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Vaginal Reconstructive Surgery
With the aging process or after childbirth, the female body changes. Some of these changes also include the vaginal area. Vaginal stretching and relaxation can cause pain and discomfort in daily and routine activities, as well as pain with intercourse. In some women the relaxation in the vagina can cause a diminished sexual response in them and their partner.
Dr. Simon has been counseling women about this aspect of their health, throughout her entire professional life. She has been helping women achieve a more satisfactory anatomical health in their female genitalia. These procedures have been offered to our patients discretely at their office visits.
With the trend of advertising for the plastic surgery for the female genital tract, our practice feels that women should be informed about who is the most capable person to handle these specific treatment options. Dr. Simon has been trained in all aspects of female genital tract surgery and complications. She has been assessing and performing the vaginal reconstruction surgeries to achieve the optimal anatomical size and performance that is unique to each and every individual.
Our goal is to enable our patients to feel comfortable in inquiring about these procedures without the need to enter practices that only want to set "trends".
We take care of the whole woman and are more than happy to discuss these procedures with you. Please note if you have any of the following symptoms, and if the answer is yes, you may be a candidate for vaginal reconstructive surgery:
decreased sensation during intercourse
pressure in the vagina and rectum
tampons falling out
sexual partners complaining about change in anatomy
Contact our office for a consult 480-860-2322
Labial Reconstruction Surgery
Revision of the labia / vulvar area is performed for patients that do not like the sensation or look of their anatomy. The vulvar area could cause pain and discomfort for some patients during exercise, intercourse or with tight clothing.
After consultation with patients, we can assess if labiaplasty can be of benefit to their specific problem.
Labia Minora--or the inner labia, can stretch with age or child bearing and revision of this area can be performed as an outpatient procedure. Dr. Simon has been performing this surgery for the past 15 years and only offering them to her own patients in a discreet manner without blatant advertisement and PR> Please review the photos...they speak for themselves.
Labia Majora, which are the outer portions of the vulvar areas, can be enlarged in some women and may need some contouring and minimizing. This procedure is also done as an outpatient procedure. The women that require or desire this procedure have a tendency to be asymmetrical in the vulvar area and the procedure will make the area more uniform and less protruding.
Please call our office for a consultation with Dr. Simon at 480-860-2322
Frequently Asked Questions:
What is the normal size of the labia minora?
There is no so called "normal size". Like a nose, every labia of every size is considered normal. No person can dictate what normal sized labia should be. However, there have been some unscientific surveys that state most women would prefer their labia minora not protrude past the length of the labia majora. Most patients prefer the labia minora to be at the level of the labia majora or lower.
What type of symptoms do patients have with enlarged labia? Many patients complain of pain, discomfort or irritation during physical activity, sexual intercourse, or wearing certain types of clothing.
Should I have labia reduction surgery?
No physician, sexual partner or spouse should tell you to have labia reduction surgery. Only the individual considering surgery can make that decision. She must remember that this is an irreversible procedure. So once performed the labia can never be replaced. Only you can make the decision to go to surgery after the physician discusses with you the risks, benefits and alternatives to the procedure. This surgery is a quality of life issue and is not life threatening and is not considered a medical condition.
What technique do you use and why?
We use a contouring technique which allows me to shape the labia like one is shaping a vase from a block of clay. The reduction is not in a straight line it is done in what is called a curvilinear fashion, a gradual curve from the clitoral hood towards the perineal area near the anus. We usually reduce the labia to or just below the level of edge of the labia majora. This technique does NOT leave a noticeable scar despite what a few surgeons might say. It gives the labia an easy relaxed reduction without an abrupt flat look from someone who just amputates. This contouring affect also allows me to remove the darkened edges of the labia.
How much time is required to actually do the surgery?
The labia reduction surgery usually takes about 1 one to 2 hours. This may seem like a long time for a small area but this is a result of slow meticulous work in order to make our patients as happy with their surgical outcome.
Do you use a laser to do your contouring?
We use a variety of instruments including a laser electric micro tip cutting devise, plastic surgery scissors, and scalpels. We use whatever instruments we believe will give me the best results. We personally have not seen any difference in healing or pain associated with one or the other.
How long do the sutures last?
The sutures are made of a delayed absorbable material called Vicryl. These sutures usually dissolve in 6 weeks, however we have seen them last anywhere from 3-12 weeks. At which point they dissolve and the ends of the sutures fall off.
How much pain is involved with the surgery?
Though there are no generalized statements about the pain you will feel, most patients don't have much discomfort after the first day. Most patients say they have more of soreness, but not much pain. Many of our patients do not even use narcotics and will only use anti-inflammatory such as Motrin/Ibuprofen. Patients will have swelling up to 6-8 weeks postoperatively, but by using cold compresses during the first 48 hours most of the swelling is gone by 3 days.
Where is surgery performed?
We perform the surgery at the outpatient surgery facility with overnight stay options available.
What type of anesthesia is used?
Patients have the choice of general anesthesia. The reason why we do not use local anesthesia is the injection of the fluid into the tissue makes the tissue swell dramatically. If the tissue is swollen it is very difficult to artistically shape the labia because now you are no longer operating on the original labia. What you are operating on is a swollen version of the labia thus making it quite difficult to shape the labia with great confidence.
Will the labia enlarge again if I have another baby?
Though it is possible that a patient might have some minor enlargement of the labia after having a reduction, it is highly unlikely that the extent of enlargement will be bothersome. Remember the bulk of the enlarging tissue has been removed with the reduction procedure.
How will labia reduction affect my sex life?
This is as individual as the patient getting the surgery. Most patients are affected in a positive way; sex is more spontaneous because the patient feels greater self esteem. There is less pain with intercourse if the patient previously had pain due to the labia.
Does labia reduction surgery deaden nerves and sexual arousal?
No. The labia minora is not an area of stimulation for sexual arousal. Most patients stimulate the clitoris or the G spot for sexual arousal. The labia minora is not considered an erogenous zone.
Can labia reduction surgery be reversed?
No. The labia reduction surgery can not be completely reversed, however things can be done to give the labia minora a bulking or enlarging appearance. However, one can not replace what has been removed.
Hymen Repair Or Hymen Restoration Surgery
At Gynemedic we specialize in all aspect of women’s health care. One of our strengths is that we celebrate all cultures and diversities. Hymen health is more important in some cultures than others. Hymen is the thin, ring-like skin membrane partially covering the opening of the vagina. The Hymen is made of elastic and fibrous tissue. Bleeding occurs when the hymen tears, which is typically the result of a woman’s first experience with intercourse, so this type of surgery will pull the tissue back together to restore a "virgin-like" quality.
Hymenoplasty is this surgical procedure designed to repair and reconstruct the hymen. On rare instances, a female can unknowingly tear her hymen by inserting a tampon, or during sports like bicycling, horseback riding, or even gymnastics. While the biological function of the hymen is still uncertain, it’s preservation is important in many cultures. Therefore, qualified gynecological surgeons perform hymenoplasty at the request of women who need the surgery for ethnic, cultural, or religious reasons. Patients with the desire for higher sexual satisfaction may also be candidates for this procedure, due to some laxity of the vagina.
Hymenoplasty generally takes about one to two hours, with patients able to return to work the next day. Restoration of the hymen is done on an outpatient basis under sedation. Prior to surgery, patients are required to have a pre-surgical consultation and thorough gynecological examination. During this time, she should communicate her needs and expectations to the doctor, and in turn, will learn of the possible risks and benefits to hymenoplasty. All procedures are performed with focus on guaranteeing the patients right to autonomy and respect for all cultures.