Labiaplasty

Introduction

Labiaplasty is the procedure that aims to reduce the size of the inner labia otherwise know as the labia minora. Local irritation (chaffing), difficulty with personal hygiene, interference with sexual intercourse and pain or swelling when cycling, running or horse riding are common problems.

When?

Long, thick labia minora may be visible after pregnancy and childbirth or after major weight loss. Sometimes they are present in young women, just after puberty. Later in life due to loss of skin elasticity and sagging of the perineum it may become worse.

How?

Labiaplasty or labial reduction involves a plastic surgical technique to reduce the large or often uneven labia minora to a thinner, neat and even size. The most well known techniques are trimming and wedge resection. The choice depends on the anatomy and often are combined in a curvilinear of lazy S techniques. The aim is for the inner labia to be hidden inside the outer labia so that there isn't any skin protruding especially when standing. Labiaplasty or Labial Reduction is often performed under local anaesthesia or sedation and same day discharge.

Why Angelica Kavouni?

Your individual needs and expectations will be discussed during the consultation with Ms Kavouni, in absolute confidence. The aim is to preserve a natural result and the sensitivity of the vulva with minimal scarring. Angelica has participated in research about labiaplasty and was part of the pioneering Embarrassing Bodies TV series.

Aftercare

Bed rest, comfortable underwear, large thick pads, a spray bottle and baby wipes are helpful. take a shower once or twice a day using mild antiseptic soap and then pat the area dry. Minimal exercise and avoid strenuous activity as well as sexual intercourse for 3-6 weeks after surgery. The sutures are tiny and dissolve so there is no need for suture removal after labiaplasty (labial reduction) surgery. Use a barrier cream such as Sudocream for a month. probiotics help preserve the vaginal flora

Risks

Swelling, bruising and bleeding for 2-3 days are common. Rarely a haematoma (blood collection) may require drainage. Moderate discomfort should be expected after Labiaplasty (Labial Reduction) and pain relief may be necessary. Infection of the wound can rarely be serious requiring antibiotics and delaying the would healing. Some hypersensitivity around the scar may occur and may take up to 6 months to resolve. There have been some cases where chronic pain has been an issue. A usual concern is loss of sensitivity in the area of the scar however there is limited data to confirm this, probably because the enlarged labia are often described as not particularly sensitive to begin with. The scars heal well but occasionally there is minor asymmetry between the two sides

How long (duration of treatment)?

45 minutes.

Level of Pain?

Moderate.

Post Procedure Downtime

7-10 days.

Cost for procedure?

From £3,800

Scientific Papers

Psychosexual outcome after labiaplasty: a prospective case-comparison study. Veale D, Naismith I, Eshkevari E, Ellison N, Costa A, Robinson D, Abeywickrama L, Kavouni A, Cardozo L. Int Urogynecol J. 2014 Jun;25(6):831-9. doi: 10.1007/s00192-013-2297-2. PMID: 24448726

https://pubmed.ncbi.nlm.nih.gov/24448726/


A comparison of risk factors for women seeking labiaplasty compared to those not seeking labiaplasty. Veale D, Eshkevari E, Ellison N, Costa A, Robinson D, Kavouni A, Cardozo L. Body Image. 2014 Jan;11(1):57-62. doi: 10.1016/j.bodyim.2013.10.003. PMID: 24239491

https://pubmed.ncbi.nlm.nih.gov/24239491/


Validation of genital appearance satisfaction scale and the cosmetic procedure screening scale for women seeking labiaplasty. Veale D, Eshkevari E, Ellison N, Cardozo L, Robinson D, Kavouni A. J Psychosom Obstet Gynaecol. 2013 Mar;34(1):46-52. doi: 10.3109/0167482X.2012.756865. PMID: 23394414

https://pubmed.ncbi.nlm.nih.gov/23394414/


Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery. Goodman MP, Placik OJ, Matlock DL, Simopoulos AF, Dalton TA, Veale D, Hardwick-Smith S. Aesthet Surg J. 2016 Oct;36(9):1048-57. doi: 10.1093/asj/sjw061. PMID: 27084062

https://pubmed.ncbi.nlm.nih.gov/23394414/



Book chapters


https://www.amazon.co.uk/Female-Genital-Cosmetic-Surgery-Solution/dp/1108435521/ref=sr_1_1?dchild=1&qid=1617599348&refinements=p_27%3ASarah+A.+Creighton&s=books&sr=1-1


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