Labiaplasty Body surgery
LABIAPLASTY SURGERY INTRODUCTION
Labial reduction and vaginal tightening procedures are some of the newest fields of plastic surgery. Female external vary depending on age and hereditary factors. Enlarged or asymmetrical labia minora can lead to embarrassment or hurtful comments, and can make it difficult to find bathing suits, panties or jeans that do not show the bulge. Many females chose a labial reduction to end their self-consciousness! The following information has been prepared to familiarize you with facts about the surgical procedure known as labiaplasty ("labial reduction"). Labia can be reduced with a simple, outpatient surgical procedure. Vaginal tightening, however, can be achieved with a series of noninvasive, ThermiTight® Radiofrequency procedures that are performed in an office setting – these will
be covered in the ThermiAesthetics section.
You are requested to read this information thoroughly to familiarize yourself with the Labiaplasty procedure and to discuss any questions which might arise with your surgeon before you give your consent to proceed with this labiaplasty surgery. You are also requested to keep this form as a reference in the postoperative period.
A labiaplasty is an operation in which excess tissue is removed from enlarged or protruding labia minora. This is accomplished by excising a wedge of excess labial tissue under anesthesia. This labiaplasy procedure is frequently combined with other aesthetic operations such as liposuction, breast enhancements or other unrelated procedures.
The labiaplasty operation is directed toward an improvement and does not in any way guarantee perfection. You must accept the judgment of your plastic surgeon or newport beach plastic surgeon, Dr. Juris Bunkis and realize that he will remove as much as is safe and suitable. Particularly in labiaplasty patients with a marked tissue excess, it may be desirable to return for an additional skin excision to obtain an optimal result. Should this prove desirable, the labiaplasty patient will be responsible for all costs associated with all secondary surgical procedures.
A common question is, "How long will the results of this procedure last?" In general, it is not necessary to repeat this procedure to maintain the optimal result, even following pregnancies.
LABIAPLASTY SURGERY PREOPERATIVE PREPARATION
You may visit your surgeon as many times as you wish, to have all of your labiaplasty surgery questions answered. At your labiaplasty preoperative visit (which takes an hour or more), your final questions will be answered and you will confirm that you understand the labiaplasty procedure to be performed, that this material has been explained to you, that you have read and understand these information sheets, and that you accept the risks by signing the informed consent forms. You will be given prescriptions for surgical soap that will be used before labiaplasty surgery, as well as for pain pills and antibiotics, along with instructions for their use. Certain laboratory tests will also be required within two weeks of labiaplasty surgery. If you are over the age of 50, you will have to obtain a
cardiogram at your doctor’s office or any licensed laboratory. You may have blood drawn by our office nurse during your final preoperative visit, or, if you prefer, at your family doctor’s office or other laboratory (e.g. Kaiser Hospital, etc.).
It will be necessary to wash the groin area for ten minutes the evening prior to surgery and a final time the morning of surgery before leaving home. Washing the surgical site these two times with Hibiclens® soap will lower the possibility of an infection occurring after labiaplasty surgery.
Ordinarily, your anesthesiologist will call you the night before surgery to discuss the anesthetic care plan with you. But if you miss the call or your anesthesiologist does not call you, do not worry as you will be able to discuss your anesthesia and have all your questions answered in the morning, at the Surgery Center, prior to your labiaplasty procedure. You must make arrangements to have someone drive you to and from the Surgery Center (Orange County Surgery Center in Newport Beach, Southern California or Tracy Surgery Center in Tracy, Northern California) and stay with you at home until the next morning. Wound care is negligible but it is a good idea to have a responsible adult around for a day anytime one has received sedatives or any other type of an anesthetic.
LABIAPLASTY SURGICAL OPERATION
The labiaplasty operation will be performed in an outpatient facility under very deep sedation or light general anesthesia, supplemented by local anesthetics. Incision are made around the redundant labial tissue and it is excised, care being taken not to injure underlying nerves or other sensitive tissues. The labiaplasty incisions are all closed in layers with absorbable sutures.
POST-OPERATIVE SURGICAL CARE
Adequate pain medication will be prescribed. All labiaplasty patients, who go home on the day of surgery, will find that an assistant at home is a necessity for the first day. High bulk foods are highly encouraged after any surgical procedure and laxatives may be necessary to prevent straining associated with constipation. Normal bathing is permitted two days after labiaplasty surgery. Patients will be encouraged to walk as much as possible at home after labiaplasty surgery as this will reduce the possibility of pneumonia or of clots forming in your calf veins. The labiaplasty incisions are covered with Vaseline or other ointment three or four times a day to prevent the suture lines from dying out or crusts from forming. The sutures will fall out or dissolve in a week or two, and no other care is required.
A sanitary napkin may be desirable for the first week or so to keep underwear clean. Your first post-operative visit will generally be scheduled two to five days after labiaplasty surgery at which time the labiaplasty incisions will be inspected.
Social activity should be limited while the labiaplasty patient is uncomfortable. A good general rule of thumb is that labiaplasty patients should avoid any physical activity (including sexual activity) that causes discomfort. There is no set time table for resuming strenuous activity or having sex – just avoid activities that cause discomfort – but as a general rule of thumb for most labiaplasty patients, it takes approximately three months for the tissues to feel relatively normal. Basically, most labiplasty patients find that they can return to normal activity as the discomfort of the labiaplasty operation fades away. Office work can usually be resumed within 2-3 days of labiaplasty surgery, but the patient should expect a six-week delay before returning to sexual activity, physical labor or strenuous exercise.
POSSIBLE COMPLICATIONS WITH SURGERY
Serious complications after a labial reduction are relatively uncommon. The scar very rarely may remain itchy or otherwise uncomfortable but is usually imperceptible. The usual complications after any surgical procedure such as infection or bleeding are a very rare possibility as well. Perfect symmetry does not exist before or after labial reduction surgery. The two enlarged labia are never symmetrical to begin with, and neither will be the reduced labia. Patient satisfaction, however, is almost universal following this labiaplasty procedure. Secondary procedures may rarely be desirable to revise excise more tissue.
The patient will be responsible for all costs associated with secondary surgical procedures. It is not possible to list every conceivable complication. As with any operation, there could be potential complications, which could even be fatal. The foregoing is not intended to frighten or upset you but to enable you to make your decision with an understanding of some of the involved risks.
Insurance carriers will not pay for labiaplasty or other purely cosmetic procedures. All fees are due prior to the surgical procedure. If desired, the office staff can also help you arrange financing for your labiaplasty procedure. In compliance with suggestions adopted by the American Society of Plastic Surgeons®, it is customary for the patient to pay all fees for cosmetic surgery prior to the desired operation. This insures that the patient is sincere in her motivation and can afford the labiaplasty surgery, thus creating a better patient/physician relationship. A non-refundable deposit will be required to secure your desired surgery date when booking your procedure. The remainder of the fees must be paid prior to the surgery, usually at the time of the preoperative visit, but never later than
two weeks before surgery. Additional fees are also required for laboratory tests, surgical facility fees and the anesthesiologist.
If additional surgical procedures become necessary, additional facility, laboratory, anesthesia, and professional fees will be incurred. The surgical facility and anesthesiologist fees quoted will be based on our best faith estimate; the final fee may vary as these fees are based on surgical time, and it is not always possible to predict exactly how long a procedure will take to complete.
It is important that you understand that the patient is responsible for all costs associated with all secondary surgical procedures or for the treatment of any complications that may arise as a result of this elective surgery.
Except with the ThermiTight™ procedures, pre and post-op photos will be taken of the treatment site for record purposes. Please print and sign consent form.