Intimate surgery is a collective term for several operations on and around the genitals. Also referred to as labiaplasty.
Klinikk A offers intimate surgery on the inner and outer labia, as well as correction of pubic ptosis. Pubisptosis means sunken mons pubis, i.e. sunken skin and subcutaneous tissue in the area in front of the pubic bone.
If you are considering labiaplasty or other intimate surgery, you can take contact us and arrange a consultation.
Anaesthesia
7-14 days
4-5 hours in total
After 7-14 days and 3-6 months
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We distinguish between inner and outer labia. Labia minora surgery makes the labia smaller or shorter by removing excess tissue. When it comes to the labia majora, there are mainly two different operations that can be performed. One operation reduces the size of the labia minora by removing excess tissue. The other operation adds fullness to the labia majora by moving fat from elsewhere on the body to the labia majora. This results in more fullness and firmer skin in the outer labia.
Some women have fullness and/or sagging in the area in front of the pubic bone, the pubic region. During a consultation, the surgeon will assess which method is most suitable. Sometimes liposuction alone may be sufficient, in other cases a lift would be preferable, so-called pubicplasty. A lift can be combined with a simultaneous tummy tuck, if desired. Read more about tummy tucks here.
There are different reasons why patients want to perform intimate surgery. When it comes to the labia minora, there are both functional and aesthetic complaints. Functionally, the labia minora can become pinched or twisted. These problems are most often associated with exercise (cycling, rowing, etc.), intimate situations or when choosing clothes. Patients usually experience discomfort, but also pain in some cases. Furthermore, some are bothered by personal hygiene due to the shape of the labia. Other patients are cosmetically embarrassed, for example in swimwear, underwear or without clothes. In the vast majority of cases, there will be some difference in shape and form on the right and left sides. This is normal. In some cases, however, there is a greater difference, i.e. clear asymmetry. In the event of surgery, the aim is to achieve better symmetry. In our experience, many of the patients who come to us for assessment are both functionally and cosmetically troubled.
There is great variation in the appearance of the outer labia, and the vast majority fall into what is considered "normal". However, some patients are subjectively bothered by what they perceive as large labia majora, small labia minora or sagging skin.
Functional and aesthetic problems also occur with fullness and possible sagging in the area just in front of the pubic bone. If there is a lot of sagging, known as pubisptosis, personal hygiene can be affected. Women who come to us with these problems also describe cosmetic discomfort, for example in swimwear, clothing and in intimate situations.
Intimate surgery is not recommended for patients who do not have symptoms.
Before any surgery, you will be given an appointment for a consultation with one of our plastic surgeons. Book an appointment with our plastic surgeons for a non-binding consultation.
Many people wonder what a consultation involves. During the consultation, the plastic surgeon will listen to the individual's wishes and needs. One of the goals of the consultation is to answer all the questions the individual may have. To achieve this, we set aside plenty of time. After the consultation, you should have a good overview of which treatment options may be relevant and what advantages or disadvantages the various options offer. Together, you will then agree on which treatment may be appropriate.
When you arrive at the clinic, one of our employees will hand you a form to fill in in the waiting area. The consultation itself begins in the doctor's office, where we start by going through what the individual wants to be assessed for. The dialog between the patient and the plastic surgeon is crucial for determining the best treatment. Information such as previous illnesses, allergies, regular medication and the like is then reviewed while the surgeon writes the patient's medical records.
In each office, we have a sheltered changing area where the patient undresses as necessary. Photos are normally documented as a standard part of the medical record information. The system we use for photo documentation is approved and in line with GDPR.
The surgeon then performs the necessary examinations of the area in question and makes recommendations regarding treatment options. During the consultation, the surgeon tries to form as realistic a picture as possible of what the individual can expect after surgery. All patients have different starting points, so it will not be possible to explain exactly what the result will be for each individual. Our goal at Klinikk A is for each patient to be satisfied with their choices, and for the decision-making basis to be as good as possible when the choice is made. Well-informed patients make good choices.
Many patients also wonder where the scars will be placed and how long they will be. This is also discussed during the consultation.
The most common location of scars in labia minora surgery is longitudinally along the labia. The scars are not made longer than necessary, and they are usually unobtrusive and barely visible.
Scars from outer labia surgery depend on the method. With fat grafting, the scars are minimal, with a length of a few millimeters. With labia minora reduction, the scars are placed longitudinally along the labia and the scars are positioned precisely so that they are well camouflaged.
There are several different methods of surgery for fullness or sagging in front of the pubic bone. The length and location of scars depends on the method. With liposuction of the area in question, the scars will be minimal and only a few millimeters long. If a pubicplasty is required, the scars will be placed in a similar way to a small tummy tuck. The scars will then be placed low, so that they are covered with normal underwear and the like.
In our experience, patients are very satisfied with the placement of scars after intimate surgery.
Some patients have a tendency to form larger scars than normal, either so-called hypertrophic scars or keloids. We rarely see this in intimate surgery, but if there is a tendency to form larger scars, the consequences of this are discussed during the consultation.
There will be an opportunity to ask questions along the way and towards the end, so that the patient can feel confident that she has received answers to the things she needs. If you want to book an appointment for surgery, this will be possible during the consultation. When the consultation is over, patients are accompanied to one of our employees, where further follow-up is planned.
