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AESTHETIC GYNAECOLOGY
Labia Majora Plasty
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Labia majora plasty, also known as labiaplasty of the labia majora, is a surgical procedure aimed at reshaping, resizing, or rejuvenating the labia majora, which are the outer folds of skin surrounding the vulva. This procedure is often performed for a variety of reasons, including cosmetic, functional, or medical concerns.

Labia Majora Plasty

Reasons for Labia Majora Plasty:

  1. Cosmetic Concerns:
    • To reduce the size or bulkiness of the labia majora.
    • To achieve a more youthful and aesthetically pleasing appearance.
    • To correct asymmetry or irregularities.
  2. Physical Discomfort:
    • To alleviate discomfort caused by enlarged or sagging labia majora during physical activities such as biking, running, or sexual intercourse.
    • To reduce irritation and chafing when wearing tight clothing or swimwear.
  3. Aging or Childbirth Effects:
    • To address changes in the labia majora due to aging, significant weight loss, or childbirth, which can cause the labia to become loose or deflated.
  4. Medical Reasons:
    • To correct congenital abnormalities or deformities.

The Procedure:

  1. Consultation and Planning:
    • The patient meets with the surgeon to discuss their goals, medical history, and any concerns.
    • The surgeon evaluates the labia majora and plans the surgical approach.
  2. Anaesthesia:
    • The procedure is performed under light anaesthesia where the patient is asleep during the procedure.
  3. Surgical Technique:
    • Reduction: If the goal is to reduce the size or bulkiness of the labia majora, excess tissue is removed through strategically placed incisions.
    • Rejuvenation: For a more youthful appearance, fillers may be used to add volume to deflated labia majora. If only fillers are required, this is performed under local anaesthesia
  4. Closure:
    • The incisions are closed with dissolvable sutures to minimize scarring.
    • Care is taken to ensure symmetry and a natural appearance.

Recovery:

Risks and Complications:

As with any surgical procedure, labia majora plasty carries potential risks, including infection, bleeding, scarring, changes in sensation, asymmetry, and dissatisfaction with the aesthetic results. It is important to discuss these risks with the surgeon and have realistic expectations about the outcome.

Pricing

We provide a safe and friendly environment and a supportive aftercare service for all patients. All procedures are carried out by an experienced female gynaecologist.

Initial Consultation with female gynaecologist

FREE (Worth £250)

Labia majora plasty

From £4,700

Labia majora augmentation (with fillers)

From £800
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FAQs

When should I have a labiaplasty?

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The decision to undergo labiaplasty is highly personal and should be based on the patient’s circumstances. Some common reasons someone might consider having a labiaplasty are physical discomfort during sports, intercourse or wearing certain clothing; functional reasons such as difficulty in passing urine or cosmetic reasons.

What happens during a labiaplasty procedure?

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Here’s what happens during a labia majora plasty procedure:

  1. Consultation and Pre-Operative Steps: Before the surgery, the patient consults with the surgeon to discuss concerns, goals, and expectations. A physical examination is conducted, and the surgeon determines the best technique for the desired results.
  2. Anaesthesia: The surgeon makes small incisions in the labia majora to remove excess skin and tissue. The placement and length of the incision depend on the desired outcome and anatomy of the patient. The surgeon carefully removes excess skin, fat, or loose tissue from the labia majora. The remaining tissue is reshaped to create a smoother, more youthful appearance. Once the excess tissue has been removed and the area reshaped, the surgeon closes the incisions with absorbable sutures. These sutures are designed to dissolve on their own over time, so there is no need for removal.
  3. Procedure: The surgeon marks the areas of the labia that need to be reshaped or reduced. This ensures precision during the procedure.
  4. Post-Operative Care: After the procedure, the patient is given instructions for wound care, pain management, and activity restrictions. There may be some swelling, bruising, and discomfort in the area, but these symptoms usually subside within a few weeks. Full recovery may take several weeks, and patients are generally advised to avoid strenuous activities and sexual intercourse for at least 4-6 weeks.
  5. Results: The goal of the procedure is to achieve a more symmetrical, aesthetically pleasing, or functional appearance of the labia majora. Results are typically long-lasting, though factors like aging and weight fluctuations may affect the appearance over time.

Is the procedure painful?

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Labiaplasty can involve some discomfort and pain, both during and after the procedure. Here is an overview of what to expect in terms of pain management and recovery:


During the Procedure:

  • Anaesthesia:The procedure itself is not painful because it is performed under anaesthesia.
    • Light Anaesthesia (sedation): The patient is asleep and unaware of the procedure.

After the Procedure:


  • Immediate Post-Operative Period: After the surgery, patients are monitored closely. Pain management typically includes medications to control discomfort. Swelling and bruising in the surgical area are common, contributing to discomfort.
  • First Few Days: Patients can use over-the-counter pain medication to manage discomfort in the initial days following the surgery. Applying ice packs can help reduce swelling and numb the area to alleviate pain. It's important to rest and avoid strenuous activities, which can exacerbate pain and swelling.
  • First Few Weeks: Pain levels generally decrease over the first few days to weeks. Patients are advised to avoid activities that put pressure on the surgical area, such as cycling, running, and sexual intercourse, until cleared by their surgeon.
  • What are the complications of the procedure?

