The use of cosmetic surgery to enhance or repair the physical appearance is not restricted to the public areas. People who are dissatisfied or self-conscious about their genitalia and/or sex life do have the option of cosmetic surgery to address the issues. The decision to undertake any form of cosmetic surgery on the genitalia should not be made lightly, and you should maintain open lines of communication and feel comfortable with your cosmetic surgeon of choice. The surgeon cares about your overall health, and you should undertake counselling and psychiatric assessment prior to any invasive gynaecological operation. You will be asked why you seek the surgery, and in the instance of sexual dissatisfaction, it might be necessary for you to undergo psychological assessments such as the Arizona Sexual Experience Scale (a test designed to analyse a patient based on answers regarding recent libido and performance). This will help determine whether surgery is necessary, or whether you would be more likely to beneficial from psychiatric assistance.
Options available for men are phalloplasty (which addresses the length of the penis), and penile thickening (which addresses the girth of the penis).
Phalloplasty is an operation designed to lengthen the penis. The suspensory ligaments attaching the penis to the under-surface of the penis bone are released, which creates a gap that is subsequently filled with the patient’s own fatty tissue. The results depend upon the patient’s own anatomy, but the usual outcome is a further 1cm to 2.5cm is added to the length of the penis. A positive aspect of phalloplasty is that it does not affect the sensation, and because it is performed on an outpatient basis there is minimal disruption to the patient’s life, and with the healing process being relatively quick, the patient can return to work after several days.
Penile thickening entails a similar process wherein the patient’s own fat cells are transferred from the pubic area and injected into the penile shaft and crown. Again, this is done on an outpatient basis and has a quick recovery time, which allows the patient to resume work and other activities after just a few days.
Common cosmetic surgery options for women include:
Hymenoplasty is a temporary restoration of the hymen. It is often performed for cultural reasons to create an appearance of ‘virginity’.
G-Spot rejuvenation an injection of collagen into the anterior wall of the vagina and is designed to enhance sexual pleasure with possible subsequent boost to self-confidence and self-esteem. It is a very quick procedure; the initial consultation and preparation lasts between twenty-five and thirty minutes, the injection takes less than eight seconds, and the results last approximately four months.
Vaginal tightening and vaginal rejuvenation address the changes that can occur to the vaginal wall, vaginal canal, and pelvic floor following vaginal birth or menopause. It is a reconstructive procedure that is usually performed under general anaesthetic.
Labiaplasty is a cosmetic surgery to alter the appearance of the labia minora. The main reasons women seek this surgery is the aesthetic and/or to alleviate discomfort and self-consciousness caused by excessively long labia. Larger-than-usual labia can cause discomfort in physical activities, or else cause the ‘owner’ to become embarrassed and self-conscious when wearing swimwear or activewear. The ratio of these reasons among patients is approximately 50/50. Although the patient will require some pain medication and possibly a week off work, recovery is usually swift.
The risks associated with these surgeries are:
Women should be aware that genitals vary for person to person, just the same as eyes, noses, and ears do. What you might think is odd or deformed could very well just be extremely normal and unique to YOU. However, if you believe you are a candidate for any of these procedures, there are questions you should ask the surgeon, such as:
Once your questions have been answered, and you have had the appropriate counselling, you will be able to make the informed decision that is right for you. This decision will help you regain your self-confidence, which will then lead to improved relationships because you have a greater sense of self-worth and are more relaxed. Your sexual health and well-being will also be boosted and reawakened, and you will see a whole new happy YOU.