History and development of procedures for remodeling female genitalia
Ever since ancient Egyptian Pharaohs, women have wanted throughout the history of genital organs changes external devices by resorting to numerous zooming, shrinking or color changing devices.
In addition, gynecologists have performed surgical procedures to alter both functional and aesthetic alterations after birth, surgeons, anterior and posterior colpositions, transsexual surgical procedures, or congenital pediatric pathology for labyrinth hypertrophy.
Traditionally, traditional gynecologists have approached this pathology by surgical procedures for pelvic floor alterations, bladder hernia, urethra, rectum, peritoneal cavity, but have never had clear indications for improving sexual function by strengthening the pelvic net, tonifying the vaginal canal walls increased friction and vaginal wall pressure.
This change in indications and changes in classical gynecological procedures from the primary therapeutic goal in procedures to improve sexual function, has sparked controversy in particular from ACOG (American Congress of Obstetricians and Gynecologists). In December 2013, the SOGC (Society of Obstetricians and Gynecologists of Canada) states that procedures for improving sexual function have a medical indication and are effective and safe, an opinion that changes the 2007 references of the same scientific forum that initially claimed that the procedures did not support scientifically academic.
In fact, the same Canadian scientific advisor advises gynecologists and plastic surgeons who have chosen to understand cosmetic procedures in the vagina and vulva to specialize in this area of genital rejuvenation under all aspects of cosmetic surgery of the inferior genital tract.
This improvement is required by the increasing demands for these procedures over the past 10 years, which have appeared in various statistics in the USA and England.
Professional training in this area is lacking in the specialized curriculum of both gynecologists and plastic surgeons, so it is inevitable to train surgeons doing these procedures in academic centers.
Politically the waters remain troubled, so it remains up to the performers who are trained to perform these procedures and the patient’s autonomy to resort to this kind of surgery that has become safe and effective due to the results obtained.
Psychological and social considerations
The primary issue to be elucidated is whether women who are addressing this kind of surgery do it for men near them or, for social reasons, do it for themselves. Men are usually surprised and amused at the same time by the reasons why their life partners want these changes so the motivation is personal and not in any way to save a relationship or marriage.
Specifically, we believe that women want this type of surgery for their personal image and not because they are dominated by men. We are convinced that in the next decade this type of aesthetic surgery will be a common intervention as is the mammary augmentation today. The trend for aesthetic surgery of female genitalia is increasing as statistics published by plastic surgeons in the case of labial plastics with reliable and effective results.
The future of this type of surgery can be correlated with economic factors and society’s trend towards women’s self-image. If you are interested in this kind of surgery, you need to find a surgeon who will listen to your concerns and who has expertise in this type of surgery
What is the most appropriate procedure for me?
If you think the surgeon’s choice is not important, think again!
There is a lot of information on the internet about labioplasty and vaginoplasty
Which of the procedures used is useful for me and who is best to do it – an expert in labyoplasty or one who masters several techniques?
This is very important because once a piece of tissue is excised (removed) it can not always be easily corrected. The wrong choice of the surgeon who does not use the best surgical technique can create a difficult situation – the worst decision of your life – can lead to the destruction of your relationship in the short or long term.
The internet does not always provide quality information about the nearest surgeon. You can not play a kind of Russian roulette with your genitals, so you have to look for an expert surgeon in these procedures.
Confusion? Do not know which is the best solution for you?
Let’s say you’re decided to do labioplasty. Read and consult specialized magazines, news in the field, study testimonials, analyze the postoperative results reported by specialized services. Do you really need to know what surgical technique your surgeon is using?
I do not think the positive or negative answer is important. Your only concern is if your surgeon knows the surgical techniques and chooses the best solution for you. Your surgeon assesses your specific situation and chooses the best method. In conclusion, we can say that the aesthetic surgery of female external genitalia in a woman is a personalized surgery.
ControversIeS
Medical point of view
Traditionally, the woman does not require any anatomical modification and has no real reason for aesthetic intervention in the genitals – a radical opposition occurs in 2007 in the British Medical Journal – this procedure (labylate reduction and female genital reform) that means replacing total or partial female external genitalia for cultural reasons or other non-therapeutic causes is a criminal offense in England or an act of mutilation of female genitalia, so it is wise to avoid such surgical practices in the UK.
Perspective of Plastic Surgery
Plastic surgeons due to the perfect perfection in aesthetic surgery have completely different perspectives than those mentioned above.
We have learned over time to weigh the risk – price-benefit – very well on aesthetic issues.
Patients’ goal and motivation
In current practice, we ask patients to complete a questionnaire on the purpose of the intervention and their expectations from these procedures, comparing them with postoperative outcomes.
Preliminary results of these studies have shown that over 85% of patients are satisfied with the results, especially as most of them signal preoperatively discomfort during sexual activity as a primary cause and that following the procedure this symptom is treated successfully.