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    Labiaplasty, like any surgical procedure, carries potential risks and complications. It's important for individuals considering the surgery to be aware of these potential issues. Some possible complications include:


    Immediate Complications:

    1. Bleeding: Excessive bleeding during or after the surgery can occur, although it is uncommon.
    2. Infection: Infections can develop at the surgical site, leading to pain, redness, and discharge. You will be provided with a course of antibiotics to minimise this risk.
    3. Hematoma: This is a collection of blood outside of blood vessels, which can cause swelling and pain.
    4. Adverse Reaction to Anaesthesia: Reactions to anaesthesia can occur, although these are generally rare and manageable.

    Short-Term Complications:

    1. Pain and Discomfort: Post-operative pain and discomfort are common but typically manageable with medication.
    2. Swelling and Bruising: Swelling and bruising around the surgical area are common and usually subside within a few weeks.
    3. Numbness: Temporary numbness or changes in sensation around the labia can occur and typically resolve over time.

    Long-Term Complications:

    1. Scarring: Scarring is inevitable to some degree, but excessive or noticeable scarring can occur in some cases.
    2. Asymmetry: There may be asymmetry or unevenness in the appearance of the labia after surgery.
    3. Changes in Sensation: Permanent changes in sensation, such as numbness or increased sensitivity, can occur, though this is uncommon.
    4. Pain During Intercourse: Some individuals may experience pain during sexual intercourse, which can persist long-term in rare cases.

    Rare but Serious Complications:

    1. Tissue Necrosis: This is the death of tissue due to inadequate blood supply, which can require additional treatment or surgery.
    2. Chronic Pain: Persistent pain that lasts beyond the typical healing period can occur in rare cases.
    3. Urinary Issues: Difficulty urinating or changes in urinary patterns can occur, although this is rare.

    It's essential for patients to discuss the potential risks and complications with their surgeon during the consultation process and to have a clear understanding of what to expect before, during, and after the procedure.

    What is the recovery time after the procedure?

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    Recovery time after labiaplasty can vary based on individual healing rates and the specifics of the procedure. However, most patients can expect the following general timeline:


    First Few Days:

    After the surgery, patients typically spend a few hours in the clinic to ensure they are stable and to manage any immediate pain or discomfort. Patients will experience swelling, bruising, and discomfort, which are managed with pain medications and cold compresses. It is essential to rest and avoid any strenuous activities. Keeping the area clean and dry is crucial to prevent infections.


    First Week:

    Pain and swelling are usually the most intense during the first week but gradually start to improve. Patients should continue to avoid strenuous activities, heavy lifting, and exercise. Walking is encouraged to promote blood circulation, but it should be gentle and limited.


    2-3 Weeks:

    Swelling and bruising typically begin to subside significantly. The dissolvable sutures will start to dissolve or fall out on their own. Patients can slowly resume light activities, but should still avoid any activity that puts pressure on the surgical area or involves vigorous movement.


    4-6 Weeks:

    Most of the swelling and bruising should have resolved, and the surgical area should be healing well. Many patients can return to most of their normal activities, including work and light exercise, but should still avoid activities that cause friction or pressure on the surgical site, such as cycling or running.


    6-8 Weeks:

    Patients are typically cleared to resume sexual activity after 6-8 weeks (if not earlier), provided healing is complete and there are no complications. While the majority of healing occurs within the first 6-8 weeks, complete healing can take several months. The final results in terms of appearance and sensation may not be fully realized until this time.


    Long-Term Care:

    Regular follow-up appointments with the surgeon are essential to monitor the healing process and address any concerns. Any scars will continue to mature and fade over time. Using scar treatment products, as recommended by the surgeon, can help minimise their appearance.


    Tips for a Smooth Recovery

    • Adhere to Post-Operative Instructions: Following the surgeon's care instructions is crucial for optimal healing.
    • Wear Loose Clothing: Loose, comfortable clothing helps prevent irritation and pressure on the surgical area.
    • Maintain Hygiene: Keep the area clean and dry to prevent infections.
    • Stay Hydrated and Eat Healthily: Proper nutrition and hydration support the healing process.

    It's important for patients to communicate with their surgeon throughout the recovery process, report any unusual symptoms, and attend all scheduled follow-up appointments to ensure proper healing and address any potential complications promptly.

    Meet the Team

    Dr Hina Pathak Sra

    MBBS. MA (HONS) OXON. MRCOG

    Hina is a Consultant Obstetrician and Gynaecologist with a special interest in facial aesthetics and aesthetic gynaecology. Having graduated from St. John’s College, University of Oxford and Imperial College London, Hina did her Obstetrics and Gynaecology training from major London hospitals. Hina honed her aesthetic gynaecology skills with The European Society of Aesthetic Gynaecology.

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