Vaginal lip reduction

At maturity, the labia minora (inner lips) protrude from the outer lips. There is an international measure for typifying labia minora as too large: a difference in length of more than five centimetres, measured from the middle.

There are several techniques for reducing these lips. Dr. Karim listens to your wishes and discusses with you which technique is most appropriate.

STEP-BY-STEP PLAN

Appointment
Make an appointment for a preliminary visit with Dr. Karim. During this visit we will discuss your wishes. When you make an appointment you can nearly always count on being received by Dr. Karim within 2 weeks. A medical assistant is always present during any genital visit or treatment.

Follow-up appointment
Dr. Karim will also consider the causes of your problem. If you wish, we can hold a follow-up meeting a few weeks after the first visit. Sometimes the problem turns out to be gynaecological or psychological. In that case, Dr. Karim would let you know.

Operation
The procedure can usually be performed within two weeks of the interview.

Rest
After the procedure, you should take a two-week break. Recovery from an operation is important, give yourself plenty of time and rest to recover!

Follow-up
After the operation, you will come back several times for us to see how you are doing: one, three, six and twelve weeks after the operation.

Before the operation

Travel
Because you cannot drive home after an operation (no car or bicycle), it is important to make travel arrangements.

Drugs
Do you use blood-thinning drugs? Please let us know if you do. Ask the doctor from whom you get the prescription and find out if you can temporarily stop treatment. Your doctor will tell you how many days before the operation you should or can stop taking the blood-thinning drug. Dr. Karim wants to ensure this is possible in order to avoid unnecessary risks.

Disease
Fever or flu the day before the operation? Contact Dr. Karim to decide if the operation can be performed or should be postponed.

Cosmetics and personal care products
We understand that you always want to look your best, but on the day of surgery you cannot use skin care products or makeup.

Alcohol
You may feel nervous about the operation, but you can’t drink alcohol the day before (or on the day itself, of course!)! Drinking alcohol increases the chances of subsequent bleeding of the wound.

During the operation

Signing of the consent form

Use of leg supports

Anaesthesia

Removal of part of the lips

Stitching

After the operation

Cold pack
We keep the operated area cold and take you to the recovery room.

Return home
You can leave the same day. For the first 24 hours, it is advisable to continue applying cold to the area.

Showering
You can wet the wound in the shower when the drains are removed.

Pain
For the first two weeks you may feel pain when urinating and walking.

Drugs
If necessary, you can take two 500 mg paracetamol tablets four times a day.

Sex
We advise you not to have sex until six weeks after the procedure.

Soluble stitches
After genital surgery, soluble stitches will be applied.

Rest
Take at least two weeks off and avoid overexertion, such as bending over or lifting heavy objects.

Risks

Safe operation
Genital surgery is a safe procedure.

Risks inherent to every operation
Bleeding, infection, thromboembolism, slow healing and unsightly scarring.

Specific risks
Temporary complaints of pain during sexual intercourse due to scarring.

Opening of the wound
The wound may open when the stitches are removed too soon. Therefore, keep the stitches in place until the checkup appointment.

Results

Genital surgery is long-lasting and its final result can be assessed approximately one year after the operation.

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