Nymphoplasty corrects hypertrophy of the labia minora and is the most frequently performed intimate surgery operation.
Hypertrophy manifests itself in the excessive projection of the labia minora that protrude beyond the vulvar slit and the labia majora and can rub on underwear. This can cause hyperpigmentation and sometimes functional discomfort during sexual intercourse or when taking part in certain sports (cycling, horse riding, etc.). It can also cause discomfort when wearing clothing, especially tight clothing.
In addition to the aesthetic and functional discomfort, there are also psychological repercussions, which can alter the patient's image of her femininity and create a complex. This, in particular, can lead to discomfort when naked.
This abnormality usually appears at puberty but can also appear after childbirth or at the menopause. It can be corrected by resectioning the excess mucous membrane.
The improvement is aesthetic but this procedure also has a beneficial impact on the patient's personal well-being, behaviour and development as they are relieved of their complex.
During the first consultation, it is essential that you openly express what bothers you and what you would like to improve. Do not be afraid to ask any questions, including expressing your fears and expectations. Everyone has a different body shape, psychology and expectations. These are not the same and there is no standard to apply.
After you have explained your motivations, I will examine you and offer a solution, taking into account your expectations and your anatomy.
So you can visualise the desired result, I will show you photos of surgical results from cases similar to yours to understand the objective of the intervention.
It is essential that you and I have a good understanding when deciding to operate and to determine the technique to use from among those I can offer.
I will then give you all the information on the techniques proposed along with the information sheets from the Société Française de Chirurgie Plastique Reconstructrice et Esthétique (French Society of Plastic, Reconstructive and Cosmetic Surgery) as well as a detailed estimate of the costs for the options chosen. You will then be able to move your project forward and get ready for a second consultation when you will be able to ask any additional questions to help you make a decision and prepare for the operation.
Before the procedure
No examination is usually necessary, unless you are having a general anaesthetic (when you may need a blood test).
If you are having a general anaesthetic, you will need a consultation with the anaesthetist in the weeks preceding the operation and at least 48 hours before.
No medications containing aspirin or anti-inflammatories can be taken within 10 days of the procedure.
For a general anaesthetic, you will have to fast strictly for 6 hours before the operation (do not eat anything, chew gum, eat sweets or smoke).
Smoking can cause scarring problems.
Hospitalisation and the duration of the operation:
Your stay in hospital is usually limited to half a day in a day clinic.
The procedure lasts about 30 minutes.
Type of anaesthetic
The anaesthetic is usually local or deep local (neuroleptanalgesia). It can be general at the patient's request.
Before you go to the operating theatre, in your room, I will go over the precise goals with you as we agreed during the consultations. You can then always make recommendations and ask any questions. I will then draw the lines and marks on your skin to guide the operation and the lines of the incisions.
The correction of hypertrophy of the labia minora is carried out by a resection of the excess mucous membrane, following the free edge of the lip to give it a balanced position in relation to the height of the labia majora.
Other techniques can be used in individual cases.
The stitches are absorbable and do not need to be removed.
After the operation
During the night and days following the operation, you may have a feeling of painful tension in the area of the operation, leading to impaired mobility. These pains are moderate in a resting position and may require analgesics. These post-operative pains will diminish and disappear within a few days of the operation.
As the stitches used are absorbable, they do not need to be removed.
Swelling (oedema) and bruising, which can be more or less significant depending on the case, will disappear completely after about 3 weeks.
Daily washing with gynaecological emollient soap.
An antiseptic moisturising cream must be applied.
A panty liner must be worn.
You will need to attend a follow-up consultation one week after the procedure, then after 1 month and 3 months.
Wear loose-fitting clothing.
Avoid long walks.
You may resume sexual intercourse gradually about 3 weeks after the operation.
The result can be appreciated after any swelling has disappeared, i.e. after about 3 weeks. This will improve in the weeks that follow. Scars fade after 1 to 2 months.
In the long term, the result will be stable and sustainable.
In addition to an aesthetic improvement, this operation has a beneficial impact on the patient’s personal well-being, behaviour and development and they are relieved from this complex.
Risks and complications
The cost of the operation will depend on the procedure to be carried out, the duration of the operation, the type of anaesthetic and any hospital charges.
You may be covered by Social Security and, if applicable, by your mutual insurance company in cases where there is functional impairment.
A detailed estimate is given to you during the first consultation according to the options chosen. You then have a minimum legal period of 15 days to reflect and take your project forward.
The first consultation costs €50. The following consultations, before and after the operation, are free.
The photographs on this page are here to illustrate and complete the information given on the operations. They are merely for information purposes so you can see the goals, results and scars from the operation.
The likelihood of scarring and each patient’s individual anatomy are different. Therefore, for this reason, the photographs on this site do not commit Dr. Benelli to providing all patients with a similar result.
The information given on a site is not sufficient in itself and a medical consultation is essential to get the right information for each individual case. For this, you will need to consult a surgeon qualified in Plastic Reconstructive and Aesthetic Surgery.