Even when it looks like a surgery aesthetic in nature it is in our hands and respecting the medical criteria, a surgery needed to improve the quality of everyday life and allow an appropriate sexuality. 

We consider this inconvenient anatomically as a health problem, susceptible of surgical repair in patients who require it.

Were required to be a woman and suffer from this problem or, as in our case, investigate and understand its pathogenesis, to understand the real problem of this anomaly and give it its fair value as genuine genital pathology

Genital foreign body sensation: local bulge shape and size variable, always present, which limits certain activities required lip manipulation to get relief

  Hypertrophic lips in contact with the internal faces of the thighs are cause of labial lesion and local, generating moisture odor at the root of the lower limbs.

  The lips move, stretch, compress, and make it almost impossible to any activity or sport of high impact, cycling or aerobic activity.

Excessive moisture and towels daily continuous use: frequent and necessary use of towels daily predisposes to chronic local irritation and increased frequency of mycoses and vaginal infections. 

Discomfort and commitment of sexuality: labial hypertrophy interfere with the dynamics of sexuality by pain, interference and inconvenience postcoitales

Disorders of genital exposure and acceptance: the effects of genital "deformity" in susceptible women and its impact on their body image and self-esteem can be catastrophic. Many patients manifest sexual insulation and restricting their activities to prevent accidents and commitments.

Genital asymmetry and selective discomfort: labial hypertrophy is not always symmetrical and sometimes is very noticeable, generating unilateral discomfort. Perhaps a great asymmetry is worst lip one hypertrophy even, symmetrical, the procedure becomes more laborious in these cases.

The surgical technique

We have standardized the technique to implant clinic, use the technique of carved lip (Trimming) and we have had an excellent response and results in all kinds of lip Extension.

The truth is that we have seen that the residual sensitivity and functionality of the techniques used is identical and the free edge of carved lip ends pigmenting is and acquiring the sepia hue of the natural lip edge.

The carving is technically easy, apparently less painful and less risk of wound dehiscence.

Wedge (partially abandoned) lip

We use technical Lambda (wedge or Wedge lip) class 3, preserving the natural lip edge. The most feared complication is dehiscence or opening of the wound and sutured edges.

 

They section is the lips according to the graph, the edges while maintaining the natural lip structure and a little obvious wound sutured. The most feared complication is the suture line dehiscence.

We have abandoned this technique partially since experience has shown us that the Labial Trimming is faster, safe, less painful, more economic and safe execution adequately equipped office. Likewise, itching of the surgical scar is practically non-existent, which occurs frequently in the techniques of lip wedge.

Trimming lipstick (favoured)

  This technique allows a recovery more quickly and with low risk of dehiscence in Exchange for a more visible scar that eventually will be imperceptible.

Eventually both techniques produce a very similar aesthetic and functional effect and acceptance and satisfaction levels are similar: 95-100%.

 

You egresas surgery with gauze soaked in antibiotic ointment, which you will have to reapply every 12 hours for 3 days to prevent infections and adhesion of wound dressings or underwear. In addition, you must follow these instructions:

• Place local cold (Cold packs, ice Blue or ice) during the first 24 hours of the postoperative period to reduce inflammation and prevent bruising.
• From the third postoperative day can do with chamomile warm sitz baths to improve local circulation (and scarring) and local discomfort.
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• Prevent / treat constipation to limit local pressure for mincing effort.
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• Not bathing in bathtub or jacuzzi with hot water.
• Use of antibiotics for 5 days, usually cefadroxil.
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• Sexual abstention for 6 weeks.
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