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    Labia augmentation

    Vergrößerung der äußeren Schamlippen

    The intimate area, like other areas of the body, is affected by the normal aging process. With age, the body’s collagen production decreases, which leads to sagging of the skin of the labia. Pregnancy can exacerbate these effects. The contours of the female reproductive organs fade. The shape and proportions of the inner and outer labia (labia majora) change. During menopause, the subcutaneous fatty tissue of the female genitals also shrinks. The loss of volume makes the labia minora look sunken, and the proportion between the labia minora and labia majora is disturbed by the excess tissue of the labia minora. Protrusion of the labia minora can cause physical discomfort in some cases. For many women, protruding labia minora look aesthetically unflattering and they are dissatisfied with the appearance of their intimate area. Thus, many patients desire intimate surgery, specifically correction or shaping of the labia minora. In the case of large labia minora, there is often a pronounced, enlarged foreskin of the clitoris.

    Young women complain mainly about an existing asymmetry and consider a labiaplasty in order to have it corrected with a surgical procedure. While in such cases one side of the labia minora has developed normally, the other side has not grown any further after puberty and is therefore very shortened compared to the other side. Labiaplasty can be an intimate surgical solution for unilaterally small labia in such cases.

    Young women complain mainly about an existing asymmetry and consider a labiaplasty in order to have it corrected with a surgical procedure. While in such cases one side of the labia minora has developed normally, the other side has not grown any further after puberty and is therefore very shortened compared to the other side. Labiaplasty can be an intimate surgical solution for unilaterally small labia in such cases.

    However, a woman decides to undergo labiaplasty not only for aesthetic reasons, but often for medical reasons as well. Thus, many patients share due to discomfort when putting on tight clothes or during sports activities due to enlarged labia or even complain of pain when sitting or during sexual intercourse.

    From a holistic point of view, in addition to the reduction of the hanging labia minora, an additional shaping of the labia majora in the course of surgery is also useful. The method of treatment with the patient’s own fat leads to more fullness of the external labia of the patient and enlarges them. Treatment with the patient’s own fat restores the natural proportion or normal aesthetic symmetry of the labia majora to the labia minora and can fulfill a woman’s desire for vaginal rejuvenation.

    Several studies show that appropriate and correctly performed labia reductions, augmentations, and corrections (including to the clitoris) not only serve to improve aesthetics, but can promote increased sexual arousal, more frequent intercourse, and stronger and more frequent orgasms in affected women. The autologous fat treatment leaves barely visible scars on the labia. The sensitivity to touch of the labia minora is not affected any more than that of the labia majora. The procedure can also be easily combined with other procedures such as an abdominoplasty or breast reduction surgery.

    How is labia augmentation performed?

    As with labia reduction, labia augmentation is routinely checked several times before each procedure to ensure that all necessary precautions have been taken for the maximum safety of the patient. Only when all preconditions are met according to the checklist, the plastic surgery procedure is started.

    Labiaplasty is performed on an outpatient basis, i.e. without an overnight stay in a clinic. It is usually performed under twilight sleep. The doctor also administers medication to the patient to relieve her anxiety and reduce the sensitivity to pain on the female vulva. Then a local anesthetic cream is applied to the labia minora or labia majora so that the numbing injections are not felt. Within five to ten minutes, the surgical areas of the vagina are numb, so no pain can be heard. If the patient is not already deeply asleep, she will at most feel that something is happening on the surface of her body.

    A well-known option for filling the so-called labia majora (large labia) for more volume is a gentle injection with hyaluronic acid by the doctor, of course under local anesthesia. Alternatively, as part of an intimate surgery on the external labia, an autologous fat therapy is offered. In this procedure, fat tissue cells are aspirated, purified and filtered, and are then applied to the labia minora via two-millimeter punctures. The fat cells can be suctioned from a woman’s abdomen, thighs, buttocks or inner knees. During an autologous fat grafting procedure, 20 to 100 milliliters per side are inserted for labia augmentation. The stitches do not need to be removed, but dissolve themselves after about twenty days.

    Labia augmentation by a plastic surgeon takes about 45 to 60 minutes, depending on the findings. Immediately after the operation you will be continuously monitored in a so-called recovery room. You can, after the complete awakening, already drink something and if you feel well also take some food without problems. During your first visit to the toilet, a member of our nursing staff will assist you. Before you leave CenterPlast, follow-up appointments are scheduled with you and behavioral recommendations are discussed in detail. You will receive a comprehensive report in written form. You will also be given a telephone number where you can reach your doctor 24 hours a day in case of an emergency.

    Before, after and even during the procedure on the vulva, you can watch movies or your favorite series with virtual reality glasses. Not only is it entertaining, but the distraction has also been shown to reduce pain sensitivity.

    What does shaping the labia minora cost?

    Dr. Santos Stahl will explain the costs of labiaplasty in a transparent and comprehensible way. You can get an idea of the price range in advance with the help of our price calculator.

    How can you prepare for labia augmentation?

