The most common problem is large flaring
labia minoras which interfere with intercourse. This becomes a function problem of concern as well as a
cosmetic concern for many women.
Vaginas develop with many variations and one size or shape does not fit all. We also see and treat some masculinized vaginas which are challenging. The trick to consistent results is a thorough assessment of the anatomy and the desires of the patient. Treating the anatomy and not the patient, often leads to disappointment. The next step is meticulous marking. Vaginas, like every other part of the body are asymmetrical. Once you inject with local anaesthetic, the anatomy is distorted. Infiltrating before marking is a recipe for disaster. At the end of the
vagina surgery procedure, the final result should be clearly visible before swelling begins which peaks at three days and resolves by ten typically.
REALITY CHECK
No matter how meticulous the technical mastery of the surgery, which is totally under control of the surgeon, there comes the healing phase which has a mind of its own. Every patient heals differently depending on the mysteries of their genetic code.
The best we can do is set up the conditions for optimal healing, (delicate tissue handling, tissue plane dissection, atraumatic suture techniques, drains, dressings, etc.) and the rest is up to nature.
Identifying potential complications early (hematomas, cellulitis, hypertrophic healing, allergic reactions, etc.) and dealing with them before they progress to disasters requires checking the patient the day after surgery now that in-hospital observation and recovery is unaffordable.
We have seen some rare but crazy anomalies and fortunately had the training and experience and luck to deal with them without worsening the condition.
We are based in:
421 SE Osceola St.
suite A Stuart,
FL, US 34994
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