It is one of the most frequently applied genital aesthetic operations. It is used for applications to both the labia majora (vagina outer lips) and labia minora (vaginal inner lips).
However, unless otherwise stated, labiaplasty is accepted in practice as correction of the inner lip (labia minora). It is one of the most common aesthetic procedures and is performed to change the size and shape of the inner lips or to correct the asymmetry between the two inner lips.
Rouzier et al. found that 87% of 163 women who wanted labiaplasty were dissatisfied with their appearance, 64% were uncomfortable while wearing clothes, 43% had painful sexual intercourse, and 26% were uncomfortable while participating in sports.
According to the results obtained from many studies; High patient satisfaction and improvement in sexual functions were observed after labiaplasty.
It is the most common cause of application to a doctor. Excessive growth (labial hypertrophy) in labial tissues (labium minus) can occur congenitally or later in life. Inner lips enlarge especially in the post-pubescent period and labial hypertrophy occurs. “Labial hypertrophy” is defined as a width of 4 cm or more from the base to the border of the inner lips.
In patients; Pain during intercourse, discomfort and pain while doing sports, hygienic problems, long, wide, chafing and asymmetrical inner lips or a sense of shame are aesthetically, psychologically, functionally or sexually disturbing to the patient.
“In my opinion, the most essential factor is that the woman is self-confident about her appearance. It is a woman’s right, not a luxury, to boost her self-esteem and make her bond with her partner more comfortable and confident.”
Extremely long and drooping lips can cause pain due to stretching during sexual intercourse, chronic irritations, hygiene problems during menstruation and after toilet, sweating and odor problems after exercises such as fitness, discomfort due to friction while wearing trousers and being noticed from the outside, when wearing tight clothes, walking, cycling and may cause discomfort while sitting. On the other hand, in our modern society, where social media and the internet are widely used, excesses in the inner lips can exaggerated in the minds and become a major problem that affects the entire life.
The majority of inner lip surgery (labiaplasty) is performed for congenital structural causes, these are:
Several classification systems have been proposed for the size of the inner labia. In the classification proposed by Franco T. and Franco D. in 1993, according to the width of the inner lips; the length from the base of the inner lip to the tip is:
The symmetry problem in the inner lips is known as “Labial Asymmetry”. It can be observed that one lip is larger than the other, higher, more forward, darker or lighter in color. Asymmetry of the inner lip, like asymmetry of the breast and face, is quite common in women. In case of labial asymmetry, both lips can be equalized by performing labiaplasty operation.
In symmetry disorders, one side may be longer, thicker, more drooping, more forward or in a different color than the other. This is one of the most common genital aesthetic problems.
Local asymmetries in the tissues above the clitoris may also exist. Also, if the base of one inner lip is more anterior or posterior than the other, it may appear from the outside as to be larger than the other, even if the lengths of both lips are the same.
It is preferred as an alternative to filling material in patients with collapses and wrinkles in the labia majora (labial collapse). It is more beneficial than fillers because its effect lasts 3-5 years. The most common causes of labial collapse are poor collagen structure and fast weight gain and loss. The labia minora fat graft is taken from the person’s own lower abdomen. It is a surgical treatment done in a hospital under general anesthesia.
Autologous fat graft of labia majora; It is most often preferred to correct the appearance of collapse and wrinkled skin on the outer lips. The processing time is 45 minutes on average. The duration of permanence is 3-5 years. Since the person’s own tissue is used, there is no possibility of an allergic reaction. Due to the stem cells are placed in adipose tissue, it is also efficient for tissue regeneration.
The procedure is not suitable for very thin patients, those with bleeding and coagulation problems. The procedure’s unusual consequences include bleeding, infection, fat necrosis, sebaceous cyst formation, and fat embolism. In the post-op period after the operation; hospitalization is not required. The patient can go home on the same day, hot shower should be avoided for a week after the operation, the genital area should not be rubbed, tight trousers should not be worn. In the next period, it is necessary to wait one month for fast paced sports, yoga-pilates and sexual intercourse.
1997 yılında Ankara Gazi Üniversitesi Tıp Fakültesini bitirdi. 2000 – 2004 yılları arasında Ankara Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesinde ihtisas yaparak Kadın Hastalıkları ve Doğum Uzmanı ünvanını aldı. 2008 yılında Holistik Cinsel Terapi eğitimini tamamladı.
