Can you feel anything during Labiaplasty surgery?
Doctor Answers 7
Labiaplasty in Los Angeles
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Feeling During Labiaplasty Surgery
Most labiaplasty I perform these days is under local anesthesia (numbing shots) in the office. Patients feel a bit of a sting when these shots are going in, but afterward only touch and pressure is felt by most. Saying you won't feel a thing is a bit of an exaggeration, but I have not had to cancel such an operation due to pain. For patients who are anxious about "feeling anything," I recommend surgery center time for more involved anesthesia. Few women take me up on the offer of more involved anesthesia however. :)
John Di Saia MD
Feel anything during labiaplasty?
Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Most commonly it is done under light sedation (aka twighlight sleep) with local anesthesia, in which case the patient should feel no pain during the operation. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. Also, it's not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function - typically ~10 mm or so. To achieve these three most important elements, I have found that the "Trim Method" satisfies best. It is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 - 2 per week). It may cost you a bit more but it is this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible. Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc... Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.
Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin or Percocet but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best. Glad to help.
Labiaplasty Anesthesia is an Art
Best anesthetic for Labiaplasty. Best technique for Labiaplasty. Local anesthesia for Labiaplasty
If done right, you will feel NO PAIN (other than occasional tugging or minor pressure) during the procedure. There is, however, a bit of a trade-off for the simplicity, safety, and hassle-free aspects of "local:" It takes your surgeon ~ 30 seconds (literally) th place the anesthetic on each side and, even if the surgeon is careful, and "buffers" the anesthetic, it still stings quite a bit when the anesthetic is injected. BUT-- as soon as it's in, you're numb. Right away! The sting only lasts a VERY short time and is- truly- not a "killer...."
Local is the way to go. It also helps if your doc has a nurse or aide (like we do) to "hold your hand..." during the 30 seconds each side for the local.
Michael P Goodman MD
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