery?

While there is a Medicare item number to cover labiaplasty, this is rarely approved by Medicare and so labiaplasty is largely considered a cosmetic surgery procedure.

Can I have a labiaplasty if I’ve never had kids?

Yes. A labiaplasty can be a good option for any woman who is in good health and over the age of 18 years. While women often choose to have a labiaplasty to deal with the effects of vaginal childbirth, it is not necessary to be a mother to have the procedure. Some women develop enlarged labia during puberty and a labiaplasty can be a good solution. While you might have been dealing with the condition for years, it is important to wait until you are over 18 to ensure that your body is fully developed before making a change as it allows for much more predictable results.

What causes the labia to become enlarged and saggy?

Women who get labiaplasty come from a range of backgrounds. Some women have large or misshapen labia from childbirth. Some women find that their labia begin to sag and become larger over time as women become older. Other women find that their labia change dramatically after childbirth. It’s also possible that labia become saggy after a major weight loss. Ultimately, the reasons don’t affect anything. Regardless of the cause of labia sagging or enlargement, a labiaplasty can transform your genitals.

It’s also important to note that nothing can be done to prevent enlarged and saggy labia. This will naturally happen during the ageing process. Sexual activity and tampons will make no difference in the size of labia.

Do you perform revision labiaplasty?

The majority of women who get a labiaplasty are very pleased with their results. There are always exceptions however. Dr Turner has worked with women who went to other doctors for their labiaplasty procedure and decided that they aren’t happy with it. If you are unhappy with the amount of tissue removed or are seeing asymmetry, Dr Turner can transform your look.

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