Women have made a place for themselves in modern society and are demanding equal rights in all fields. They are getting educated, financially independent and confident and are aware of their body image. They want to look the best they can and are using cosmetic surgery to achieve that. They are also more open about their expectations of sexual satisfaction in relationships. More women are now seeking aesthetic surgery of their genitalia to improve appearance, pleasure and to give it a more youthful look. It is claimed, though not proven, that this surgery may also improve the sexual function. The commonly requested procedures are:
Labial reduction (Labiaplasty)
Labiaplasty is a surgery to decrease the size or improve the irregularity of the labia minora (the inner lips of the vagina). This may be done to make the appearance more pleasing and some women feel it improves penetration. Large labia minora can also cause discomfort with tight under clothes or during sport, which may improve with this surgery.
This surgery can be done under local anaesthetic as a day case, but needs to be done by an experienced surgeon to prevent scar contractures forming around the labia.
Vaginal tightening (Vaginoplasty)
Age and childbirth may make the vaginal lax which may make the sexual experience less satisfying for both the partners. Vaginal tightening can be done either by placing sutures at the opening of the vagina or by tightening the muscles of the posterior vaginal wall.
This procedure is usually done under a general anaesthetic and may involve staying in hospital for one night.
Hymen Reconstruction (Hymenoplasty)
The thin skin like membrane which partially covers the opening of the vagina is called the hymen. The first penetrative sexual intercourse usually causes this membrane to tear, accompanied by a little bleeding. Because of this, the presence of the hymen is taken as a proof of virginity in many cultures. Many people are not aware that even strenuous physical activity like horse riding etc. can cause the hymen to tear. The surgical procedure to restore this membrane is called hymenoplasty and is requested by some women for social reasons.It can be done as a day care surgery & patient can go home after the surgery.
Genital aesthetic surgery is delicate and precise surgery and should only be undertaken by a trained and experienced plastic and cosmetic surgeon.
DR. Anup Dhir
Senior Consultant Apollo Hospital
Past President,Indian Association of Aesthetic Plastic Surgeons