Labiaplasty Part II
By lcherup on October 22, 2009
In general, the female perineum, which includes the vulva (labia majora and minora, and clitoris), perineal body (muscle between the vagina and anus), the vagina, and the anus, should look “normal” to a woman. Enlargement or stretching of any of these tisues can lead to sexual dysfunction, difficulties with hygiene, and a less than feminine appearance. With menopause comes thinning and atrophy of the structures. Plastic surgeons, in general, want to leave the vaginal reconstruction to the gynecologists, and usually confine themselves to repairing the labia major, labia minora and the clitoral hood. These structures can be altered by shortening them, and also by filling them out to a more plump, youthful shape, with fat. Various techniques have been described. I believe those that preserve the most sensation, and utilize scars that are the LEAST visible, (notice I did not say completely invisible to all observers), should be employed. Suffice it to say, when normal pubic hair grows over most surfaces, NO scars can be seen. But with today’s trend for no hair on the perieum, no scars is a very tall order to meet.
Labiaplasty Part I
By lcherup on October 5, 2009
On some level, the aesthetic appearance of the female genitalia deserves as much consideration as the aesthetic appearance of any other part of the body. Unlike the treatises that have been published on the principals of breast, eyelid and facial plastic surgery, there are no textbooks on perineal (that which encompasses the labia, clitoris and vagina) rejuvenation. It is a fairly new subject. The articles that have been written fall mostly in the gynecological literature, with very few in the plastic surgery literature. Plastic surgeons , in general, would like to learn from their GYN colleagues, but don’t trust them because, we believe, they do not consider sensation, nerve and arterial supply, and tissue viablilty as seriously as we do. Therefore, we are hesitant to experiment with unproven techniques, and would like to stick with basic principals of tissue rearrangement and healing. AT FIRST, DO NO HARM.
Radiance Plastic Surgery
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