Reduction of the labia minora
NymphoplastyBy Dr. SMARRITO FMH Cosmetic Surgeon
Nymphoplasty
Reduction of the labia minora
Labiaplasty is a reconstructive surgery to reduce the size of the labia minora . It is an operation that combines aesthetics and function.
Labiaplasty was probably invented several hundred years ago. One of the pioneers of modern labiaplasty was Professor Paniel. This surgery, as well as the surgical techniques, have been improved over time.
Doctor Smarrito is an expert on the subject. He participated in more than 20 world congresses on the subject of intimate surgery and labiaplasty Et al published numerous articles on this subject.
Appointment booking and information for labiaplasty
10 years of research, 5 major international articles on the subject, over 1000 cases of labia minora hypertrophy treated with laser labiaplasty by Dr SMARRITO
Labiaplasty techniques
There are several techniques for labiaplasty.
Indeed, the longitudinal technique removes the edge of the labia minora.
The triangle technique , known as the Panel technique, removes a triangle from the middle or lower part of the labia minora.
The lambda laser technique, known as Smarrito, removes a triangle asymmetrically from the lower part of the labia minora.
Furthermore, the doctor Smarrito developed a technique of laser labiaplastyThis technique allows you to reduce bleeding perioperative but also the post-operative edemathus bringing more comfort which has fewer stitches coming undone.
Video interview with Dr. SMARRITO
My vision of labiaplasty and its evolution over 10 years
Nymphoplasty
Why operate on the labia minora?
The classic signs were published by Dr. Smarrito (PRS journal of plastic and reconstructive surgery) about 281. The patients describe a aesthetic discomfort and total clothing discomfort for tight-fitting clothes.
Similarly, practicing certain sports can be difficult, such as cycling, horseback riding, or running. These sports can be uncomfortable due to chafing and sometimes even swelling.
More than 40% of patients also experience discomfort during intercourse, although not pain. This discomfort is due to an excess of the labia minora at the vaginal opening (a phenomenon known as dyspareunia ).
Reduction of the labia minora
For which patient?
The average age for the operations is 32 years . However, we observe that there are 3 periods when patients wish to have a labiaplasty.
The first period corresponds to the age of first sexual intercourse . Indeed, due to the presence of dyspareunia (discomfort during intercourse), first sexual experiences can be problematic. Thus, young women often consult for sexual dysfunction . The second age peak is represented by women who have given birth . The labia minora become more prominent under the influence of hormones. Finally, postmenopausal women often request labiaplasty because, again, labial hypertrophy increases. For older women, complete intimate surgery is generally recommended.
Award for Best Surgical Demonstration at the International Congress in St. Petersburg. Award for combined labiaplasty. The St. Petersburg Congress is a prestigious event attended by 1200 surgeons from around the world. Surgical demonstrations are performed or broadcast, and awards are then presented.
Who should I contact for intimate surgery?
Doctor Smarrito advises contacting a plastic surgeon specializing in intimate procedures for the performance of labiaplasty.
However, for all vaginal aspects (i.e., internal), consulting an experienced gynecologist is advisable.
We must warn patients that labiaplasty requires a certain level of expertise.
Doctor Smarrito He published a series of corrective labiaplasty procedures along with three other global experts. This is the first article published on the subject worldwide.
Videos on Dr.'s technique SMARRITO in 3D
Surgical classification of labial malformations by Dr. SMARRITO
Naturally, and without it being a pathology, there are great variations in the shapes of the labia minora.
We only operate on abnormal forms. That is to say, only those that cause physical discomfort. In this regard, Dr. Smarrito described the surgical classification of labial hypertrophy (Journal of plastic surgery JPRAS).
Three forms must be distinguished, one being a tall form (tongue shape). This form is more of an aesthetic concern and very rarely a physical one.
An average , triangular shape.
And finally, a lower, massive form , generally associated with all the other signs of discomfort.
References:
Useful link: Surgical classification of labial hypertrophies
Nymphoplasty, Labiaplasty or sex-lift?
Associated procedures to restore the anatomy of the vulva
Sometimes, during consultations, we realize that the problem does not concern the labia minora.
Indeed, it may actually be a defect of the labia majora. The labia majora are flattened and flabby.
The procedure will therefore involve plumping them up by injecting hyaluronic acid or fat. It may also involve anatomical variations such as, for example, a splitting of the labia minora or an excess of the clitoral hood.
These two disfigurements can also be corrected surgically, either independently or during the same surgical procedure.
References:
Time: Article on sex lifting
Dr SMARRITO
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- Although a simple resection with a few stitches is sometimes covered by insurance, it no longer corresponds to the current standard of work in labiaplasty.
- The sophisticated work of laser labiaplasty, combined labiaplasty ou sex-lifting is not covered by insurance and is considered an aesthetic gesture.
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