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FEMALE GENITALIA

1. Ninfoplasty/Labiaplasty

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WHAT IS IT FOR?

Rejuvenates labia minora (“inner lips”) by reducing their size

HOW IT WORKS

Labiaplasty, ninfoplasty or labial reduction, is a surgical procedure that allows correction of excess skin/mucosa in this area, which arises with pregnancy, age, or even in congenital or adolescent cases. It is treated both in its transverse component (i.e., how far the lips protrude out of the labia majora) and longitudinal component (with the formation of an unattractive pleat). By reducing the size of the labia minora, the original size and tension are restored, and this is achieved by a wedge excision and broken line technique, unlike techniques that are limited to tangential excision (which may not adequately solve the problem of longitudinal overlap and pleating).

It is possible to associate to this procedure the filling of the labia majora (“outer lips”), obtaining a rejuvenating effect by regaining volume

PROCEDURE DURATION

30 minutes

OPTIONAL ASSOCIATED PROCEDURES

Abdominoplasty, thigh lift (cruroplasty), liposuction, rejuvenation of the labia majora (“outer lips”) with fat or hyaluronic acid

TYPE OF ANESTHESIA

Local anaesthesia with/without sedation, general or spinal anaesthesia

SCARS

The scars are in the area of the mucosa, becoming imperceptible after a few months

HOSPITAL STAY

Performed on an outpatient basis

RECOVERY

You can resume work the next day, and exercise after 3 weeks

RISKS AND MOST FREQUENT PROBLEMS

Initially there may be slight discomfort, swelling and bruising. The most frequently reported risks are infection and dehiscence of the suture (“opening of wound"), although they are relatively rare

PROCEDURE LONGEVITY

Although there may be some degree of relapse over the decades, the results are generally very satisfactory

2. Rejuvenation of “outer lips” (labia majora) with fat grafting ("lipofilling")

WHAT IS IT FOR?

Improves the volume and contour of the face and body with fat taken from another area of the body. Can improve the quality and texture of the skin in some cases. In the specific case of the “outer lips” (labia majora), their filling allows a rejuvenating effect, by restoring volume in cases of atrophy, after menopause or massive weight loss

HOW IT WORKS

Fat grafting, also known as fat transfer, fat injections or "lipofilling", is a surgical procedure (unlike hyaluronic acid, which is a nonsurgical procedure) that uses a patient´s own fat to fill irregularities and grooves or even increase volumes. Aesthetic indications for "lipofilling" include correcting emptiness of the face due to age, particularly the disappearance of fat from the cheeks, deep furrows from the nose to the corners of the mouth, and in some cases lines between the lower eyelids and the cheeks. It is also one of the most common methods used in lip augmentation. Furthermore, the "lipofilling" can be used to smooth the irregularities resulting from a poorly executed liposuction.

The volume enhancement of the breast or buttock (gluteal region – the famous “Brazilian Butt Lift”) using the patient's own fat is one of the most requested aesthetic procedures at the moment.

The fat required for a limited liposuction is obtained through one or more incisions of 3 to 5 mm. It is normally withdrawn from the abdomen or thigh.

It has the additional advantage of actually performing a liposuction of other body areas, taking advantage of the fat removed.

PROCEDURE DURATION

It depends of the treated area and whether it is associated with other procedures. It can vary from 30 minutes to 2 hours.

ASSOCIATED PROCEDURES

Buttock augmentation, liposuction, face lift, breast reconstruction, breast augmentation

TYPE OF ANESTHESIA

General anaesthesia, except for minor procedures that can be performed with local anaesthesia (with or without sedation)

SCARS

Small scars of 3-5mm in fat harvesting areas, usually hidden by underwear or within less visible areas

HOSPITAL STAY

Depends on the size of the procedure and other associated procedures, but it can be done on an outpatient basis or require 1 day of hospitalization

RECOVERY

The swelling usually decreases from the third day, and social activities can be resumed after a week

RISKS AND MOST FREQUENT PROBLEMS

Asymmetry, irregularities, overcorrection and infection

PROCEDURE LONGEVITY

Part of the grafted fat (about 30-50%) is reabsorbed over 6 to 12 months, by which time the result often becomes final and definitive. Therefore, a slight hypercorrection is made taking into account the subsequent loss. The great advantage of fat as compared to fillers with hyaluronic acid is the available volume and durability. Large variations in weight can, however, change the volume of the fat, as it does with the remaining body fat

3. Female genitalia rejuvenation with injectable filler (hyaluronic acid)

WHAT IS IT FOR?

Grants a rejuvenating effect, by restoring volume to the “outer lips” (labia majora) in cases of atrophy, after menopause or massive weight loss. It is also possible to infiltrate the inner wall of the vagina, improving the texture of the mucosa and its hydration

HOW IT WORKS

The application of fillers is a non-surgical procedure (unlike fat graft filling, which is a surgical procedure) that uses fillers to improve wrinkles, furrows and irregularities or even increase volumes. It can also improve skin hydration, in cases of more superficial fillers. In our practice, the preference falls on hyaluronic acid ("non-permanent filler") for its better safety profile. Products for the face, in which there are several well-known brands, are not suitable for use in this region of the body, and there are specific hyaluronic acid injectables for this region of the body.

PROCEDURE DURATION

15-30 minutes

ASSOCIATED PROCEDURES

Ninfoplasty

TYPE OF ANESTHESIA

Topical or regional anaesthesia

SCARS

No scars

HOSPITAL STAY

Procedure performed at the office

RECOVERY

You can work on the same day, although some areas may be more swollen or red for 1 or 2 days