What is resection of the genital lips



Reduction or resection of the labia is an aesthetic surgical procedure, also known as labioplasty .

The average length of the small (internal) labia in women aged 18-50 years is 61 mm. For the most part, the size and shape of the labia (both external and internal) is determined by genetics, not hormone levels or sexual activity.

Patients undergo resection because their labia are either too large, which may cause complexes, or their partner does not like their appearance. Some patients complain of discomfort when wearing heavy underwear.

Who is a suitable candidate for resection of the labia?

• Women with hypertrophic small sexual lips.
• Women experiencing discomfort, pain or irritation in the genitals, especially when performing certain types of activities (for example, cycling) or while wearing certain clothes.
• Women experiencing tightness during intimacy due to supposedly unaesthetic appearance of the labia.
• Women who have suffered trauma to the labia, because of which their deformation occurred.

Who should not resect the labia?



• Women during menstruation.
• Pregnant.
• Women with bleeding disorders and (or) acute inflammatory process.

Preoperative requirements:



• Stop smoking 2 weeks before surgery.
• Get examined by a gynecologist and get tested for hepatitis, syphilis, blood clotting, complete blood count, biochemical tests and a smear for sterility.
• Stop taking multivitamins, herbal supplements and aspirin before surgery.

The operation is best done immediately after the end of the month or at least a week before they start.

How is the operation to reduce the genital lips (intimate plastic reduction of the labia minora)

The surgery to reduce the genital lips should be performed by a certified plastic surgeon at any accredited medical center or hospital.

There are four main surgical methods of labioplasty surgery.

1. Direct excision or stripe method is the most widely used method of intimate plasty of labia reduction. The doctor excised the excess skin along the length (edge) of the labia, not reaching the clitoris. Doctors prefer this method because it gives a minimum of complications and the best results for patients who want to remove the dark, long edges of the labia.
2. Wedge-shaped method - the wedge-shaped area of ​​the most prominent parts of the labia minora is removed. Then the resulting edges are matched. With this method, it is possible to preserve the color of the lip and its free edge and to hide the postoperative scar.
3. W-shaped resection - performed on the W-shaped line. The doctor divides the labia to two flaps so that after resection one of them is opposite the other. This method allows you to avoid scarring of the skin.
4. S-shaped technique - the doctor makes one sexual lip more than another. There is an assumption that such an asymmetrical version allows you to avoid unpleasant sensations during sex.

The operation to reduce the genital lips is performed on an outpatient basis and usually takes from 1 to 2 hours. It is done both under local and under general anesthesia.

After removal of excess tissue, the wound is stitched with bioresorbable threads, i.e. no need to delete them.

• If the labioplasty is performed under local anesthesia, the patient can be discharged on the same day.
• In case of general anesthesia, the patient must remain in the hospital for at least 24 hours.
• After labioplasty, the doctor will prescribe antibiotics and analgesics.

What Happens After Lip Tightening: Sex After Excision Of The Sexual Lips

After tightening the labia, the patient will experience some discomfort. 80% of the edema can be expected to subside by the end of the first week. The remaining tumor should disappear after 6 weeks.

Instructions for postoperative recovery after excision of the labia:

• First week: refuse physical work.
• After 4 weeks: return to normal activities.

A tumor in the first 3-4 days after surgery is a common occurrence, it will gradually disappear over the next few weeks. Most patients can resume sex 3 weeks after labioplasty.

Scars will be hidden in the natural folds of the skin. It is very difficult to see them even at close range. Sensations during sex often improve, as additional skin does not interfere with the movement of the penis.

Scars and other complications after labioplasty

Long-term satisfaction and the frequency of complications after intimate plastic surgery in gynecology were not monitored.

The risks of vaginal cosmetic surgery include:

• Infection.
• Changes in sexual sensations.
• Constant pain
• Increased dryness of the skin in the vagina.
• Scars after labioplasty.

The best advice for women who decide to do a labioplasty: openly talk with the doctor about the expectations of the procedure and any possible non-surgical options.

Here are the questions you can ask the surgeon:

• What are the short-term and long-term risks and complications after surgery?
• What are the benefits of labioplasty?
• Should I experience a decrease in sensation in the vagina or clitoris after surgery?
• Will the operation affect my ability to have an orgasm?
• Are there any restrictions on the use of feminine hygiene items, such as tampons, after surgery?
• Will surgery affect future pregnancy and childbirth?
• Are my expectations for surgery real?

What is lipofilling of the genital lips: how is the plasticity of the labia after delivery

If labia lips are too small (hypotrophy), too loose due to age-related changes, or practically absent from birth or as a result of illness (atrophy), they can be thickened by injecting fat cells.

This method is called lipofilling of the genital lips.

• Lipofilling consists in extracting fat cells in some areas with excess fat (abdomen, inner thigh).
• Then the fat is injected into the labia. It belongs to the patient, so there is no risk of rejection after injection.
• The operation is performed on an outpatient basis and after it is performed, the patient returns home the same day.
• The operation lasts 1 hour and is performed under local anesthesia or general anesthesia.

The best candidates for lip augmentation with fat:

• women in good health;
• women who have realistic expectations about what this operation can give them;
• women who are overweight or have enough localized fat.

After the lipofilling procedure of the labia, the final result can be assessed after 3 months. At the same time, part of the fat is absorbed and only 40-60% of the initially entered amount of fat will remain. This is usually sufficient, but in some cases the lipofilling procedure has to be repeated in order to achieve an optimal aesthetic effect.

During pregnancy, the color of the inner and outer labia may darken due to an increase in blood flow to this area, but the typical color will return after the baby is born. Childbirth should not stretch large labia, but the swelling may remain for some time.

Plastic labia after childbirth usually involves not an increase in the labia majora, but a decrease in the small. Many women who have gone through natural childbirth have small labia stretched. But these stretches are usually insignificant, and there is a good chance that they remain unnoticed by the woman and her partner.