Who Is It For?
Some women feel that they need to correct the appearance of their labia minora. They might be born with labia which are misshapen, irregular or improperly protected; the labia may also change their shape and size with age or after childbirth. The result can be unpleasant as the labia can chafe against clothes, cause problems with hygiene and normal sexual activity and generally alter the appearance of the genital area. On the other hand, the labia majora lose their shape (fat diminution in the area), which makes them lose their original function; some women become uncomfortable with their appearance. Aesthetic labiaplasty surgery offers a solution to both problems – labia reduction and labia enlargement (using the body’s own fat.)
Make sure you will get time off work (depending on the operation and the nature of your job). You will need support and help from the family and friends in the recovery period (avoiding physically demanding jobs, important social events etc.); if needed (and possible), arranging for children care.
No acute illnesses should occur in the period of at least 3 weeks prior to the planned labiaplasty surgery (a viral illness, a cold etc.). If so, it is necessary to inform us.
One week before the operation, do not take any medications containing acetylsalicyclic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal etc.). It might increase bleeding during and after the labiaplasty surgery.
Ideally, one month (minimum two weeks) before the labiaplasty procedure women should stop taking hormonal contraception or replacement in order to prevent thromboembolism.
Consult your GP or your surgeon in Prague regarding other medications you take regularly. Bring your usual medicine and pills, if possible in the original packaging.
It is recommended to stop or considerably reduce smoking two weeks before the operation. If you are a smoker don’t forget to bring nicotine patches with you.
Ideally, women should not have their period when operated. If they do, they need to inform their doctor.
How Is It Done?
During the labiaplasty surgery, the surgeon removes the excess tissue of the labia minora, and the labia majora (on the outside of the body) may also be reduced by surgery or liposuction. Labia minora is reduced and remodelled. Labia majora is filled with (generally patient’s own) fat.
Labiaplasty surgery is normally done under intravenous sedation or, by request, under local anaesthetic. It usually takes half an hour.
It is advisable to pay special attention to higher hygiene standards and avoid exercising for two or three weeks. Sexual activity should also be avoided for at least one to two months. Avoid exercise (no running, heavy lifting, straining, etc.) for four to six weeks. Avoid straddle activities like cycling, horseback riding for at least four weeks.
The area should be gently washed after each visit to the toilet, or at least five times a day.
It is also recommended to have oak tree bark sitz baths five times a day.
Apply bacitracin or a topical triple antibiotic ointment to the suture lines for ten days.
Place a piece of gauze between your labia.
Wear cotton undergarments and avoid any undergarment that is tight or irritating for four weeks.
You may shower the day following the procedure - pat your labia dry, do not rub. Do not take a bath or go swimming for two weeks.
Post-operative bleeding, or bleeding caused by insufficient post-operative care at home
Swelling, Prolonged healing (especially when you smoke)
Haematomas, Infection of the wound
Imperfect effect resulting from non-observance of the post-operative instructions
The result is long-lasting or even permanent.