Labia majora reduction in London
Labia majora reduction is a type of labiaplasty procedure for reducing the outer vaginal lips. With the labia majora, it is important to distinguish between enlargement of the labia majora due to volume excess and enlargement due to skin excess as a result of weight loss. With excessively large majora due to volume excess, this can be effectively treated with liposuction. In some cases, the use of liposuction may result in skin sagging and redundant skin, especially in older patients. Where there is excessive skin as a result of volume loss then surgical removal of skin via a wedge shaped incision of each labia majora is ideal. The incision is placed along the length of the labia minora for optimal scar concealment.
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Dr Paraskevi Dimitriadi
Dr Paraskevi Demitriadi is a specialist aesthetic gynaecologist and has trained at some of the world’s leading hospitals in all aspects of gynaecology. Dr Demitriadi continues to practice in the NHS at University College London Hospitals NHS Trust (UCLH). She is a active member of the research team at the renowned Woman’s Health Institute at UCLH and lectures both nationally and internationally on a range of topics in aesthetic gynaecology. She is a full member of the Royal College of Obstetricians and Gynaecologists (RCOG) and the European Society of Aesthetic Gynaecology (ESAG).
As a female surgeon, Dr Dimitriadi understands her patient’s most delicate needs and preferences, which allows her to create a personalised and bespoke treatment plan to meet the patient’s goals. She is regarding as one of the top labiaplasty surgeons in London and is expert in all types of labiaplasty surgery – labia minora reduction, labia majora reduction and clitoral hoodectomy.. Dr Dimitriadi brings together her expertise across both surgical and non-surgical gynaecological treatments – unrivalled in London and exclusive to Centre for Surgery.
Dr Dimitriadi is known for her caring, patient-centred approach, supporting all her patients and she always strives to optimise patient outcomes at stages of the patient journey.
Labia majora reduction with liposuction
Liposuction for labia majora reduction is performed as an outpatient procedure as a day case. This means you will be able to go home later the same day to recovery in the comfort of your own home. The procedure can be performed under either a local anaesthetic or TIVA general anaesthetic. Liposuction of the labia majora is often combined with mons pubis liposuction for optimal contouring the female genital region. The area is first injected with local anaesthetic to render the area fully numb. Small liposuction cannulas are then used to gently aspirate fat to the desired treatment end point. A compression garment should be applied over the area and worn for 6 weeks to ensure good healing.
Labia majora reduction with surgical excision
Similar to the liposuction method, labia majora reduction with surgical excision is performed as a day case procedure and is often combined with a labia minora reduction but can also be performed on its own. Labia majora reduction with surgical excision is more commonly performed with TIVA general anaesthetic as the procedure can be longer than for a labia minora reduction. TIVA ensures you will be comfortable throughout the procedure. The incision is made along the labia minora to ensure the resulting scar is well hidden.
Postoperative complications of a wedge excision of the labia majora are bleeding and temporary hypersensitivity for 4 to 6 weeks.
Preparation for labia majora reduction
Patients who smoke will be advised to stop for at least 2 weeks before the date of their labiaplasty procedure. Smoking has detrimental effects on the microcirculation and is known to slow the wound healing process. All medications, prescribed and over the counter will be reviewed. Aspirin and aspirin containing medicines should be stopped both before and after surgery. Aspirin and NSAIDS impair the body’s natural clotting process and may cause bleeding complications after surgery. If you require pain relief after surgery, paracetamol is advised.
Whether your procedure is performed under a local or general anaesthetic, it is mandatory to have a responsible adult escort take you home in a car or taxi. You must not travel home on public transport after labia majora reduction.