Gynecology

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Labiums are one of the important visual and functional structures in the external genital area; It has two different shapes: inner, small lips, namely labium minus and outer, large lips, namely labium majus. Labiums have some functions such as stimulation in sexual intercourse, aesthetic appearance, and protection against external factors such as infection by closing the reservoir.

These lips, which can be noticed from a young age, tend to grow over time as age progresses and sometimes they may show excessive growth. Many factors such as sexual intercourse, pregnancy, use of industrial products such as cosmetics, hormonal disorders, infectious diseases, structural anomalies, hereditary conditions, varicose veins, smoking and substance use can cause excessive growth, sagging or asymmetrical deformities on the lips.

Such shape changes that can develop at any age can cause problems affecting the quality of life of the person. The most disturbing problems are generally pain, difficulty in having intercourse, small lips entering the chamber during intercourse, swelling and sagging, persistent itching and odor causing intense and recurrent discharge, aesthetic visual dissatisfaction, difficulty in wearing tight clothing and swimwear, may be visible from the outside. and similar complaints. In all segments of the society, women can apply for an operation in order to relieve the existing complaints by feeling such discomfort.

Labiaplasty operation can be performed unilaterally or bilaterally, as well as clitoral hoodoplasty (removing and correcting excess, drooping tissues around the clitoris) in addition to this operation. Cutting and correction procedures can be applied using laser or direct surgical instruments. No matter which instrument is used, different types of operation are defined (linear excision, wedge resection, Z plasty…). Which procedure will be applied and how much tissue will be removed varies from person to person. So a single type of operation cannot be applied for labiaplasty; Therefore, experience is very important in such operations. Again, many other aesthetic genital surgery or medical procedures can be applied simultaneously. The procedure can be applied under general anesthesia under hospital conditions or under local / short-term analgesia under office and office conditions.

The healing process varies according to the type of operation applied, the choice of the tool used for cutting, and the combined processes added. Following the operation, overnight stay in a hospital or clinic is normally not required, it is an outpatient procedure, and after a short-term observation, the patient is discharged with specific recommendations for the procedure. The use of antibiotics and various creams may be additionally recommended. Activity restriction will be sufficient for a certain period of time, but movements that will cause friction between the legs should be avoided, it is important to keep the genital area dry and airy. The first bath can be done within 3-4 days, of course, the scrub should not be applied to the treated area. A period of 4 weeks at the earliest will be sufficient for the first sexual intercourse. In general, we can mention that there is a healing process ranging from 3 weeks to 8 weeks on average.

Apart from the side effects of the anesthesia, analgesics and drugs used, there are a limited number of side effects related to the operation. The pain will continue for a short time and this situation will be solved easily with painkillers. Edema may develop due to the operation, but this will resolve spontaneously over time, so the early external appearance of the genital area will be misleading. Some undesirable side effects such as bleeding, opening stitches, discharge, and infection may occur, so postoperative wound care is important.

Again, the most important bad result which is undesirable but seen from time to time is perhaps the external appearance is not in the direction of the patient’s expectation, and an asymmetrical appearance may also occur. Afterwards, unwanted appearances can be corrected with smaller operations called revision.

The biggest question that comes to mind is What should ideal lips look like ? The answer to this question lies with the patient himself, although certain standard measurement systems have been developed, there is no ideal structure. It is necessary to talk and discuss the procedures that can be applied in detail with the person, and the procedure should be performed in the direction of the woman’s expectation, not the way the physician wants.

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