• 20 MAR 17
    • 0

    Genital Surgery

    The incidence of this type of treatment has increased because its existence is more well-known.  Although female genital cosmetic surgery sometimes occurs for medical reasons it is primarily done for subjective aesthetic ones.

    Younger women request it for the desire to enhance and highlight their external genitalia thus eliminating their self-consciousness.  In Spain, women must be at least 18 years of age.

    Previously, the procedure could only be performed on a younger candidate with parental consent and a justifiable, psychological need, so that, even given the circumstances, a specialist could not ethically perform the surgery.

    Most patients that decide to perform this genital surgery are women motivated by personal reasons.  Those who want to increase their self-confidence or patients who experience discomfort during sexual intercourse or physical activity.

    There are also cases following some alteration, diseases and abnormalities involving the vagina and labium, genital tumors, genital infections and cysts, disproportion of vaginal lips, and congenital pathologies.  Yet the need for genitoplasty for purely aesthetic reasons is growing, especially in South America, the United States and Europe.

    The most common procedures in female genital surgery are:  treatment of the labia majora and minora, reduction of the mons pubis, clitoris and G-spot augmentation, vaginoplasty and surgical or laser-assisted vaginal rejuvenation.  Nevertheless, the most frequent operations are the reduction of the labia minora and the laser-assisted vaginal rejuvenation (anti-aging), with or without reinforcement of the pelvic floor.

    The vaginal labium are four folds, two on each side, that border the vulva.  The outer (labia majora) covering the inner (labia minora).  However, each vulva is individual, with vast size differences.

    Vaginal labiaplasty or surgery of the vulvar lips is an operation that consists of modifying the size of this area of ​​the vagina, when they are excessively large or asymmetrical and may disturb the woman when dressing, playing sports or having sex.

    The correction of the labia minora is done surgically.  The excess parts are trimmed and the lips are proportionally remodeled.  Sometimes redundant skin must be removed from the clitoral cap.  The best-performing technique is diode laser-assisted or CO₂ surgery.  The laser decreases bleeding and recovery is much faster.  Demands for increasing the volume of the labia majora for aesthetic reasons, to protect the vulva labia minora or as a complement to any other vaginal surgery is increasing.  The in-office, outpatient procedure involves filling the labia majora with hyaluronic acid (ISDIN Desirial Plus) using local anesthesia.  The effect is immediate and this filling has an average duration of 1 year, after which, it is possible to apply hyaluronic acid specific for this genital region to maintain the augmentation, which is variable and differs according to each woman.  Labia can also be increased using injections of the patient’s own fat stores.  Generally, the post-operative period is good.

    In the case of surgical labiaplasty, 1 week of inactivity, leaving the genital area to rest, is required.  Afterwards, the patient should have medical checks for two or three months.  The doctor’s declares the patient is recovered when she can carry out her daily activity normally, usually between four or five weeks.

    In the case of vaginal or vulvar hyaluronic acid application, baths, saunas and sexual intercourse should be avoided for a few days, but for the most part the patient can continue with life as usual.

    When the vulvar labium are reduced, some patients have described a decrease in the sensitivity of the post-operative area.  This is a possibility given that it is a tissue very rich in nerve endings.

    As far as medical contraindications, since the labia minora also have their function, it would be advisable to not only evaluate the appearance.  We must behave with professionalism under ethical principles and not perform completely unnecessary surgeries.  Following the protocols of our Medical Societies at all times.

    The degree of very high post-operative satisfaction of these patients must be taken into account since the problem or pathology that motivates the surgery disappears.

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