Labiaplasty

Labiaplasty

Labiaplasty is a surgical correction of labia minora (small lips on the side of the genital area) or labia majora (large lips that usually cover small lips).

R300 Consultation (Deductable from treatment)

R800 Flat rate per small tattoo (2cm²-39cm²)

R1,200 per medium/large tattoo (40cm²- 100cm²)

R40 per additional minute

Frequently Asked Questions

Some women simply do not like the look of their labia minora because they are too long or asymmetrical (one longer or bigger than the other one). In other cases, the lips can be uncomfortable during exercise or sexual intercourse. Occasionally, they may (rarely) be a cause of frequent infections, itchiness and discharge.

Girls who are younger than 18 will be requested to see a psychologist before they can undergo the procedure. In some cases, the doctor may request psychological evaluation for women who older than 18.

All labia minora are normal. You can check labialibrary.org to see all different shapes and types. They are all normal. However, if you are unhappy, bothered and distressed with the shape of your genitals it is advisable to see a specialist to get advice.

Labiaplasty can be performed under local anaesthesia in the operating room. Dr Novikova will ask you to apply a special anaesthetic cream over the area and take a tablet that will allow you to relax before the procedure. Dr Novikova will inject a local anaesthetic into the area if you still feel discomfort.

Labiaplasty can be done in many different ways. Common types of procedure are trim or curvilinear technique, V- labiaplasty or central wedge resection and de-epithelisation techniques.

Trim or curvilinear labiaplasty is when the edges of the long labia minora are removed. This technique reduces the size. Because the end of the labia minora is removed, the area loses its natural look and some sensitivity may be lost. Sometimes more tissue than desired is removed. The lips will look pink with this technique, which is the desired look for some women.

V-wedge labiaplasty is done when the V-shape area is cut off is in the middle of the lips and they are re-shaped with sutures. Although the edges have a natural look as they are not cut off, there will be a small scar in the middle of the area. Sometimes, less tissue is removed than desired with this technique.

During the de-epithelisation technique, an area of skin (epithelium) and not the full thickness of tissue is removed. The edges keep its natural look and little sensitivity is lost with this technique. The surgeon uses dissolvable stitches during this operation.

It’s common for the clitoris to look bigger once the lips are reduced in size because of its proportional size. In such cases, the clitoral hood reduction is necessary at the time of labiaplasty.

The procedure takes one to two hours.

Once the anaesthetic wears off (usually one hour after the operation) you can go home.

-Sitting and peeing during the first week after the operation may be uncomfortable.
-Bruising, swelling and soreness are usual for up to two weeks, but these symptoms are expected to improve with each day.
-Bloody or blood-stained discharge can be expected for 1-2 weeks.
-The skin may be partially numb for several months after the operation. Permanent numbness is very rare.
-Occasionally, patients feel that the desired look is not achieved with the surgery and they want another operation.

-Sitting and peeing during the first week after the operation may be uncomfortable.
-Bruising, swelling and soreness are usual for up to two weeks, but these symptoms are expected to improve with each day.
-Bloody or blood-stained discharge can be expected for 1-2 weeks.
-The skin may be partially numb for several months after the operation. Permanent numbness is very rare.
-Occasionally, patients feel that the desired look is not achieved with the surgery and they want another operation.

-If you have a fever, feel hot and cold.
-If your pain does not go away with pain medications or is getting worse.
-If you have bleeding.
-If there is swelling or redness around the area of surgery.

-Sitting and peeing during the first week after the operation may be uncomfortable.
-Bruising, swelling and soreness are usual for up to two weeks, but these symptoms are expected to improve with each day.
-Bloody or blood-stained discharge can be expected for 1-2 weeks.
-The skin may be partially numb for several months after the operation. Permanent numbness is very rare.
-Occasionally, patients feel that the desired look is not achieved with the surgery and they want another operation.

-Avoid sitting immediately after the operation.
-Apply an ice pack every 4-6 hours within the first 24 hours while awake. Place an ice-pack over a thin pad, NOT directly onto the skin
-The doctor will prescribe non-inflammatory medications to take for 3 to 5 days after the operation. The medications will help with pain and decrease the swelling. The medications will not cause –drowsiness.
-Constipation might complicate recovery so laxatives may be needed.
-You should avoid sexual intercourse for 6 weeks.
-You should not use tampons for 6 weeks.
-It is important to keep the area of surgery clean and dry. You will need to wash every time you have open bowels or pass urine.
-Dr Novikova will prescribe an antibacterial ointment to apply to the scar area twice a day for 2 weeks, and antibiotics to take for a week after surgery.
-You can perform light exercise one week after the surgery, and your regular exercise two weeks after surgery after doctor’s visit.

Dr Novikova has performed many labiaplasties and is skilled in various techniques of this procedure. She has participated in workshops and meetings on aesthetic gynaecology and is certified by European Society of Aestethics Gynaecology.

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