Labioplasty

Overview

The principle of the surgery is to reduce the amount of tissue of the lips of the inner vagina (labia minora) and to improve the shape.

In addition I can do lipofilling to the outside lips  (labia majora) to make them plumper, or liposuction to the mons pubis (pubic hair area at the front) if it is too full.

The law about FGM is rather blurred and issues about FGM cross over to labioplasty. I have no issue providing this surgery to women who have genuine issues with their labia and see the impact of problems pre-surgery and the benefits in physical, psychological and sexual functioning afterwards, however it is an ethically challenging area and for all concerned and I feel it really needs the most professional approach. If there are any issues which blend with FGM I would ask for the help of other professionals before making a decision.

The vast majority of women who have labioplasty surgery are glad they have had it and are very pleased with the results. Labioplasty Surgery is an increasingly common operation.

I perform the surgery so the the scar is hidden in the crease and the edges are natural. Other types of procedure are performed by other surgeons.

If you come to see me, I can share pictures of previous surgeries. I don’t publish the pictures on the website.

Labioplasty FAQs

The Operation and hospital stay Labioplasty

Labioplasty surgery is performed using an incision at the base of the labia minora and running along the crevice and inside of the labia. This is the wedge excision. Some surgeons trim the labia along the edge, but this leaves a scar right along the edge and the appearance is not always natural.

The surgery is performed under general anaesthetic and takes about one hour. When you wake up you should be comfortable as local anaesthetic is used in the wounds and you will remain on regular analgesia (painkillers) for several days until you are effectively pain free. There will be dressings on with some antiseptic cream. After the surgery you will stay in hospital until it is safe to send you home.

What can go wrong with Labioplasty

I feel it is important that anyone having surgery with me is aware of the possible negative sides of surgery and understands the small but real risks. The following paragraphs cover what happens when things occasionally don’t go as expected.

Like all surgery there are risks of complications whoever does your surgery. It is important you are aware that many of the problems you may get after your surgery, if they are treated promptly, have no obvious effect on the final outcome.

It is unlikely your labia are completely symmetrical before surgery and there may be a small degree of asymmetry after the operation, which you may notice. If it is present, it is likely to be very subtle and not require correcting. (If it is a big difference then a surgical correction can be discussed).

All operations have a risk of bleeding. In labioplasty surgery there is a very small risk that there may be bleeding leading to a collection of blood (haematoma), which needs to be removed under an anaesthetic (less than 2%). Infection is unusual and antibiotics are given around the time of surgery to reduce the risk and antiseptic cream is used post operatively Some people form bad scars (about 2%) and these can be troubling for a while although often respond to treatment over several months. There may be some numbness of the skin, this will normally get better over a period of time but there is a small risk of small areas of permanent numbness. All operations can result in long-term discomfort.

Risks particular to labioplasty surgery are problems with wound healing and / or infection because of the position of the wound, although these are very unusual. The area will be swollen and sore for a around two weeks. The scar may be sensitive for a while and very occasionally scars remain sensitive.

All operation have a small risk of Deep Vein Thrombosis (DVT), chest infection and Pulmonary embolism. Death following elective surgery is exceptionally rare (1:250,000 in fit and well people)

As this is a surgical procedure to deal with appearance no guarantee can be given to the final appearance, but if we agree it is an unsatisfactory result correction will be offered at no additional cost

After Labioplasty

Expect to feel washed out for a few days after the surgery and to tire quickly although you will return to your normal energy levels in a few weeks. The sutures are all dissolving, but a one week follow-up will be given to make sure everything is OK. You will be provided with antibacterial cream to use for the first few weeks after the surgery. I will personally see you at 1, 4 and 12 weeks and 6 and 12 months following surgery and more if required.

What to expect from Labioplasty

Labioplasty surgery makes an immediate and dramatic difference, although the swelling takes a few weeks to settle completely. There may be some discomfort for a few days. Normally 4-6 weeks after the surgery, you are beginning to return to normal. It may even be quicker than this. As said above, expect to feel washed out for several weeks after the surgery and to tire quickly although you will gradually return to your normal energy levels.

The majority of people who undergo labioplasty surgery are very pleased with the result and feel it makes a very positive change to their lives.

Cost of Labioplasty

-from £2920
This includes all required follow-up and in the unlikely event you require further treatment due to post-operative problems any further treatment is also included

(prices updated Feb 2018)

What to bring to hospital

If you would like, bring a family member or friend. Bring some easy to put on bed wear, preferably with front buttons and your own clothes and toiletries and something to pass the time like books, puzzles or some music . The rooms have televisions and there is free Wi-fi.

What to look out for after you have gone home

Before you come into hospital, you will get a package that contains a set of post-operative instructions and a thermometer.

Watch out for redness, swelling, pain, discharge, opening of the wound, fevers, sweating and shaking. Whatch to see if your temperature is above 37.2C and you feel unwell or it is above 37.6C.

If any of the above are seen or any of the information of the instruction sheet call the numbers on the instruction sheet or the hospital you had your operation.

Things to Avoid

The following are medications or herbal medicines to avoid before surgery.

Please disclose all medications (including self prescribed and herbal and vitamin supplements) during the consultation. The following increase the risk of post operative problems.

Roacutane or other vitamin A skin preparations / aspirin / steroids / warfarin / clopidogrel / Brufen / alka-seltzer / Fish oil / Flagyl / anti-rheumatics-arthritics / blood thinners eg persantin / St John’s Wort / Aloe vera / Cimetidine / Vitamin E (>600mg/day) / Vitamin C (>1000mg/day) / alfalfa / arnica / bromelain / calendula / celery / chamomile / cloves / Evening primrose / garlic / ginger / ginko / goji berries / licorice / meadowsweet / diabetes medication / blood pressure medication / diuretics

Most fruit and pickles have aspirin like chemicals in them so avoid large quantities in the two weeks before surgery.

Please remember that if you have any questions or concerns to ask during one of your consultations. Writing questions down is sometimes helpful.

Driving

Normally you can re-start driving at around 2 weeks. You are fit to drive if you feel you are fit. I recommend you have someone take you to an industrial zone or supermarket car park late at night so you can attempt driving without risk to others. If you find you can drive without problems you are safe to go out on the road

Work

Depending on how physical the work you do is, you can start working from between 1 and 3 weeks.

If in doubt remember you can always ask for advice.

Exercise

At home rest is necessary for one week and any strenuous activity, bending, and lifting etc. is to be avoided. You can shower once your dressings are reduced after your first appointment.

Physical exercise more than a gentle walk should be avoided for the first least 3 weeks and then only undertaken if comfortable. After 3 weeks I allow swimming and cycling and more vigorous walking. After 6 weeks you can, if it is comfortable, return to full activities.