Female Genital Surgery

Consultation: After reviewing relevant history of childbirth and sexual history, an examination usually reveals what the problems are. A check-up with a gynaecologist is also usually undertaken. Depending on the problems encountered in each case, a customized plan is made and all the elements of the female genitalia and vaginal cavity are addressed. I use Radiosurgery tools routinely to reduce bleeding and speed up the healing. This surgery can also be combined with other plastic operations such as abdominoplasty or breast surgery.

 Surgery: For the sake of understanding we classify it as Labiaplasty or Vagina-plasty or both [Vulvo-vaginoplasty] and Perinoeoplasty. In the usual case all three components are done together.

In labiaplasty, the inner labial lips are trimmed and re-shaped. The clitoris may also be un-hooded or hooded as required or suspended if required. Fat grafting is used to restore volume and plump up the deflated outer lips. The outer lips may also be enhanced or reshaped.

In vagina-plasty or vaginal rejuvenation, the surgeon removes loose unwanted vaginal tissue and repairs the stretched muscles at the back of the vagina. This reduces excess vaginal lining and tightens the vaginal muscles. Dr. Mohan one of the Top Plastic Surgeon in Dubai uses radiofrequency tools to minimise bleeding and to make extremely precise cuts in the vaginal mucosa. The healing is also fast since there is minimal collateral damage to the tissues. Fat may also be grafted inside the vaginal opening to improve grip, tightening and enhancing sexual stimulation.

A G-shot or G-spot augmentation can also be performed by injecting a special filler to bring the extra sensitive area of vagina [called G-spot] more forward. The G-spot or Gräfenberg spot is named for Dr. Ernest Grafenberg, who first described it in a 1950′s article in the International Journal of Sexology as a highly erogenous zone inside the vagina that gets bigger when directly stimulated. Enhancing this area can bring it into better contact during sex and deepen many facets of pleasure for women. G-Spot Amplification® was invented and developed by the renowned Beverly Hills gynaecologist David Matlock, MD, MBA, FACOG. This procedure alone is also available by itself as a clinic procedure.

Perineal body reconstruction or Perineoplasty: Some women need this as well. It is also known as posterior repair. In this procedure the tissues between the vagina and anal opening are restored and strengthened. Many women develop tears in this area during childbirth. Also a cut may be made here by the obstetrician to enlarge the birth opening. Although the cut is repaired in all cases, it is not uncommon to find that in some the repair has opened or weakened. Such women benefit greatly from perineal repair.

Women who plan to have subsequent children through vaginal delivery should be aware that they may need a second procedure or might have to opt for C section.

Mons Lift: An allied procedure called mons lift is required if the entire genital complex along with pubic mound is coming down. The mons and the entire area can be lifted up by mons lift. The cut and final scar line is hidden in the hair bearing upper pubic area. Mons area can also be reduced by direct surgery or liposuction or both. This surgery adds tremendous value to both abdominoplasty and to female genital rejuvenation.

This procedure can be performed under general or spinal anesthesia or under local anesthesia with sedation.

Recovery period: It can be a day-surgery or with overnight stay especially if muscle repair has been done. The patient can usually return to work 2 to 4 days after surgery or even the next day if only labiaplasty is done. Temporary pain is treated with analgesics. Swelling, tenderness, numbness of the vaginal wall may be experienced. Sequential application of cold packs for the first 6 hours after surgery helps to keep swelling down. The stitches are usually absorbable. Patients should avoid sexual intercourse for six weeks.

Outcome: Almost all patients report a high degree of satisfaction with the procedure and resulting improvements. There are no visible marks at all in these operations. The vagina should remain firm and tight for many years. Regular Kegel’s exercises will help to maintain the results. This might change if the patient undergoes vaginal childbirth after the procedure. The resulting improvement is sexual gratification makes the procedure worthwhile.