FEMALE INTIMATE SURGERY
Nymphoplasty and hymenoplasty
If the hypertrophy of the labia minora may have developed during puberty or following childbirth, the phenomenon can also have appeared at birth. For comfort or aesthetic reasons, more and more women are resorting to nymphoplasty. The intervention aims to reduce the size of the labia minora so that it is contained in the labia majora or to correct an asymmetry.
Hymenoplasty is an act of intimate surgery increasingly practiced to give women an intact hymen. Various reasons can lead patients to choose this quick procedure.
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FEMALE INTIMATE COSMETIC SURGERY: COSMETIC SURGERY OF THE LABIA MINORA OR NYMPHOPLASTY FOR HYPERTROPHY OR LABIAPLASTY AND HYMENOPLASTY IN MONTREUX, LAUSANNE AND GENEVA (SWITZERLAND)
The labia minora (Fig. 1) are called hypertrophic or “sagging” when they protrude from the labia majora, especially in the standing position. This hypertrophy manifests at puberty and is mostly bilateral and asymmetrical. It can however occur after a childbirth or at menopause.
There is usually an associated hyperpigmentation due to the rubbing in the undergarments. The occasioned aesthetic discomfort is often associated with a functional discomfort regarding dressing and during the practice of sports activities, but also on a psychological level during sexual intercourse. Recurrent mycoses may be associated with the hypertrophy of the labia minora.
The hymen represents a membrane which incompletely obstructs the vaginal orifice, thereby separating the vagina from the vulva. This hymen is not always present in women. The hymen does not always tear during the first intercourse but can simply stretch. Certain religious and ethnic cultural beliefs attribute a great importance to the female chastity especially before marrying, an intact hymen being in this case the guarantee of the virginity.
The aim of the nymphoplasty performed in Switzerland is to reduce the size of the labia minora and to correct any pre-existing asymmetry in order to obtain a harmony of the vulva with the labia minora which size proportionally corresponds to the size of the labia majora and to the vulvar volume.
The goal of the hymenoplasty performed in Switzerland is to recover an intact hymen before marrying, or to enable a psychological reconstruction after a sentimental relationship that has ended badly, or after a sexual assault.
Regarding the cosmetic surgery of the labia minora, the procedure consists in the resection of the excess mucosa (often hyperpigmented), according to a precise drawing and adapted to each small lip in case of an asymmetry. Nymphoplasty can be performed on adult patients and without any age limitation. This procedure will have no impact on future sexual intercourse and future births.
In the case of a hymenoplasty, the procedure consists in the reconstruction of the hymen either by using torn hymen remains or by taking mucous membrane from the vaginal walls.
A medical consultation at Laclinic-Montreux, or at the Beauty Suite in Lausanne, (only 30 minutes from Geneva by train), is necessary before considering any cosmetic surgical procedure. This consultation will help you understand exactly what bothers you and what your wishes are.
As with any cosmetic surgery, it is strongly recommended to stop smoking at least one month before and after surgery, as it can cause healing problems.
No medicine containing aspirin or anti-inflammatory drugs should be administrated within 10 days of the procedure.
If not strictly necessary, shaving of the pubic area is advised to ensure perfect sterility during surgery and to facilitate postoperative care.
Whether it concerns labia minora surgery or hymenoplasty, the procedure can most often be carried out under local anesthesia. In some cases, and / or for greater comfort, it may be performed under vigil anesthesia (thorough local anesthesia, or sedation), or even under general anesthesia.
Regarding nymphoplasty, Doctor Jean-Charles BAYOL, performs a cuneiform resection with the shape of a bird wing which guarantees the best aesthetic result (Figure 2).
As for Hymenoplasty, Dr. Jean-Charles BAYOL reconstructs the hymen either with torn hymen vestiges or by creating flaps from the mucosa of the vagina wall (Figure 3).
Figure 3: Hymenoplasty technique
The suture is done with fast resorbing stitches hidden in the folds of the hymen, thus invisible. The threads will disappear between 15 and 20 days.
After the procedure, a light dressing is placed in a protective brief.
The procedure lasts from 30 minutes to 1 hour.
The pain is generally moderate. Dr. Jean-Charles BAYOL systematically prescribes medications to eliminate it.
Bruises and swelling (edema) are common. They last from 7 to 15 days.
Bleeding may persist for 3 to 4 days. A simple protection will be placed in the undergarment. In the days following the procedure, it will be necessary to wear loose clothing.
Local care will be performed several times a day with an antiseptic, especially after urination and after each bowel movement. The resorbable sutures will fall on their own within 15 to 20 days.
The professional activity may be resumed the day after the procedure.
For a nymphoplasty, it will take 2 to 3 months to judge the final result.
For a hymenoplasty, it will be necessary to wait for the disappearance of the threads, within 15 to 20 days, so that the result cannot be seen during a gynecological examination before a wedding. During the first sexual intercourse that follows the procedure, the blood loss will not be systematic, but the partner will feel resistance at the time of penetration.
Some patients, in order to increase the chances of bleeding, are operated one week before the wedding ceremony so that the unhealed wound causes bleeding on the bed sheets.
They mainly concern the labia minora reduction surgery. They can be residual asymmetries or an irregularity due to a scar.
A simple secondary retouching can be carried out between 6 months and one year after the first surgery, under local anesthesia.
The female intimate cosmetic surgery, even if carried out for aesthetic considerations, nevertheless remains a true surgical procedure, which implies risks associated with any surgical procedure, however minimal they may be.
Most of the time, the procedure works perfectly well, with very simple postoperative follow-ups. However, complications can arise and must be known:
- Thromboembolic events (phlebitis, pulmonary embolism): they are obviously exceptional, but their severity imposes preventive measures such as compression stockings, or even anticoagulant treatments.
- Postoperative bleeding and bruising: they may require early secondary surgical act.
- Infection: rare, in most cases it will be treated locally.
- Delay of cicatricial and scar disunion: they will prolong the postoperative follow-ups. A scar disunion leads to an irregularity of the edge of the labia minora. It may be corrected by a small retouch under local anesthesia from 6 months after surgery.
- Necrosis of the mucosa: may delay the healing process.
- Durable alteration of sensitivity: exceptional
Female genital impediments can be the source of a significant psychological distress.
The female intimate cosmetic surgery performed by Doctor Jean-Charles BAYOL at Laclinic in Montreux brings to women a real physical and psychological well-being.