Labia minora reconstruction

A reduction labiaplasty, also called nymphoplasty, consists of reducing the size of the labia minor,
sometimes considered unsightly by some patients because they are too big or protruding. A labia minor hypertrophy may even cause a functional discomfort in daily life (sports, intercourse…).
Though it was in the past relatively unknown, this surgery is now requested more frequently.

The procedure consists in removing skin excess. The scar may be longitudinal or transversal, wedge resection, with skin flaps or simple resection, depending on the morphology of the patient.

An atrophy of the labia majora should always be investigated and treated if necessary. Labia majora aim at protection of the labia minor. Atrophy of labia major will discover the labia minora and make them look too big and very sensitive. A reduction nymphoplasty performed without considering the labia major atrophy would not solve the problem. After the reduction, the labia minora would remain sensitive and visible because of the absence of their protective pad. Labia major atrophy can be corrected with a lipofilling.

Preoperative preparation

The most frequent complications are suture failure and bruising, internal bleeding, which may lead to suture failure.
Patients should stop smoking around 3 weeks before and after the treatment in order to favor local vascularization and healing, and to reduce the risk of suture failure.
Aspirin-based and anti-inflammatory medication must be avoided 8 days before the surgery because they can cause bleeding.
Waxing is recommended before the intervention. Shaving should be avoided because of the risk of skin breach.
Menstruation is not a problem, but tampons must not be used.

The procedure

A nymphoplasty is performed as a day-care surgery under local or general anaesthesia and takes around 45 to 60 minutes.

After the procedure

A sanitary napkin is left in place. The stitches are dissolvable and disappear in 3 weeks.
The patientn have their first shower one day after the surgery, but baths should be avoided for 3 weeks. The only specific precaution to be taken consists in drying delicately the area after the shower or urination.
It is strongly advised against to use antiseptics in order to disinfect the area since they would destabilize the local bacterial flora contributing to healing.
Tight clothes, intercourse and tampons should be avoided for a period of 1 month.
Healing will be over after 1 month.

En cas d’excès cutané du capuchon clitoridien, une clitoridoplastie pourra être associée.