The request for surgical refinements in the genital area has increased rapidly due the awareness of the possibilities offered. These are the changes on the outer and inner genitalia. The corrections on the outer genital area includes reduction of the bigger and lesser labials and are mostly wanted for aesthetic reasons but also sometimes indicated for physical/mechanical reasons.

The changes on the inner genitalia are restricted to vaginal tightening for better sexual voluptuousness both for the woman and her partner.

The main reason for the woman´s desire for correction lies in the fact that the tissues by i.e. pregnancies, deliveries and with aging loose the tightness, enlarge and appear tight less. There is of course also an inborn size of the genitals.

Depending on different lifestyles, the habits or physical activities one can be affected both esthetically and physically or changes in the sexual voluptuousness can occur. This is an individual problem and a decision for an operation can only by made by the woman herself.

The opposite situation, the outer genitals being too small, can also be encounted but it is more seldom. This condition will probably within the nearest future be corrected without an operation.

This type of operations can very well be done under local anesthetic combined with sedation which in fact, is similar to general anesthetic.

The lesser labials:

The lesser labials turn in front of the clitoris into a fold surrounding the clitoris. The clitoris and the lesser labials correspond to the gland and foreskin in the male. This is why it is important to protect this area from being reduced as not to reduce this erectile area just only for reducing the prolapse area in front. The lesser labials are reduced to lay within and line to the outer labials.

There are different techniques concerning the direction of the reduction. One is a longitudinal resection with a scar at the top of labials or shortening of the labials, leaving a transversel scar in the middle of it. All scars are mostly inconspicuous.

The major labials:

The major labials are not associated with so much of concerns as the lesser labials are. Mostly the width or asymmetrical major labials are the main problems. The major labials can be thinned through a longitudinal incision leaving a scar on top of the labials. A permanent numbness can occur.

Vaginal tightening:

This operation will be replaced by a nonoperative method which is being tested at the clinic for the moment. Until the scientific conclusions are made this operation is not offered. The surgical procedure means shortening of the mucosa and the muscular layer in the dorsal wall of the vagina. This results mostly in the tightening of the vagina.

Complications

• As the operation is performed in a surgical "unclean" area the risks for infections are increased. With daily thorough washing with soap and water infections are rare.
• The mucosa is rich of blood vessels. Due to the constringents in the local anaesthetic the vessels are invisable during the operation. When the constringent effect subsides bleeding can occur and need surgical treatment.
• The swelling is heavily and deformes the whole area. Have patience, after 4-5 weeks everything turns to normal again. The result cannot be discussed before that!
• The scars are localized to the treated area and they are almost invisable. Exceptions are rare!
• There are no alteration in sensibility.
• Intercourse should be abandoned for 4-5 weeks.
• The stiches are spontaneously resolved .