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Labiaplasty, also known as labia minora reduction and labial reduction, is a procedure in which the labia minora (inner labia) and the labia majora (outer labia) – the folds of skin surrounding the female genitalia – are altered.
Women decide to undergo Labiaplasty either because of a congenital condition, or because they wish to alter the physical appearance which may have changed due to childbirth, aging and other events.
This procedure is done on an outpatient basis under local anaesthesia with sedation or general anaesthesia. The incisions usually heal within a week, but there might be some thickening along the incisional link for one to two months.
Typically post-operative pain is minimal, and a patient’s healing can be helped by Sitz baths, similarly to after child birth.
Exercise and sexual activity can usually resume in about one month.
Silicone gel implants are also available in Canada. These implants are made of a solid gel are called “gummy bear” implants because inside, they look and feel like gummy bears. Dr. Wallman and Dr. Kao will discuss with you what choice of implant will best help to achieve your desired results.
Once the incision is made, Dr. Kao or Dr. Wallman will create a pocket to place the implant. Depending on your size and shape of your breasts, this pocket will either be made directly behind the breast tissue or beneath your pectoral (chest) muscles. The implant is then inserted to complete the procedure.
Most women return to work and their usual activities in about one to two weeks following the insertion of implants. Following the procedure, it is normal to experience swelling and bruising. However, this will dissipate quickly.
Other potential complications include infection, blood accumulation in the breast which may require draining or side effects from anesthesia.
As part of the natural healing process, scar tissue forms around the implant. In a small percentage of women, the scar tissue becomes firm and tight. This is called a ‘capsular contracture’ and may result in the implant being compressed, causing the breast to feel more firm than usual. This can be treated through the removal of the scar tissue or, in more rare cases, the removal and reinsertion of a new implant.
Breast augmentation does not usually affect a woman’s ability to breast feed, unless nipple sensation is reduced, however some women do report changes in the sensitivity of the breast and nipples. It is important for women with implants during their routine mammograms to inform their health care practitioners of their implants as they may require additional imaging to capture a full view of their breasts.
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