For those who live far away from Klinikk A, we offer video consultations. Please contact us if this is relevant.
The operation is usually performed under general anesthesia. Patients arrive at Klinikk A on the day of surgery fasting, having washed with Hibiscrub and taken prescribed medication. You should not eat or drink anything in the last 6 hours before surgery, except for prescribed medication. In practice, this means that you should not eat or drink before the operation on the day of the operation.
The anesthesia staff have a brief chat to make sure everything is ready for the anesthesia.
After this, you will be taken to the plastic surgeon where you clarify any questions, undress before the surgeon's endorsements and put on the clinic's dressing gown and slippers.
After this, you will be taken to the operating room where you will be met by the surgical nurse and the anesthesia staff. The patient is now prepared for the operation. This means that the surgical field is washed and covered with sterile material, you lie down in the correct position on the operating table and intravenous access for the anesthetics is secured with a small prick in the arm. You fall asleep quickly when anesthesia begins, and most people describe a good and comfortable sleep when they wake up. The operation itself takes a short hour, and you don't notice anything about the operation itself.
In our experience, most patients have a smooth recovery after intimate surgery. Many wonder how painful it is after such an operation. Patients' experiences when it comes to pain vary. Most describe little discomfort, and direct pain is rarely reported. But how the individual experiences the first time after surgery varies from person to person.
Once the operation is complete, patients are transferred to our post-operative ward, where our staff look after them. As you wake up, you will be given something to drink and something light to eat. Many patients find that they feel a little tired and unrested in the first few hours. Some will feel a little restless and fidgety for the first 24 - 48 hours. This is due to the medication given. During the first few days, most people experience some degree of discomfort in the operated area. This will normally subside during the first 7 to 10 days after surgery.
For the first two to three days, strive for very quiet activity. Then you can gradually resume simple, everyday activity and walk carefully upstairs, but still take care and listen to your body. After 7 to 10 days, activity can be gradually increased.
You can start exercising, using tampons and having sexual intercourse 6 weeks after surgery.
For intimate surgery on the inner and outer labia, bandages do not adhere well. Micropore tape is applied during the operation, but it often falls off during the first 24 hours. It is not necessary to apply new tape. We recommend using a pad to absorb any fluids.
For pubicplasty, we use Micropore tape and an absorbent bandage. The Micropore tape is changed at the first check-up after 7 to 14 days on Klinikk A. The tape becomes moist when showering, but it air dries quickly, or alternatively it can be dried gently with a hairdryer.
As bandages do not adhere well and the area for intimate surgery on the inner and outer labia requires meticulous hygiene, we recommend daily showering of the operated area, as well as using a hand shower after using the toilet.
For surgery for fullness and/or sagging in front of the pubic bone, the same recommendation applies as for abdominoplasty, namely to wait with showering until 3-4 days after surgery.
The first check-up is 7 to 14 days after surgery on Klinikk A. The final result will not be seen until some time has passed, which is why we only schedule the next check-up after 6-12 months. During the first period after surgery, the tissue in the operated area is swollen due to the surgery. This is normal and natural, as an operation has been performed. The swelling tends to increase in the first few days and starts to decrease 5 to 10 days after surgery. After three weeks, much of the swelling has gone down. In the phase that follows, the body needs a long time to adapt to the new situation. The tissue in the operated area is slowly but surely transformed into permanent, strong tissue. This process is called the maturation phase and theoretically lasts for up to two years, but this is normally not noticeable in everyday life.
Many people wonder when they can resume exercise after surgery. For the first 2 to 3 weeks after surgery, you should avoid activities that increase your heart rate and require large movements. After this, you can gradually increase your activity, but you should calculate 6 weeks before you can start exercising normally, use tampons and have sexual intercourse.
All surgeries have a risk of complications. The absolute risk of complications after intimate surgery is low.
Any bleeding usually occurs before you leave the clinic, but can also occur at home, usually within the first two days after the procedure. This type of bleeding is caused by the operation and is most often the result of a small vein opening up after the operation. Bleeding is usually marked by rapid bursting and swelling on the side in question. The bleeding itself is usually on the inside of the skin and is not dangerous, but may require a reoperation. The surgeon will then remove the blood and stop the bleeding.
Our surgeons are available 24 hours a day, all year round in connection with the treatments that have been performed. If such bleeding is treated quickly and correctly, this complication will have no impact on the end result. To prevent this type of bleeding after surgery, it is very important that you follow the advice you are given in connection with the operation, read the information letter you have received carefully and stay calm in the initial period after the procedure.
In intimate labia surgery, the surgical wounds may open slightly after the operation. This is not dangerous and wounds that open in this way usually heal well without long-term problems.
Increasing redness, swelling, tenderness, secretion of pus from the surgical wound or general malaise may be signs of infection. In this case, the surgical wound must be inspected by the surgeon. Sometimes a change of wound is all that is needed, and it is often treated with antibiotics.
Some people experience an altered sensation in the skin above the scar. The sensation can be both reduced and intensified, almost slightly hypersensitive to touch. In the vast majority of cases, the sensation normalizes over time.
