Labia Majora Reconstruction

Labia Majora Reconstruction

The Procedure


  • During your appointment, you are going to meet Dr. Vitasna for discussion. You will be informed of the procedure details again. You may ask Dr. Vitasna for any additional information including consent forms and post-operative suggestion form.
  • You may also be asked about your expectations for treatment and if you have any allergies or any condition that would not make you a good candidate for the procedure, as well as other additional inquiries. In case of uncertainty, doubt, worry, or for being uncomfortable for any reason, you should postpone the procedure.
  • You have to refrain from drinking water or eating food for at least 6 hours prior to the surgery in order to decrease the risk of aspirating gastric contents during or after surgery. This complication is very serious and you need to strictly follow our recommendations.


  • Labia Majora reconstruction is performed in our operating room for 2 hours under General Anesthesia administered by a board-certified anesthesiologist. While you are sleeping, Dr. Vitasna will perform the surgery by removing the silicone (that has fused or merged with the tissues) from your Labia Majora with careful and precise excision, and the only real way to remove some of it is to directly excise the tissue that is involved.
  • Dr. Vitasna will try to reconstruct the deformed Labia Majora to its normal form and look. Afterwards, Dr. Vitasna will suture the surgical wound,  and the suturing is done alternatively with 2 or 3 layers to avoid post-operative bleeding.
  • The surgical wound needs to be covered with a gauze pack 24-48 hours after the surgery to stop bleeding. Blood and lymph drainage tubes (wound drain) are put in place and a urinary catheter is inserted. The wound drain and urinary catheter may be removed 3-5 days after the surgery.


  • You will be monitored in the recovery room for an hour. When you are conscious with normal vital signs, the anesthesiologist will allow you to be monitored in the In-patient Building. Nausea and vomiting may be experienced as a side effect of the spinal or the general anesthetic which is relieved as soon as its effects wears off.
  • In the In-patient Building, you will take antibiotics, anti-inflammatory medication and acetaminophen to lessen the wound pain, and laxatives to prevent constipation. In case of  no relief from the medication, you should inform the nurse to ask for the analgesic injection.
  • Within 3-5 days after the surgery, the tubes will be checked for  blood drain. If the evaluating the tubes and there is no more blood or lymph drain, the gauze packs, the blood and lymph drainage tubes and the urinary catheter will be removed. The surgical wound will be cleaned. You should not take a shower within 24-48 hours after the blood and lymph drainage tubes removal, which may potentially cause infection.

After 3-5 days of the surgery, Dr. Vitasna will  allow you to return home after the following things are checked….

  1. No more blood or lymph in the drainage tubes .
  2. No abnormal bleeding occurs from the surgical wound.
  3. You are asked to well review post-operative care instructions.
  4. You can have urination by yourself after the urinary catheter removal.

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