Friday, July 15, 2011

Labiaplasty Surgery: San Francisco Plastic Surgeon Dr. Rajagopal

Labia Minora Reduction

Labia Minora Reduction
Labiaplasty
Labioplasty
LABIA REDUCTION:
LABIA MINORA (INNER LIPS) REDUCTION:
THE ALTER LABIA CONTOURING PROCEDURE: THE NEW LABIAPLASTY:
Labiaplasty / Labioplasty is a procedure performed on women who dislike the large size of their labia minora, which may cause embarrassment with a sexual partner or discomfort in tight pants, with sports, or during sexual intercourse. Some women are born with enlarged labia and therefore opt to have labiaplasty; whereas others develop the enlargement with age or from child-birth. Occasionally, a woman is self-conscious of her labia since childhood. A labia reduction (labiaplasty) procedure can be performed to reduce the labia minora.
Traditionally, gynecologists and plastic surgeons perform labia minora reduction (labia reduction or labiaplasty or labioplasty) by excising the protuberant labia minora and over sewing the raw edge. This old fashioned labia reduction (labiaplasty) technique is not ideal since the natural contour and color of labia minora edge are eliminated. Instead, an irregular scar line of more lightly colored inner labial tissue replaces the normal pigment of the labial border.
Recently, Dr. Alter developed a new technique of labia minora reduction (labiaplasty) called the "Alter labia contouring" procedure "the new labiaplasty", which preserves the normal contour, color, and anatomy of the labia minora edge. The protuberant labium is excised in a "V" manner and the upper and lower edges are sutured together. Therefore, the only suture line visible on the edge is a small transverse line instead of a longitudinal vertical suture line. This results in normal labia minora in which surgery is essentially undetectable. Excess skin on the sides of the clitoral hood can also be removed without visible scars. Several modifications of labiaplasty have also been made that have not yet been published.
About the Labiaplasty / Labioplasty Surgery

The labia minora reduction surgery (labiaplasty or Labioplasty) is relatively minor and is not very uncomfortable. The labia reduction surgery takes 2 hours and is performed with magnification to assure an accurate approximation of the normal labial edges, whereas the other technique takes 15-30 minutes and results in a scar line as the labial edge. That scar can cause chronic discomfort and disfigurement.
The labiaplasty / labioplasty surgery is performed in a fully accredited surgical center. General anesthesia is usually used, but sedation with local anesthesia is possible. The complication rate from labiaplasty is extremely low. If you have a relatively sedate job, you can probably return to work in 5 days. If you travel here, I will see you on the day before surgery, and you should plan on staying in the area for about 2-3 days after the operation. You can resume sexual relations in about 6 weeks after a labia reduction. None of my patients have complained of any loss of sensation or any decline in the ability to have orgasms.

Insurance may cover the labiaplasty (labioplasty)surgery if you have any discomfort. We are happy to assist you in obtaining preauthorization.
This labia minora procedure (labiaplasty / labioplasty) was published in the prestigious journal 'Annals of Plastic Surgery" in early 1998 (volume 40, page 287). It was featured in Cosmopolitan magazine in November 1998, in Playboy magazine's August 1999 Playboy Advisor; in the February 2000 and November 2003 issue of Marie Claire magazine, and in Glamour magazine, etc.
For more information on labiaplasty (labia minora reduction / labioplasty) please visit Board Certified Plastic Surgeon, Gary J. Alter, MD' labiaplasty website:
 http://www.labiaplastycenters.com 

Labiaplasty and Vaginoplasty Combination Surgery

Labiaplasty and Vaginoplasty Combination Surgery
Labiaplasty (Reduction and Beautification) and Vaginoplasty (Rejuvenation and Tightening of the Vagina), can be performed at the same time if desired. They can also be performed at the same time as other cosmetic surgery procedures such as, liposculpting, breast enlargement or reduction, face, nose and eyelid surgery.
before after photos
Before and After Labiaplasty and Vaginoplasty Combination Surgery
Photos courtesy of Dr. Stern
Labiaplasty and Vaginoplasty Combination Surgery Photo Gallery
IMPORTANT NOTE: This page contains medical information that includes graphic visuals of medical pre-operative and post-operative photos that may be disturbing to some viewers. DO NOT ENTER THIS PAGE if you do not wish to see these images.  Access to this medical information is NOT AUTHORIZED for those UNDER THE AGE OF 18. By entering this page, you hereby certify that you are 18 or over.
The labiaplastysurgeon.com web site fully respects and honors the integrity of the information that is displayed on the web site.  In that regard, you, the viewer may feel completely assured that the pre and post-operative photos (before and after photos) have been certified by the this web site, with the individual doctor, in writing, that they are; 1)his/her original work from the same patient and not taken from any other source, and; 2) the photos that are displayed have NOT been altered in any manner digitally, and; 3) that the patients in the before and after photos that are displayed have given complete consent to the doctor displaying them on the labiaplastysurgeon.com website.
Finally, it is important that the viewer of this web site realize and understand that the results displayed in the before and after pictures are SPECIFIC to each patient who has had a surgical procedure performed and that the results viewed in the before and after pictures CANNOT be a measure or guarantee to the viewer that they will achieve the same results, as all patients are different in their surgical healing and recovery processes.


