Коррекция малых половых губ: когда необходима хирургическая пластика

Changing the shape and size of the labia most often occurs to improve their aesthetics and for the purpose of rejuvenation. Labiaplasty can improve the appearance of the intimate area, improve the quality of sexual life and, in general, give a woman self-confidence. However, surgical correction of the labia minora is more often performed for medical reasons than for aesthetic reasons. Their congenital or postpartum deformity not only causes functional problems for a woman, but can also provoke serious illnesses. How a plastic surgeon can help with this, read on estet-portal.com.

What problems related to the shape of the labia minora require correction

The causes of the deformation of the labia minora may be congenital, but more often they occur in women after childbirth. The appearance of a large baby, the birth of two or more children, including at the same time, complications of labor activity with subsequent suturing of tears in the perineum – all this can cause deformations of the labia minora, scarring. Because of this, a woman experiences pain, problems with sexual life.

Another reason that leads patients to the surgeon – this is the sagging of the labia minora due to the development of age-related flabbiness of the skin against the background of hormonal fluctuations.

Due to their constant rubbing against clothes and walking, irritations often develop on the skin and mucous membranes, provoking bacterial vaginosis and other diseases.

Medical indications for labiaplasty are:
•    congenital elongation, asymmetry, hyper- or hypotrophy;
•    traumatic postpartum deformities, including with the appearance of scars;
•    age-related changes with deterioration in the functions of the genital organs.

Aesthetic indications for labioplasty are the presence of hyperpigmentation, excessive enlargement of the labia, their deformities that worsen the quality of intimacy and cause anorgasmia. If a woman's quality of life has deteriorated significantly due to cosmetic defects in the intimate area, this is considered as an indication for aesthetic correction.

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How is the surgical correction of the labia minora performed?

Before the operation, it is important not only to conduct a complete examination of the patient and analyze the anamnesis, but also to control the medications she takes. She will have to give up not only the headache pills and NSAIDs she used to take to alleviate premenstrual pain, but also oral contraceptives. The operation is planned so that after the end of the operation there will be at least a week before the next menstruation.

The operation can be performed with the traditional surgical method, but laser correction is most often used today. Its undoubted advantage is that the beam has coagulating and antiseptic properties, due to which the period of postoperative rehabilitation is significantly reduced and the risk of complications is reduced. In addition, the laser allows you to achieve high accuracy of correction with minimal tissue injury and little blood loss.

•    Reduction of the labia, correction of asymmetry and deformities. Depending on the goal, a linear or V-shaped excision of excess tissues is carried out, the formation of the desired shape. In the presence of cicatricial deformities, their resection is performed. The operation is often combined with a decrease or increase in the vestibule of the vagina, elimination of sagging of its walls.
•    Augmentation of the labia minora. It is performed using fillers or by lipofilling using the patient's own adipose tissue. The choice of technique is discussed with the patient, but the decision remains with the surgeon.

Surgical correction of the labia minora for the purpose of rejuvenation can combine different techniques depending on the wishes of the patient regarding the aesthetic result.

At the end of the operation, a conversation is held with the patient in order to explain in detail that non-compliance with the doctor's recommendations is fraught with complications, up to the divergence of the sutures and infection of the wounds with difficult consequences. After the operation, you can not sit for 2-3 days, especially with your legs crossed. For 2-3 weeks, you will have to give up intimate life, from visiting a sauna, a bath, a swimming pool, a gym, from taking a hot bath, from wearing tight clothes. Postoperative edema disappears after about 3-4 weeks, and it will be possible to evaluate the first results of the correction. The final appearance of the operated area will take several months.

Read also: Labioplasty: a small operation with big results

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