Cosmetic Gynaecology

Clitorial Hood Reduction

Clitoral hood reduction, also termed clitoral hoodectomy, clitoral unhooding, clitoridotomy, is a surgical procedure for reducing the size and the area of the clitoral hood (prepuce) in order to further expose the clitoral glans of the clitoris. Therapeutic goals are to improve the sexual functioning of the patient and the aesthetic refinement of the vulva.

G spot augmentation

Hymenoplasty

Otherwise called as surgical revirginisation.
What is the function of hymen?

The function of hymen is unknown but has been proposed as a vaginal barrier against external sources of infection until puberty.

What is the indication for hymenoplasty?

There is no valid scientific indication for hymenoplasty. It is primarily performed for cultural indications.

Who are all the candidates for hymenoplasty?

Anyone who presents with realistic expectations and has sufficient tissue to approximate is a candidate for elective hymenoplasty. Variations in technique can be performed for patients with insufficient hymenal fragments.

What are the important points, the patient should know before surgery?

  1. Repair has no direct medical benefit.
  2. Absence of hymen or failure to bleed is not necessarily a sign of previous intercourse.
  3. Less than half of the women stated that they had not bled with initial sexual penetration.

What type of anaesthesia preferred for this procedure?

Done under IV sedation or general anaesthesia

What is the advantage of the procedure?

It is a day care procedure. Patient may be discharged on the day of surgery itself.

What are the instructions to be followed postoperatively?

  1. Gentle irrigation following urination and patting after defecation
  2. Limited physical activity with no exercise for 4 weeks.
  3. One of the most important instruction is to not inspect the wounds which may cause disruption

Labia majora augmentation

What are the causes for labia majora atrophy?

Labia majora get atrophic because of

What are the methods available to augment the labia majora?

Labiaplasty

Labiaplasty is a procedure that altering the labia minora (inner labia) and the labia majora (outer labia) or the folds of skin surrounding the human vulva.

Why should they undergo this procedure?

Functional indications :

  • Difficulty in maintaining hygiene
  • Chronic chafing of the pudental skin
  • Pain during bicycle riding and similar sports activities
  • Labia catching in zippers

Aesthetic reasons :

  • Appearance of bulge under their clothing
  • Enlarged inner vaginal lips that cause embarrassment during sexual relations.

What type of anaesthesia preferred for this procedure?

Labiaplasty can be performed under IV sedation, or general anaesthesia either as a discrete, single surgery, or in conjunction with another gynecologic or cosmetic surgery procedure.

What is done during the procedure?

The excess skin folds in the labia is removed. Lot of techniques are available for labiaplasty. The technique followed is depending upon the type of skin folds present in the labia.

What is the advantage of this procedure?

It is a day care procedure. Patient may be discharged on the day of surgery itself.

What are the postoperative instructions given to the patient?

Advised antibiotics and pain killer for five days. Advised to maintain good hygiene. Avoid intercourse for 6 to 8 weeks till the wound healed well.

Vaginal tightening procedure

It is a procedure that reduces the calibre of the vaginal introitus and the vaginal canal with simultaneous plication of loose muscles in the vagina

Why this problem is happening?

Because of repeated vaginal delivery, delivery of big babies through vagina or vaginal tear during delivery, the vagina will get overstretched and the muscles become loose. The muscles in the vagina lost its contracting ability during intercourse.
Why should they undergo this procedure?

Vaginal tightening procedure is done only to tighten the vagina to enhance the friction of vaginal intercourse. The surgery may have been intended as aids to sexual pleasure with in marriage.

What type of anaesthesia preferred for this procedure?

Done under local anaesthesia with sedation or epidural anaesthesia or general anaesthesia.

How long the patient should stay in the hospital?

It is a day care procedure, patient may be discharged on the day of surgery itself.

What are the postoperative instructions should be given to the patient?

Patient should maintain clean hygiene in the operative area. Patient should avoid intercourse for 6 to 8 weeks.