    • All your questions about possible risks, the various complications and alternative treatments should be answered before a possible surgery on the vagina.
    • The date of surgery should be as far away from menstruation as possible. Therefore, make the appointment depending on your period.
    • The female genital area should be free from infections, genital warts and the vagina should be free from inflammation.
    • Intimate shaving can cause skin irritation or injury. Therefore, to minimize the risk of inflammation and for best results, only electric hair clippers should be used one week before surgery.
    • On the day of the labiaplasty, shower with a disinfecting soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel) and clean the vagina incl. of the labia minora and the clitoris.
    • Limit nicotine and alcohol consumption to a minimum.
    • The intake of hormone-containing medications (pill) may be necessary. temporarily discontinue.
    • Blood-thinning medications (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your attending physician.
    • Vitamin preparations (A, E) as well as food supplements (omega-3 fatty acids, St. John’s wort preparations, etc.) must be taken at least once a year. four weeks before the vulva operation.
    • Surgery limits your ability to travel by air. The doctor therefore recommends that you do not undertake any air travel, both professionally and privately, for the four weeks following the labiaplasty.
    • Before undergoing an aesthetic procedure for the purpose of adjusting the shape or size of the vulva labia, follow-up insurance should always be taken out.

    What do you need to keep in mind after labia augmentation?

    • As with labia reduction, regular checks of your well-being and the visible result of labiaplasty by the expert are of high importance.
    • After the intimate surgery, you should disinfect the fresh sutures for 14 days in the morning and in the evening (e.g. with Octenisept® or Lavanid® gel) for an optimal result.
    • Shower with a special disinfecting soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel) from the first postoperative day.
    • Regular cooling of the female genital area helps to keep the inevitable swelling at the labia down. After three weeks, the swelling will be largely gone.
    • You can usually resume work the day after labiaplasty. However, we recommend that you do not sit much for the first ten days after the appointment in order not to jeopardize an optimal result and to avoid problems.
    • Tampons should not be used for the first three weeks after labiaplasty correction.
    • Bending, lifting heavy loads, sports (including swimming and any other type of sports), saunas and sexual intercourse should be avoided for four weeks, possibly longer if there is still swelling on the treated tissue.
    • The same guidelines apply to any type of labiaplasty, so analogously also in the case of labia reduction.

    What can you expect during a consultation for labia augmentation?

    The specialist in aesthetic plastic surgery, Dr. Santos Stahl, will first of all ask you about your motives and wishes for change in an individual and personal consultation. Mental as well as physical complaints are collected and evaluated. All the topics you discuss with Dr. Santos Stahl, specialist in aesthetic surgery, as well as any other information you entrust to her, will be treated in the strictest confidence.

    In order for the most suitable treatment method to be determined by the expert, the treating aesthetic surgeon, any patient-specific different risks to be recognised in good time and these to be addressed if necessary. can be prevented, Dr. Santos Stahl will ask questions on the following topics:

    • Pre-existing conditions & previous operation(s)
    • Screening(s),
    • Pregnancy(s),
    • Family planning,
    • Allergies and
    • Please let us know if you smoke or take any dietary supplements. These factors will have a major impact on your surgery.

    If you are unsure or do not feel fully informed, do not hesitate to ask your cosmetic surgery specialist any questions. It is not uncommon for meaningful questions to come up afterward. At the end of the initial consultation, we are happy to offer you a second consultation. It is very important to us that all of your questions have been clearly answered prior to surgery.

    After a complete and thorough physical examination, Dr. Santos Stahl discusses your goals for correction with you. She clearly discusses medical indications for large or small labia, shows you various treatment alternatives and the associated risks and limitations, which can also occur in rare cases, During the personal consultation, you will receive all the information so that you can decide which therapy is right for you. It is very important to discuss your expectations openly with your specialist. Often a poorly informed patient or doctor or surgeon is the cause of an unsatisfactory result, even if there are no complications with the procedure.The doctor, Dr. Santos Stahl, will discuss all the details of the procedure with you in a personal and individual consultation and answer common questions, for example, about the duration of the surgery, the surgical technique and aftercare in the first few days. You agree with her on the type of anesthesia used and discuss topics such as follow-up cost insurance, the preparatory measures and behavioral measures after the procedure.

    Before and after pictures of labia augmentation.

    Ask for before and after pictures of this intimate surgical treatment during your personal consultation. The anonymised images, for which the patients have given us their consent, can be shown at the appointment if necessary. can be viewed. You can find more information in advance on the before and after pictures page.

    Testimonials on shaping the labia minora

    If you would like to read what other patients have to say about treatments at Centerplast, please visit the following page.

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    The author

    Dr. Adelana Santos Stahl

    “Our goal is to provide the best, most discreet and precise treatment based on our extensive expertise in plastic surgery. „

    Dr. Adelana Santos Stahl is distinguished by a unique international perspective with a feminine view of plastic surgery. Her personalized and detailed approach is key to the beautiful and natural results she achieves. Having trained in Brazil, one of the largest and most well-known countries for aesthetic and reconstructive plastic surgery, she understands her patients’ desire to look and feel their best.She completed her medical studies and her training as a specialist for plastic and aesthetic surgery in Brazil. In 2009, she also successfully passed the German equivalence examinations for the medical state examination. Two years later, in 2011 she received the German and in 2012 the EU specialist recognition (EBOPRAS) for plastic surgery.From 2009 to 2013, she deepened her knowledge of aesthetic and reconstructive facial surgery with world-renowned representatives of plastic surgery such as Professor Gubisch at the Marienhospital and Madame Firmin in Paris.A VDÄPC Fellowship (continuing fellowship for graduate students) in Switzerland, France and the USA has further enriched her professional experience.Dr. Santos Stahl is active in several prestigious professional societies. Besides the DGPRÄC and DGBT, she is also a member of the Brazilian Society of Plastic Surgery – SBCP.She is also the author of several scientific articles and, together with her husband, is dedicated to research and clinical studies in the field of plastic surgery.

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