This fact sheet was developed under the aegis of the French Society of Plastic Reconstructive and Aesthetic Surgery (SOF.CPRE) as an addition to your initial consultation, to try to answer all the questions you can ask yourself if you plan to use surgery baldness. The purpose of this document is to provide you with all the necessary and essential elements of information to help you make your decision with full knowledge of the facts. Also you is it advisable to read with the greatest attention.

 

 

 

• DEFINITION OBJECTIVES AND PRINCIPLES

 The hypertrophy of the labia minora is defined by an excessive size of the labia minora, especially in comparison to the labia majora. Thus, in a standing position, the labia minora protrude and protrude from the vulval cleft, which makes patients say that they have "hanging" labia minora. The hypertrophy is most often bilateral, preserving the physiological asymmetry of the labia minora, the left being naturally more important than the right; it can however be unilateral. This aspect most often appears at puberty (primary juvenile hypertrophy) but it can occur after childbirth or at menopause (secondary hypertrophy due to vulvoptosis or false hypertrophy, which is not then treated in the same way as classic hypertrophy).

Very often the labia minora will show hyperpigmentation due to rubbing in the lingerie. Sometimes, the hypertrophy extends forward, making folds on both sides of the clitoris. The hypertrophy of the labia minora often leads to discomfort when dressing (wearing tight jeans, thongs, tight swimsuits) or when practicing certain sports (cycling, horseback riding, rock climbing). The discomfort is variable during sexual intercourse, less physical (interposition of the labia minora during penetration) than psychological (discomfort in stripping in front of a partner). Sometimes this hypertrophy is responsible for repeated mycosis. These disorders can justify the coverage by the health insurance in the most important cases.

These sometimes major physical alterations, as well as the psychic suffering induced, give a therapeutic finality to this reparative surgical act.

 

The surgical intervention or nymphoplasty aims at reducing the size of the labia minora, correcting a possible major asymmetry, without omitting, if necessary, the reduction of the anterior extensions on each side of the clitoris. The objective is to obtain a harmonious vulva with a size of the labia minora in relation to that of the labia majora and the volume of the vulva.

 

 

Intervention ablates excess mucous. Several surgical techniques have been described. The simplest consists of resection at the request according to a pre-established pattern personalized, whose route follows the free edge of the lip. This technique has the advantage of being reliable, scalable. It can handle not only hypertrophy of the labia minora but also the anterior extension if necessary, and reduce hyperpigmentation often associated. Mucous membranes and cut banks are then sutured with absorbable thread. Other methods have been described: wedge resection or Chinese method (windows,) but they do not have the same flexibility than the previous method and should be reserved for special cases. A nymphoplasty can be made from an adult and no age limit. The intervention will have no negative impact on later sexual intercourse or on deliveries.

 

• BEFORE THE OPERATION

A preoperative assessment is carried out according to regulations. The anesthetist will be seen in consultation at least 48 hours before surgery.

Smoking cessation is strongly recommended at least one month before and one month after the intervention (smoking can cause a delayed healing).

Stopping any oral contraception may be required, especially in cases of associated risk factors (obesity, poor venous status, coagulation disorders).

No medication containing aspirin should be taken within 10 days before surgery.

It is essential to continue fasting (nothing to eat or drink) 6 hours before surgery.

Shaving is not necessary.

 

• TYPE OF ANESTHESIA AND CONDITIONS OF INTERVENTION

Type of anesthesia: the nymphoplasty is usually performed under anesthesia vigil that is to say, a local anesthetic depth by tranquilizers administered intravenously.

Terms of hospitalization in general, the procedure is done on an outpatient basis that is to say with out the same day after a few hours of monitoring. The patient can then go home as soon as is condition permits. However, for social, family and personal reasons a short hospital stay may be considered.

 

• INTERVENTION

Each surgeon adopts a technique of its own and it adapts to each case to obtain the best results. The end of surgery, a slight dressing is placed in a slip protection. Depending on the surgeon and clinical cases surgery can take 30 to 60 minutes.

AFTER THE INTERVENTION: THE OPERATING SUITES

 

 

Each surgeon has his protocol and offers his patient. Minimal bleeding lasts 2-3 days. Swelling and bruising are common. The postoperative course is usually very painful, requiring only simple analgesics. Protection shall be put into the slip. It is advisable to adopt a large clothing (skirt or pants little tight.) The personal hygiene is achieved by twice-daily bath seat with a usual antiseptic. It is preferred for drying the operated a hair dryer on a low area. The son of sutures will reverse in principle in eight to twelve days, when healing is achieved. It is advisable to wait two to three weeks for the gradual resumption of sexual activity. A work stoppage is usually not necessary. It is advisable to wait one to two months to resume activity type riding or cycling.

 

 

• THE RESULT

It can not be judged a month after surgery. The vulva is then a harmonious shape. The scars fade in 1-2 months. The goal of this surgery is to make an improvement and not to achieve perfection. If you often Haits are realistic, the result should give you great satisfaction.

 

• FAULTS OF THE RESULT

It is essentially residual asymmetries of inadequate size (insufficient resection) or persistent anterior extension. In these cases, a secondary surgical correction can be done but you should wait at least 6 months to 1 year.

 

• POSSIBLE COMPLICATIONS

The nymphoplasty reduction, although performed for aesthetic reasons in part, none the less a real surgery, which involves the risks associated with any medical procedure, however small they may be.

The postoperative course is generally simple to waning of nymphoplasty. However, complications can occur, some general, inherent in any surgical procedure, other locoregional.

We must distinguish the complications of anesthesia and those related to the surgery.

Regarding anesthesia, during the consultation, the anesthesiologist will inform the patient himself anesthetic risks. You should know that anesthesia in the body sometimes unpredictable, and more or less easy to control: the fact of using a fully qualified Anes care professional, working in a surgical context, that the risks incurred are statistically extremely low. You should know, indeed, that the techniques, anesthetics and monitoring methods have made tremendous progress over the past thirty years, providing maximum security, especially when the operation is performed outside of the emergency and in a healthy person.

Regarding surgery: choosing a qualified and competent plastic surgeon, trained in this type of surgery, you limit these risks, without removing them completely.

Fortunately, real complications are rare after a nymphoplasty reduction achieved in the rules. In practice, the vast majority of happens without any problems and patients are fully satisfied with their results.

So far and despite their low frequency, you must be informed of the possible complications:

• The thromboembolism (blood clots, pulmonary embolism), although generally very rare after this type of surgery are among the most dangerous. Rigorous preventive measures should minimize the impact.

• Bleeding is rare, but may require a quick recovery.

• A hematoma may require evacuation gesture

• The occurrence of infection is rare

• A delay of even a healing disunity banks sutures can sometimes be observed, extending the operating suites.

• necrosis of the mucosa seen in some surgical techniques may be responsible for delayed healing.

• Sustainable altered susceptibility is exceptional.

And in the vast majority of cases, this procedure well studied beforehand and properly controlled gives a very significant result in terms of aesthetics and comfort.

 

Regarding surgery: choosing a qualified and competent plastic surgeon, trained in this type of surgery, you limit these risks, without removing them completely.

 

In total there should not overstate the risks, but just be aware that surgery, even seemingly simple, still a small share of hazards. The use of a qualified Plastic Surgeon ensures that it has the training and knowledge required to avoid these complications, or effectively treat if jurisdiction.

          

These are the pieces of information that we wanted to bring you in addition to the consultation. We recommend that you keep this document, read it again after the consultation and reflect "a clear head." This reflection may raise new questions for which you wait for additional information. We are available to talk during the next consultation, or by phone, or even on the day of surgery when we meet in any way before anesthesia.