Posts Tagged pain
We have discussed reduction labiaplasty surgery here before. Some women consider this small but delicate operation due to the size of their Labia minorae. Others do it for aesthetic concerns. A woman with large labia can experience pain in tighter clothing. It is all relative of course.
The key to a maximizing safety with this operation is choosing the right method and focusing on the outer structures using an experienced surgeon.
There are many ways the inner lip reduction operation can be performed, but the two most common techniques are called the “Trim” and “Wedge.”
The Trim is a simple operation in which the unwanted portion of the Labia minora is simply cut off and sutures are used to close the openings. “Simple” does not necessarily translate to “better.” The PROs of the Trim procedure include that it is easy to teach and learn and can easily be performed under local anesthesia. Amongst the CONs are the facts that pain after surgery can be severe and longstanding and it is common for “too much to be removed” leaving a pretty unnatural appearance. This is the most commonly performed version of labiaplasty surgery at present.
The Wedge operation involves the removal of a “pie shaped” piece of the labia. This tends to leave the appearance of the remaining “lip” looking untouched. This version of the operation is harder to learn and is harder to perform under just local anesthesia. The sensation of the remaining tissue is normal in the vast majority of cases if the operation is done well. Wedge patients tend to return to physical and sexual activity earlier than Trim patients.
My opinion is that a well-performed Wedge is the way to go in most cases and has a lower risk profile. There are some cases in which the anatomy lends itself better to one technique as opposed to the other, but that is where a surgeon’s experience comes into play.
John Di Saia MD
After breast reduction surgery it frequently takes a while for the healing to be complete. During the process of healing, scar tissue can form along the incisions and also within the breast (fat necrosis.) Your body usually improves this scar tissue in a process called scar remodeling over the course of the first year to 18 months. If there are areas of discomfort afterward, a re-evaluation is appropriate to determine whether or not anything can be done to improve the result.
Not everyone gets these scarred uncomfortable areas. They are more common in larger reductions and in smokers.
John Di Saia MD
Originally posted 2010-01-28 07:30:23.
TERRIFIED AMY WINEHOUSE has been rushed to hospital with agonizing pains from her boob implants.
The 26-year-old Rehab singer was kept in overnight while doctors carried out urgent tests.
She is now waiting to discover whether she must undergo corrective surgery – or even have the 32D implants removed.
This is an old report. Entertainers (particularly those addicted to narcotics) frequently have dramatic stories with plastic surgery. In twelve years of practice, I have yet to have a patient hospitalized with painful breast implants months after surgery.
She could have the formation of firm capsules which can be painful particularly if she has silicone gel implants and smokes cigarettes. Hospitalization for urgent tests is over the top and entirely uncharacteristic however. Entertainers tend to have more exciting plastic surgery than is the norm.
John Di Saia MD
Reading the About.com section on what you should know before considering labiaplasty I am struck at how little the writer really knows about the whole thing. He hangs his hat on this statement:
Unfortunately there are no reliable studies that have examined what, if any, impact labia size actually has on sexual functioning and pleasure (some surveys have been done, but always funded by for profit companies with a financial interest in the topic).
While I admit that a potential bias element is present, I also have a ten year experience here. I also do not make “over the top” statements on how labiaplasty improves sex. I do not advocate the operation for every woman. Reduction of large Labiae has only partly been about sex. It is really more about comfort. Reduction has never made one of my patient’s sex life worse. They most often report that things are better afterward. When they are large before surgery, comfort is virtually always improved over the long term too.
The About.com Editor doesn’t bother to mention that most patients who have labiaplasty complain of pain in tight garments and they cite this as an important reason that they consider surgery. He also does not consider that the operation is different in different hands and that this affects outcome.
In essence, he chalks labiaplasty up to a potentially dangerous and expensive operation. I won’t argue the expensive part, but other than that he is off base. I hope women don’t take him seriously particularly those who may benefit by reduction.
John Di Saia MD