Northern Virginia, Fairfax and Manassas
By: George Bitar, M.D. and Larry Lickstein, M.D.
Board Certified Plastic Surgeons
A labiaplasty can be an operation that gives a woman an immense feeling of joy and self-image boost, in my experience. It is a surgery that offers both physical and psychological satisfaction. Usually, women who seek labiaplasty have either enlarged labia minora (inner vaginal lips) uneven, or both. In these women, enlarged labia minora can be due to genetics, childbirth, aging or other factors. Enlarged uneven labia minora can cause physical discomfort during sex or physical activity, as well as, embarrassment in intimate moments. The labiaplasty procedure provides an effective cure to the mentioned problems.
Preparing for Surgery
An initial consultation is set-up where we discuss the labiaplasty procedure, and whether you are a good candidate for the surgery. Your medical history is reviewed. You are asked to stop smoking, if you are a smoker, two weeks before and two weeks after surgery, for the surgery to be performed safely, and for you to have optimal results. You are given the opportunity to talk to patients who have had the same surgery that you are considering. We will see you shortly after the surgery (in a day or two usually). You are seen regularly after your surgery. You are always welcome to come back for follow-up, even years after your surgery, free of charge.
The Labiaplasty Procedure
The size and shapes of labia vary tremendously between different women. The procedure can be done either in the office under local anesthesia or in the hospital with local anesthesia and sedation or general anesthesia. The decision is the patient’s. When the patient is relaxed and the labia minora are anesthetized, the excess skin is resected in a moderate fashion leaving the best possible symmetry between the two sided. The incisions are closed with absorbable sutures, so sutures do not need to be removed. Sitz baths are recommended after the surgery and follow-up in the office in within the next few days.
How We Minimize Complications of Labiaplasties:
At the Bitar Cosmetic Surgery Institute, we take pride in making sure we provide for our patients the best surgical experience possible, anticipating problems or set-backs, and addressing them before they happen. This is a process that includes the pre-operative preparation, the actual surgery, and the after care.
General complications can occur with any surgery. Cosmetic surgery is usually a safe surgery performed on healthy patients and, as all surgeries go, is with low risk. What we do to even lower the risk of complications is to operate at a first class hospital with board certified anesthesiologists and nurses. To avoid post-operative complications, we advocate early mobilization –patients seen in our office one or two days after surgery- and active participation in their own post-operative care. When we create a partnership, the results invariably improve.
Bleeding after a labiaplasty is rare when performed properly. Before surgery, our patients are tested to make sure they don’t have any common bleeding disorders by their own physicians, and by lab tests.
Infection/ Open Wound
The most important step in avoiding infections, in our opinion, is to perform the surgery at a first-rate surgical facility with board certified anesthesiologists and nurses. Patients are given the appropriate intravenous antibiotics coverage throughout the surgery. During the surgery, the skin surface of the patient is cleaned properly. After the procedure, our patients are prescribed a one-week course of antibiotics to minimize infection. As a result of these extra precautions, our rate of infection after a labiaplasty is minimal.
Although the vagina is a sensitive area, the clitoris and the hood, have the best sensation, so usually, resecting skin should have minimal effect of scarring and healing. Sometimes, temporary loss of sensation from a “stunned” nerve or a bruised nerve may occur in the time period after surgery.
Our office will provide you with a detailed post-operative instruction sheet that will be individualized to your needs. We usually see patients the day after surgery in one of our offices to make sure that everything is O.K., and that you are healing as planned. Multiple visits in the year after the procedure will ensure the best outcome possible.
For more information about this procedure call our office and speak to our friendly staff member at 703-206-0506.
Information on this web site is for information only. Do not use the information to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.