DOVE Labiaplasty Surgery

Labiaplasty is a cosmetic surgical procedure to reduce the size or to change the shape of the inner or outer lips, or labia.

Many women are born with large or irregular labia minora (inner lips). For others, the appearance of these can be altered by childbirth. Whatever the cause, labia that are too large or uneven can cause embarrassment with sexual partners, as well as discomfort and irritation from tight clothing and some sporting activities.

Patients often seek designer vagina surgery or labiaplasty when suffering from discomfort or sometimes the need for labiaplasty is simply to feel better about this most personal part of your body. Other procedures can be performed as part of labiaplasty including the reduction of the Hood of the Clitoris, volume replacement, skin rejuvenation of the outer lips (the Labia Majora), and the reduction of the Mons Pubis with liposuction.

If you answered Yes to any of these questions, and you want to improve the way you feel about your body, you may be the right candidate for Dr Konrat’s unique  DOVE Labiaplasty technique.

Learn more from Dr. Konrat

It is critical that you are fully informed about the procedures: the information on this website has been written and is regularly updated by Dr. Konrat. However, you should never make a decision by reading a web page alone, no matter how comprehensive the information is. We encourage you to book a personal consultation with Dr. Konrat, where she will assess you, explain the procedure and your options in detail and help you to understand all the benefits as well as the risks and complications of labiaplasty surgery.

Pre-Procedure

Your journey will start with a consultation with Dr Georgina Konrat, including an examination and a discussion of your desired outcome in a confidential relaxed atmosphere. We understand that you may not remember or understand everything you hear in your consultation The information on this page about Dove Labiaplasty includes all the information you need to know. You can return and read it as often as you need.  We encourage you to take notes to review at home and to call or email Dr. Konrat with any questions or concerns you may have about your intended procedure.

Before Surgery:

The goal is to make your procedure experience as easy and comfortbale for you as possible. Smokers please stop smoking 2 weeks before and 4 weeks after your surgery.

Special requirements for Dove Labiaplasty

• Blood tests are requested.
• Brazilian wax is preferred approximately 3 days prior to your booked surgery date
• Have your prescriptions filled at the chemist
• Baby wipes: non perfumed for use at the toilet instead of toilet paper.
• Cotton buds: Dr Konrat recommends you use warm water and cotton buds to clean your stitches twice daily for two weeks after your procedure.
• Panty Liners: wear a panty liner in cotton underwear for 4 weeks after your procedure.
• Pack your bag for Hospital: full cotton underwear with a panty liner to prevent irriration to your stitches, perfume free wipes to use instead of toilet paper.
• You will need a responsible adult to drive you home and stay with you overnight.

There are some No’s:

• No sexual activity for 4-5 weeks
• No G-Strings, tight jeans or clothing that will irritate your stitches
• No tampons for 6 weeks: these will irritate and at times tear your stitiches.
• No bike riding or horse riding or any exercise that irritates your stitiches for 6 weeks
• No swimming, spas or baths until the stitches are removed 2 weeks after your procedure.

The Procedure

The Dove procedure will be performed in an accredited and licenced Day Hospital under long acting local anaesthesia with sedation. When you arrive, you will be admitted by one of the operating theatre nurses. The procedure takes one and half hours but you must be prepared to be in Hospital for at least half a day.

1. Local anæsthetic cream is applied to the area. This makes the area very numb. You will be given oral sedation. This will make you sleepy and relaxed.
2. Pre-operative photos are taken, and special surgical drawings mark the areas to be treated.
3. Throughout the procedure, you will be entirely comfortable. At times you may even drift off to sleep.
4. Long-acting local anaesthetic reaches into the area to be treated. At no time is there any pain or discomfort associated with the procedure.

Post-Procedure

You must organise for a responsible adult to collect you from hospital, take you home, and stay with you overnight.

It is important to take your first dose of pain medication as soon as you arrive home from Hospital.

We encourage ice-packs or packs of frozen peas wrapped in pillow cases to be placed on and off in the first 24 hours. This will reduce swelling and inflammation and pain in the first 24 hours. Do not leave ice packs on for extended periods.

Drink plenty of water. Eat lots of vegetables, salads and fruits to assist with healing and ease of bowel movements.

