Enlargement of the labia minora

Labia as well as other parts of the body are affected by the normal aging process. Time and gravity lead to loss of collagen and skin wrinkles. Pregnancy can increase these effects. The result is a loss of shape and volume. During menopause, the subcutaneous fat tissue of the labia minora disappears. The proportionality between the labia minora and labia majora is disturbed, which can cause the labia minora to protrude. For many women, protruding labia minora are aesthetically disadvantageous.

In addition to the reduction of the labia minora, an additional shaping of the labia majora is advisable from a holistic point of view. Treatment with autologous fat leads to more fullness of the labia minora. The natural proportionality of the labia majora to the labia minora is restored by the autologous fat treatment.

Several studies prove that appropriate and correctly performed labia corrections lead to increased sexual excitability, more frequent sexual intercourse, stronger and more frequent orgasms. The autologous fat treatment leaves hardly any visible scars. Touch sensitivity in the intimate area is not affected. The procedure can easily be combined with other procedures such as abdominoplasty or breast reduction.

How is the fat transfer to labia majora performed?

Before each operation, it is routinely checked several times whether all necessary precautions have been taken for the patient's maximum safety. The operation is not started until all the prerequisites have been fulfilled according to the checklist.

If the operation is performed in twilight sleep, you will be given medication that will relieve your anxiety and reduce your sensitivity to pain. Then an anaesthetic cream is applied so that you do not feel the anaesthetic injections at all. Within five to ten minutes the operation areas are numb. If you don't sleep deeply anyway, you may feel something happening on the surface of your body.

During an autologous fat treatment, fat tissue cells are sucked off, cleaned and filtered, and the outer labia are punctured by two millimeters. The fat cells can be aspirated from the abdomen, thighs, buttocks or the inside of the knees. As part of an autologous fat transplantation procedure, ten to 25 millilitres are inserted per side. The stitches dissolve themselves after about three weeks.

The procedure 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 drink something after the complete awakening and, if you tolerate it well, eat something. During your first visit to the toilet you will be supported by our nursing staff. Before you leave the practice, check-ups are arranged and the behavioural measures are discussed with you in detail. You will receive a comprehensive written report and a telephone number where you can reach the surgeon 24 hours a day in an emergency.

Before, after and even during the operation you can watch movies or your favourite series with virtual reality glasses. This is not only entertaining, the distraction also demonstrably leads to less sensitivity to pain.

How can you prepare for labiaplasty?

  • All your questions about possible complications and alternative treatments should be answered before surgery.
  • The time of the operation should be as far away from the menstruation as possible.
  • The genital area should be free of infections, genital warts or inflammations.
  • Intimate shaving may cause skin irritation or injury. To minimize the risk of inflammation, only an electric hair clipper should be used in the week before the operation.
  • On the day of the operation, shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel).
  • Keep nicotine and alcohol consumption to a minimum.
  • If necessary, stop taking hormone-containing medication (the pill) temporarily.
  • Blood-thinning medication (e.g. ASS, Thomapyrin®) must be discontinued at least ten days before the operation after consultation with your treating physician.
  • Vitamin preparations (A, E) and dietary supplements (omega-3 fatty acids, St. John's wort preparations, etc.) must be discontinued at least four weeks before the operation.
  • Surgery limits the ability to travel by air. Therefore, do not plan any professional or private air travel during the four weeks following the operation.
  • Before performing aesthetic surgery, you should take out follow-up insurance.

What do you have to consider after a labiaplasty?

  • This is followed by regular checks of your well-being and the results of the operation.
  • After the intimate operation, you should disinfect the fresh sutures morning and evening for 14 days (e.g. with Octenisept® or Lavanid® Gel).
  • Take a shower with a disinfectant soap (e.g. HiBiScrub® Plus, Octenisan® Wash Lotion, Prontoderm® Shower Gel) from the first postoperative day.
  • Regular cooling helps to keep the unavoidable swelling to a minimum. After three weeks, the swelling has largely subsided.
  • As a rule, you can resume your work the day after the operation. However, we recommend that you do not sit much for the first ten days after the operation.
  • Tampons should not be used in the first three weeks after the operation.
  • Bending down, lifting heavy loads, swimming, saunas, sexual intercourse and sporting activities should be avoided for four weeks, possibly longer if swelling is still present.

Author's statement

Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.


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