Prior to the procedure
You should receive all important information concerning the planned procedure from your doctor.
You should however inform your doctor with the following information:
- You suffer from allergies
- Any long-term medication you are using
- Any coagulation disorders you may have (bleeding disorders)
- Any surgeries you have undergone
- Any other disease that you are suffering from
Prior to the procedure itself, you can eat dinner. However, from midnight onwards, you should not drink or eat anymore. If you are using long-term medication, ask your doctor if you should take them on the day of the procedure.
In practice, there are two primary techniques to labioplasty ‒ reduction in the size of the labia minora.
The first type of labioplasty involves the longitudinal removal of the edges of the labia minora (known as the trim technique). The entire edge of the labia minora is cut and then sutured along its entirety. The main benefit of this type of labioplasty is its simplicity and speed. Usually, it does not result in any change in color of the edges of the labia. A disadvantage of this type of labioplasty is a more frequent loss of sensitivity at the labia periphery.
The second type of labioplasty is the wedge excision technique. This technique of reducing the size involves making a wedge-shaped excision of the labia minor at its widest point. The resulting space created by the removal is then sawn together resulting in a small transverse scar. This type of procedure does not damage the nerve endings of the periphery and sensitivity remains unchanged. Sometimes, this method can result in a noticeable change in pigmentation of the labia. This change often disappears in time and the scar is virtually unnoticeable.
Both methods of labioplasty can be used to correct congenital defects of the labia minora in terms of asymmetry in size.
After the procedure
A resting regime is recommend for a period of at least 5-7 days. This involves applying cold wraps and increased levels of hygiene. The wraps must me changed every 2 hours and each time after using the toilet (urination and stool). You should shower the external genitalia at least 5x each day. In the morning and before sleep, you should have a sitz bath (ideally with pine water or potassium permanganate).
Initial swelling, stiffness and numbness are most apparent in the first week. A strong scar is formed after at least one month. This is why we do not recommend any sexual intercourse for 6 weeks as well as using any vaginal suppositories or tampons. The return of sensitivity to the norm is generally restored within 3-6 weeks. The final look of the scar can be determined more than one year later.
The most common type of possible complications of this procedure is bleeding of the surgery wound, formation of blood clots, breakup of sutures of the surgery would or the breakup of the wound based due to an infection. In such cases, it is then necessary to remove the coagulate, clean up the wound and it will then heal itself. The healing process will take longer but the results should not be affected.
When should you call an emergency?
- When you suffer from pain that is not getting better even after using painkillers or you experience sudden and escalating pains.
- When you detect significant swelling, bleeding or smelly discharge from the vagina or the wound.
- When you experience a fever.
- When you experience a rash.
- When you are experiencing chest pains or have difficulty breathing.
- When your head is spinning and you are fainting.