Vaginoplasty and labiaplasty are also called vaginal tightening surgery and labial reduction surgery. These procedures are increasingly popular among females as cosmetic treatments.

Candidates for Vaginoplasty

1. Post-marriage vaginal laxity – Women who experience vaginal laxity after frequent intercourse, leading to reduced sexual satisfaction for their partners.
2. Pre-marriage concerns – Women who have had intercourse before marriage and want to undergo both hymenoplasty and vaginoplasty to restore tightness.
3. Congenital conditions – Women born with a short or absent vagina may require vaginoplasty to create a functional vagina using skin flaps (e.g., Singapore flap).
4. Post-childbirth vaginal laxity – Women who experience vaginal looseness after normal vaginal delivery.

Candidates for Labiaplasty

1. Congenital labial hypertrophy – Women with naturally enlarged labia minora.
2. Post-intercourse labial changes – Women who develop labial hypertrophy due to sexual activity.
3. Labial discoloration – Women concerned about darkening of the labial skin due to waxing or other factors.

Why Do Women Consider These Procedures?

Women who experience vaginal laxity after marriage or childbirth often feel insecure about sexual satisfaction in their relationships. This can lead to psychological distress and, in some cases, marital problems. Similarly, large or darkened labia may cause self-consciousness, prompting women to seek treatment.

Consultation and Preparation

Patients visit Dr. Abdul Malik’s clinic, where he, along with a female assistant, ensures privacy during the consultation. The doctor:

• Takes a detailed medical and sexual history.
• Examines the vagina and labia for laxity, asymmetry, color changes, and hypertrophy.
• Explains the procedure details, benefits, recovery process, and risks.
• Advises baseline blood tests to assess fitness for anesthesia.

Procedure Details

Vaginoplasty Procedure

1. Anesthesia – Usually performed under general anesthesia.
2. Positioning – Patient is placed in a lithotomy position (legs raised and supported).
3. Surgical Steps:
   • The vagina is opened with a speculum.
   • The loose vaginal mucosa is marked and infiltrated with local anesthesia to minimize bleeding.
   • Excess mucosa is removed, and the underlying muscles are tightened (vaginal muscle plication).
   • The mucosa is closed in two layers for optimal healing.
4. Final Steps – Hemostasis (bleeding control) is ensured, and the surgical site is sutured and dressed.

Labiaplasty Procedure

• Can be done under local anesthesia or along with vaginoplasty/hymenoplasty under general anesthesia.
• Procedure Steps:
  1. Marking is done to determine excess tissue removal.
  2. Local anesthesia is injected into both labia minora.
  3. Excess labial tissue is surgically removed.
  4. Bleeding control (hemostasis) is achieved.
  5. The labia are stitched in two layers with absorbable sutures.
  6. Dressing is applied for protection.

Post-Operative Care & Recovery

• Hospital Stay:
  • Local anesthesia – 2-3 hours of observation before discharge.
  • General anesthesia – 1-day hospital stay.
• Care Instructions:
  • Avoid wide leg movements and keep legs slightly flexed.
  • Bed rest for 2-3 days, but bathroom use is allowed.
  • Painkillers and antibiotics are prescribed for 3-5 days.
  • Resume work after 7 days but avoid heavy activities.
  • No sexual intercourse for 4-6 weeks.
  • Swelling and stitches usually heal within 4-6 weeks.
  • If done before marriage, the surgery should be scheduled 2-3 months before the wedding for complete healing.

Benefits and Risks

Benefits

1. Long-term results
2. Improved self-confidence
3. Better sexual satisfaction
4. Increased chance of satisfying a partner
5. Enhanced intimacy and enjoyment

Possible Side Effects

1. Swelling and bruising
2. Pain or discomfort
3. Itching at the stitch site
4. Blood collection (hematoma)
5. Infection risk
6. Stitch breakdown
7. Asymmetry
8. Visible scars on the labia

Cost of Vaginoplasty & Labiaplasty in Pakistan

• Labiaplasty: 65,000 – 85,000 PKR
• Vaginoplasty: 90,000 – 130,000 PKR