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.

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