Aesthetic Correction of Labia Minora. Labiaplasty.
Reduction of Labia Minora.
Labial hypertrophy is a disproportionate enlargement of the labia minora on the labia majora. Our aim with labiaplaty is to obtain aesthetic appearance of the genitalia, without adding unsightly scars or distorting normal anatomy.
Which cases are indicative for labiaplasty?
There is no universally accepted definition or classification system for hypertrophy of the labia minora. However, an enlargement of 3-5 cm is generally considered as such. In these cases women complain of difficult care - secretion that makes underwear dirty (due to failure of retracting the labia minora), discomfort in tight clothing, pain in cycling and other sports. Even capturing the labia in zippers or painful intercourse. Perhaps the most common reason is the notion that the labia minora are too visible. Another indication for surgery is disturbing asymmetry.
The operation is bearable and does not affect patient's daily life. Sex life can be resumed 10-14 days after surgery.
Labiaplasty can be performed after puberty, but the preferable minimum age is 18 years. This procedure can be performed before or after pregnancy. The patient must not be in a cycle, in order to reduce the possibility of hormonal effects and the risk of postoperative infection.
Patients who reported unsatisfactory aesthetics, hygiene problems, chronic inflammation, painful intercourse, and problems with tight clothing are considered as suitable for the procedure.
Reduction of the labia minora is relatively contraindicated in patients with active gynecological diseases, such as infection or malignancy. Patients who are current smokers and do not want to temporarily or permanently quit in order to optimize wound healing, can be excluded. Perhaps most importantly - patients with unrealistic goals or expectations should be appropriately counseled or excluded from the operation.
In Bulgaria and in the practice of Dr. Serdev, the minimum age requirement for operation is 18 years. Minors could be accepted in very rare exceptions, only with the requirement of the consent and signatures of both parents.