labia vagina before after photos
Labiaplasty and Vaginoplasty combination surgery patient photo above pre-op (left) and immediate post-op (right)
The same Labiaplasty and Vaginoplasty combination surgery patient photo above pre-op (left) and one year post-op (right)
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern
labia vagina before after photos
Before and After patient photos above by Dr. Stern

Vaginoplasty

Vaginoplasty (rejuvenation or tightening of the vagina)
A female genital surgical procedure to tighten vaginal muscles.
For women who’ve experienced multiple childbirths, vaginal muscles tend to experience enlargement due to stressful expansion during the delivery. The result can often be loose, weak, vaginal muscles. Even after exercise (Kegal), the condition of the vaginal muscles may not improve. Many women find that while the experience of childbirth may be the most rewarding of their lives, sometimes the after effects for both their sexual partner and themselves is not as satisfying as it once was.

Vaginoplasty, sometimes referred to as rejuvenation of the vagina, is a procedure that can usually correct the problem of stretched vaginal muscles resulting from childbirth(s), and is a direct means of enhancing one’s sexual life once again. The procedure typically tones vaginal muscle, resulting in greater contraction strength and control, thereby permitting greater sensation during sexual experiences.

Generally, anyone in average physical condition or good health can be a candidate for vaginoplasty surgery.
vaginoplasty before after
Photos courtesy of Dr. Stern
Before Vaginoplasty SurgeryAfter Vaginoplasty Surgery
Procedure and Recovery:
Vaginoplasty is a standard gynecologic surgical procedure. It tightens vaginal muscles and surrounding soft tissues, by reducing excess vaginal mucosa (vaginal lining). The result is an immediate decrease in the size of vaginal muscles, resulting in more friction during sexual experiences.
After surgery, the patient is usually able to walk comfortably within a few days and may return to sexual activities within 4-6 weeks.

Surgical risks are few, but may include among others: infection, bleeding, and scarring.

female external genital organs

Female to Male Procedures:

Photographic Examples
Female to Male Procedures:

Phalloplasty: Example #1

Metoidioplasty: Example #2 | Example #3 | Example #4Example #5 | Example #6 | Example #7
Testicular Implant: Example #8 | Example #9
Phalloplasty: glans and coronoplasty Miami Munawar:Example #10

Some of the following photos are provided through courtesy of Professor Dr. Sava V. Perovic, colleague of Dr. Reed (connoted by *).
 
PhalloplastyExample #1 - 1/1Patient come to us for urethral extension, insertion of penile prosthesis, testicular implants and glans plasty (a recent post op photo).
1/1
MetoidioplastyExample #2 - 2/1
2/1
MetoidioplastyExample #3 - 3/1 and 3/2 
Recent post-operative Metoidioplasty photographs from one of Dr. Reed's patients.

3/1 1st stage result. Note excellent representation of glans and corona.
Patient requested uncircumcised look.

3/2 Urethral meatus (pinched) out in normal position in glans.
Awaiting second stage hook up for stand to void.

Metoidioplasty
Early photos of another Metoidioplasty patient. 

Example #4 - 4/1 and 4/2 
"Dr Reed, this picture was taken last week. I am very pleased with the results so far.
I'll continue updating you on my progress."

4/1

Followup photo of metoidioplasty
4/2

Comment: "a man, a plan, Panama" A MAN!

Metoidioplasty *
Example #5 - 5/1 through 5/11

MetoidioplastyExample #6 - 6/1 through 6/3Surgery date for urethral extension without testis implants, September 19, 2005, photos taken on October 7, 2005.   Some pubic fat obscures length.  Patient needs to lose 35 pounds. First time voided, out came 500 cc (about 1/2 quart) with huge stream
and excellent trajectory.

6/1
6/2
6/3

Metoidioplasty
Example #7 - 7/1 through 7/3Another metoidioplasty patient status post urethral extension and testicular implants. Excellent glans formation and manly shaft. 
7/1

7/2

7/3

Testicular Implant on Genetic Male
Example #8 - 8/1 and 8/2
8/1 Preop: small bilaterally atrophied testes 
8/2 Post-op:  normal gonadal contours

Testicular Implant on Genetic Male
Example #9 - 9/1 and 9/2 Two post op views
9/1

9/2
Phalloplasty: glans and coronoplasty Miami MunawarExample # 10 - 10/1 through 10/7
Phalloplasty patient presents with attempted glans plasty which failed post early removal of sutures. Distal end of shaft is more flat than cylindrical.
The meatal grove was reconstituted and a glans plasty was performed. Following that the Norfolk modification (interposition of a skin graft) of the Munawar procedure was done. Without the graft a raw area had been known to heal with a contracting scar which pulled down the corona. The split thickness skin graft measuring about 8.5 X 1.2 cm is taken from the right groin parallel to the inguinal ligament in line with the cutaneous vessels to reduce scarring.
10/1

10/2

10/3

10/4


10/5
On 10/5 and 10/6 the graft appears darker and bluer than
the adjoining skin as it has yet to pick up a blood supply.

10/6

10/7