Overview

There are a variety of aesthetic female genital plastic surgery procedures that can improve appearance and reduce discomfort. These procedures include hymenoplasty (repair of the hymen), labiaplasty (repair of the outer hair bearing lips or the labia majora, the inner lips called the labia minora)  ,  clitoral hood reduction, monsplasty and vaginoplasty. The most common surgery is Labiaplasty which reduces the length of the labia minora. But these procedures may be combined in various permutations as is needed by you and the doctor’s recommendations.

Patients also sometimes refer to these procedures as female genital cosmetic surgery, vaginal rejuvenation, female genital rejuvenation surgery, vulvovaginal plastic surgery and designer vagina surgery, among other terms.

Who is a good candidate for surgery?

• Healthy individuals who do not have medical conditions that impair healing
• Nonsmokers
• Individuals with a positive outlook and realistic expectations

How to prepare for a surgery.

Dr. Aditya Aggarwal shall discuss your past medical history in detail to determine your candidacy for the procedure. The procedures and various options shall be explained to you in detail.

Doctor shall discuss the following:

• Genital aesthetic surgery options.
• Course of treatment.
• Likely outcomes and the potential risks involved.
• Take pictures of the parts to be operated for comparison with post op results.

Before Surgery:

• Evaluation of general health status.
• Medical examination including tests.
• Physical examination:
• Avoid anti-inflammatory drugs such as Aspirin and Ibuprofen that may interfere with the healing process.
• Stop smoking and alcohol at least 4 weeks before the surgery.

After Surgery:

• Arrange for help to be driven home from the hospital.
• Plan to stay home and limit activities for a few days after surgery.

How is Surgery done?

Anesthesia:

• These procedures are usually done under local anesthesia and sedation, but may be done under general anesthesia. Dr. Aditya Aggarwal will discuss the details of the same with you

Steps of the Procedure:

Labiaplasty: most commonly done as a trim procedure where extra tissue is removed and sewn up or the wedge procedure in which a pie shaped piece of tissue is removed. This could include removal of the tissue from labia minora (inner lips) or labia majora (hair bearing outer lips)

Clitoral hood reduction: an excision of the excess tissue of the clitoral hood is planned and can be a combination of the Labiaplasty procedure

Monsplasty is done to reduce the amount of fatty tissue and/or skin, causing the uncomfortable bulge. In most cases a liposuction is sufficient, but in some cases tissue may be removed

Vaginoplasty is done for vaginal laxity and it brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin may also be removed for a more aesthetic appearance.

Time to Operate:

• This depends on the surgeon, the procedure(s) and individual candidate. Dr. Aditya Aggarwal will discuss this with you

Possible Complications and Risks:

•  Anaesthesia risks
• Bleeding
• Fluid accumulation
• Infection
• Numbness or other changes in skin sensation