When is Surgical Intervention Preferred in Genital Aesthetics?
The concept of genital aesthetic surgery encompasses corrective surgeries for women, including the labia minora, clitoris, labia majora, and the pubic area above the upper region extending from the lower abdomen, as well as corrective surgeries for penile deformities in men.
Aesthetic interventions in the genital area are performed for various reasons. The goal of these interventions is not only to improve the external appearance but also to provide functional improvement, enabling individuals to have a healthy sexual life.
The situations in which genital aesthetic surgery is preferred can be categorized into three sections: congenital, developmental, and post-pregnancy problems. Congenital problems are developmental deformities in the genital organs due to genetic reasons. This condition can be detected at birth or may arise during adolescence due to menstrual problems. Developmental problems arise from the excessive or insufficient development process of the genital anatomy, primarily as a result of hormonal effects. This condition directly affects the individual’s psychology during adolescence.
During pregnancy, increased hormonal effects, childbirth, and the withdrawal of hormonal effects afterward, birth trauma, or surgical interventions such as episiotomy may lead to unwanted appearances in the genital area. Additionally, the most commonly observed condition with age is the loss of elasticity and sagging in this area.
Apart from appearance concerns, does the sagging of the labia cause any functional problems? How is this condition treated? How long does it take to recover?
Apart from concerns about appearance, the sagging of the labia minora can also cause functional problems. Excess tissue in the labia minora can create an area prone to irritation by rubbing against underwear during sexual intercourse or daily activities. This irritation can cause pain during sexual intercourse and daily activities and lead to hygiene problems in this area. For all these reasons, a woman who does not find her genital area aesthetic, experiences hygiene problems, and feels embarrassed during sexual intercourse may lose her self-confidence and may experience sexual frigidity and difficulty achieving orgasm.
Surgical correction of the labia minora is called labioplasty. Although there are many different methods for correcting the labia minora, I prefer the WEDGE EXCISION method.
Labioplasty surgery is performed under local or general anesthesia in sterile conditions, although I prefer local anesthesia. The operation takes approximately 30-45 minutes. Since self-dissolving suture materials are used during the operation, stitches are generally not removed; they dissolve and fall independently. There is no severe pain or discomfort. It does not require hospitalization. Healing occurs within 1 week. The surgical scar is not visible externally. Sexual intercourse can be resumed 3-4 weeks after the operation.
Is vaginal tightening a commonly performed operation in our country? Why is there a need for vaginal tightening? Does the request for vaginal tightening come from women or men? How long does the operation take, and how long does the recovery period take? Are there any things to be careful about?
Vaginal tightening (vaginoplasty) surgeries, along with labioplasty surgeries, are the most commonly performed genital aesthetic surgeries in our country.
Vaginal tightening or rejuvenation is a surgical procedure aimed at correcting the appearance resulting from the loosening and loss of elasticity of the vagina due to age or childbirth and increasing sexual pleasure.
The request for the operation comes from both women and men due to decreased sexual pleasure in both the woman and her partner due to decreased vaginal tightness and resistance.
This problem can be alleviated by surgically narrowing the vaginal canal and correcting the relaxed muscle structures.
The operation lasts 1-2 hours, and everyday life can be resumed within 2 days. It can be performed under general or local anesthesia, but my preference is general anesthesia. After the operation, there are some things to be careful about. Personal hygiene should be maintained, regular dressings should be applied, and medications should be taken regularly. After the operation, there may be mild pain and swelling. The stitches fall out spontaneously 15-20 days after vaginal tightening. Sexual intercourse can be resumed 2 months after vaginoplasty and labioplasty surgeries.
Can you talk about penis lengthening and thickening surgeries? What impact do these surgeries have on sexual life?
Male genital aesthetics are also referred to as penis aesthetics. The appearance and function of the penis can change due to some effects, both congenital and acquired. Therefore, surgeries are performed for penis aesthetics to alleviate aesthetic concerns and improve the quality of sexual life.
The problems experienced are usually related to the penis being short and thin or curving.
Penis Lengthening Surgery
A penis is considered a micropenis if its length is less than 10-12cm when erect. This operation is primarily aimed at this target audience.
In obese individuals, since the pubic area is fatty, the penis remains hidden in this area, and although it is of average size, it can give the appearance of a micropenis. This condition is called buried penis deformity. These patients are suitable for this surgery.
In all men, one-third of the penis is buried, meaning it is under the skin in adipose tissue, and being somewhat fatty means that the penis is almost half-buried. Penis surgery aims to release the two ligaments that attach the penis to the pubic bone and to pull out the buried part of the penis. Penis lengthening of 4-5 cm can be achieved after the operation, and there is no decrease in erection and rigidity.
Penis Thickening Surgery
The results of penis thickening surgeries are more satisfactory for patients compared to penis lengthening surgeries and are more accessible surgeries for the patient.
Although synthetic filler materials can be used, the most commonly used method is the processing of the patient’s own fat and transferring it to the penis shaft. Up to 40% of the transferred fat can remain without melting. Therefore, 2 or 3 sessions of fat application may be required.