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Labia reduction

Labiaplasty is a form of labiaplasty and is a surgical procedure to reduce the labia minora.

Enlarged or asymmetrical labia minora can already exist at a young age (so-called congenital variants) or become more pronounced over time. Too large or too long labia minora are often a psychological burden for patients. They therefore feel impaired, for example, during sexual contact, when wearing tight clothing or when swimming. Shame and rejection towards their partner are not uncommon. Often, labia that are too large are not only aesthetically disturbing but also mechanically disturbing, for example during sporting activities such as cycling, horse riding, etc. Labia reduction is the most common procedure in the field of labiaplasty and increases a woman's sense of well-being enormously.

Causes and symptoms

In addition to the congenital enlargement of the labia minora, the main cause of the anatomical change is age. The older a woman gets, the larger the labia minora become and the smaller and more atrophied the labia majora become: a natural ageing process. Several pregnancies, hormone cures and weight gain or loss further intensify this process.

The labia minora become mechanically disturbing and therefore symptomatic when they are no longer covered by the labia majora, dry out and are therefore inadequately protected from pressure and strain. This leads to pain, irritation and recurring infections.

Many women feel ashamed, do not wear tight clothing and even avoid sporting activities.

The operation

Following a medical history and clinical examination, the operation is usually performed on an outpatient basis under general anaesthesia, or under local anaesthesia if desired. The most commonly used surgical technique, which is associated with the fewest complications, is longitudinal resection (lazy S resection), in which the protruding part of the labia minora is removed. Labia reduction

The possible side effects and complications of this relatively minor procedure are manageable. However, in rare cases, aesthetically unpleasant scars, prolonged weeping wounds, soft tissue damage and discomfort may occur.

Vor der Schamlippenverkleinerung wird der Hautüberschuss, der individuell sehr variabel ist, markiert.
Vor der Schamlippenverkleinerung wird der Hautüberschuss, der individuell sehr variabel ist, markiert.
Danach wird das überschüssige Gewebe mit einem Skalpell entfernt und die Blutung gestillt.
Danach wird das überschüssige Gewebe mit einem Skalpell entfernt und die Blutung gestillt.
Anschliessend wird die Haut mit resorbierbaren Nähten, die nicht mehr entfernt werden müssen, vernäht.
Anschliessend wird die Haut mit resorbierbaren Nähten, die nicht mehr entfernt werden müssen, vernäht.

Possible corrections

Enlargement of the outer labia

The older a woman gets, the smaller and more atrophic the labia minora can become. To compensate for the loss of volume, they can be rebuilt with an autologous fat graft or with hyaluronic acid. Volume augmentation with hyaluronic acid alone can be performed under local anaesthetic. Autologous fat grafting is performed under general anaesthetic. This operation is often combined with an additional tightening of the labia minora.

Tightening of the outer labia

If the labia minora lose volume, the skin may no longer retract sufficiently. The labia minora look empty and wrinkled. The excess skin can be removed in a short operation so that the labia minora appear smooth again. If desired, these can be filled with additional volume (autologous fat or hyaluronic acid).

Clitoral hood tightening

Too much skin around and above the clitoris can be sexually and aesthetically disturbing. The excess skin can be carefully removed in a short operation so that the clitoral hood looks beautifully taut. This operation is often combined with a reduction of the labia minora.

Vaginoplasty/perineoplasty

After several pregnancies and births, the entrance to the vagina can become enlarged and no longer recede on its own. Many women have the feeling that something "down there" is no longer right. Affected patients describe that "you feel open". Sexual intercourse is no longer perceived as intense. An operation can be performed to reduce the size of the vaginal entrance.

Correction of perineal scar

If this is perceived as disturbing, a scar correction can be performed.

Tightening of the mons veneris

Massive weight fluctuations can lead to a significantly enlarged and unsightly mound of Venus. If necessary, this can be reduced again by liposuction. If there is also excess skin, this must also be removed.

Podcast on the topic of intimate surgery

In the podcast series with Radio 1, Dr Rosmarie Adelsberger answers questions about intimate surgery:

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