Looking after your stitches: the stitches are clear and very tiny. Every morning and night, dip cotton buds in a warm bowl of water and using the cotton buds, clean your stitches. Clean any secretions or collections away, then pat dry. Dab on some Betadine, then pat dry again.

If you experience a thrush infection, extreme pain, redness or if extreme swelling develops, call the office or the after hours number you have been given.

What to expect over the next 2-weeks?

In some cases there may be a number of tiny clear dissolvable stitches in the skin.  Although these are dissolvable, most of the stitches are removed gently at 14 days after your procedure.

• You will be prescribed antibiotics to take orally for 2 weeks after the surgery.
• Any stitches not yet dissolved will be removed at your 2 week post operative review.
• Most women find they can resume normal activities after 3-5 days.
• Usually, sexual activity may resume in 4-5 weeks.
• The first 7-10 days can be a little uncomfortable and you should not wear jeans, tight pants or other restrictive clothing during this time.
• We highly recommended that you rest for at least 3-4 days following the surgery. After that, for the next week, you should gradually return to gentle daily activities.

General Risks of Surgery

Because surgery is such a vital part of modern medicine, there is a tendency to forget that there are risks associated with every type of  surgical procedure and also with surgery. While these risks are small, every person undergoing surgery should be aware of the risks.

Wounds

All internal and external wounds need time to heal after your procedure. Sutures or stitches and other materials are used to hold wounds closed while they heal.

Wound break-down

In a small percentage of cases, tiny areas of the scar will not completely heal immediately. This may leave a tiny hole where the stitch was, or a small area approximately 3-5 mm long, which does not close as fast as the rest of the stitches. When this occurs, there are two options:

• Watch and wait – the wounds will gradually close and heal on their own or;
• if, after assessment, Dr. Konrat feels the overall result will be improved by closing the small wound breakdown, then this is done by placing a few stitches in the open area to assist with healing faster and giving a better aesthetic result.

Infection

This is rare: Despite taking precautions, infections can occur during and just after any procedure.

However, minor infections can possibly occur and can affect the rate of healing. If this happens, some small areas may take a little longer to heal than others. The genital area is an area where a large number of bacteria and other organisms normally live every day. Their environment is disturbed following surgery and laser procedures, with the potential for very minor infections to occur which is why taking the prescribed antibiotics is so important.

Bleeding / Bruising

Rarely minor bleeding may develop. When it does occur, please notify Dr. Konrat or her surgical nurse so that they can assist you immediately and perform an assessment. Early intervention is best and assists with healing as expected.

Swelling

The tissues in this area are very delicate and any Laser procedure can cause minor swelling which may persist for some weeks. This is not unusual and will heal well in time. Women often experience similar healing after childbirth, particularly if they required stitches.

Asymmetry

Although all care is taken to achieve complete symmetry, both sides may not be exactly the same prior to the procedure and is therefore difficult to make them perfectly symmetrical after the procedure. During your consultation, Dr. Konrat will help you understand what you can expect.

Pulmonary Risks

Patients have a risk of forming a blood clot in the leg (deep vein thrombosis) that breaks off and gets stuck in the lung circulation (pulmonary embolism). This is minimised by the wearing of surgical ‘stockings’ during any procedure, and by getting out of bed as soon as possible. As the DOVE Laser Labia Reduction does not require a general anaethetic, you will be awake and independent as soon as the procedure is over.

Risks of Anaesthesia

If you are having DOVE Labiaplasty, this will be performed under local anaesthesia with sedation in a fully accredited and licenced Day Surgery. As a rule, risks posed by having local anaesthesia as opposed to general anaesthesia are extremely low. Dr. Konrat will take a full medical history, will order a number of tests prior to your procedure or to ensure your health is optimal before the surgery. This will minimise any general risks as well as any risks associated with the procedure.

Mental Health Disorders and Elective Surgery

It is important that all patients seeking to undergo elective procedures or surgery have realistic expectations that focus on improvement rather than perfection. Complications or less than satisfactory results are sometimes unavoidable and may require additional surgery. This can be stressful for patients.

In your consultation prior to surgery with Dr. Konrat please openly discuss any history of emotional depression or mental health disorders. If you are unsure whether a matter is relevant, please mention it anyway. Although many individuals may benefit psychologically from the results of elective cosmetic surgery, the effects on mental health can never be predicted, and could possibly have a negative influence on emotional stability.