Labiaplasty surgery is very delicate and a number of techniques have been developed to reduce the labia minora to a size where they will fit more or less within the labia majora or at least not protrude too far beyond. This is a very sensitive, delicate part of a woman’s body: any surgery needs to be correspondingly delicate in its treatment.
A New Technique
A Brisbane cosmetic doctor with extensive experience and expertise in labiaplasty, Dr Georgina Konrat, who operates at Brisbane Cosmetic Clinic has drawn on existing surgical techniques to develop a technique that helps to minimise any post-surgical complications, and delivers a look that is pleasing and as close as possible to the appearance of natural labia and clitoris using the best cosmetic surgery procedures available.
Dr Konrat says: “I was unhappy with the proportion of patients who experienced post-operative complications of one kind or another, so I wanted to find a way to eliminate the negative aspects of existing techniques while keeping the positive.”
Existing Labiaplasty Techniques
There are two principal methods of reducing the size and modifying the shape of the labia minora. The first is called longtitudinal resection: this can be best understood by referring to it as labia trimming. Dr Konrat feels that the aesthetic outcome of this kind of surgery is sub-optimal. She says that, while the labia are smaller, they have the appearance of having been cut off.
This method cannot address other problems such as excess clitoral hood skin and excess skin folds that sometimes develop between the labia minora and the labia majora, contributing to problems of bacterial and fungal growth and possible ongoing vaginal infections.
The second technique is usually referred to as a ‘wedge-type resection’. This involves cutting a ‘V’ shaped wedge (a triangle of tissue) from each of the labia minora, then suturing the edges together. While the new edge of the labia minora has a more natural appearance than in the longtitudinal resection, the danger is that a proportion of these develop complications (such as splitting) that require additional surgery.
Dr Konrat has developed the ‘DOVE’ technique (Double Offset V-plasty with Extended de-epithelialization). The key principle in this technique is that the important subcutaneous material such as mucous membranes, their vessels and nerves, are left intact, there is minimal bleeding, and after the excess labial tissue has been removed, the wound can be closed in two completely separate layers.
This gives a great deal of strength to the wound closure and makes it less likely that it will split. This technique is also applied to any other excess tissue, for example, excess clitoral hood skin or folds between the two labia.
Dr Konrat’s choice of sutures depends on the particular area of the vagina, labia or clitoral hood. This approach is designed to give maximum strength to every closure, while protecting the nerve supply and the aesthetic appearance of each area.
Dr Konrat believes that post-operative complications can be minimised by using the ‘DOVE’ technique, and that patients can be confident of a good aesthetic and functional outcome. As with any surgery, there is always a small risk of complications. But the ‘DOVE’ technique allows any complications to be addressed more simply, and with a better likelihood of an excellent outcome.
Part Three of this series will describe the three phases of Labiaplasty surgery using the ‘DOVE’ technique: pre-operation, operation and post-operation. For more information, visit https://www.brisbanecosmetic.com.au/labiaplasty/ or call Brisbane Cosmetic Clinic on (07) 3391 5710 for a confidential discussion with Dr Konrat.