Cosmetic genital surgery involves reshaping the labia, vulva or penis. Some people choose this surgery because they feel unhappy about the look of their genitals. An operation to change the look of the genitals is sometimes referred to as ‘aesthetic genital surgery’.
Female genital reshaping, or Labiaplasty, aims to change the size and shape of the inner labia or the inner lips of the vulva.
Penis enlargement or augmentation surgery (Phalloplasty) is used to increase the length, width or both of the penis.
Labiaplasty and Phalloplasty are not the same as gender reassignment surgeries.
If you are concerned about the way you look, or are thinking about cosmetic treatments to boost your confidence, there are alternatives. Another option is to accept yourself the way you are and realize that normal, healthy genitals come in a wide range of shapes and sizes.
Before you choose cosmetic genital surgery, there are some important issues to keep in mind:
Before surgery, you need to discuss a range of medical issues with your doctor or surgeon including:
The details of the surgery will depend on individual factors, but generally include:
The operation is usually performed to reduce the size of the labia minora (inner lips). General or local anesthesia may be used. The surgeon removes the unwanted tissue and remodels the labia into the desired size and shape. Alternatively, a wedge-shaped section of the labia is removed. Some surgeons use a laser instead of a scalpel to reduce bleeding. Occasionally, a Labiaplasty is performed to reduce the size of the labia majora (outer lips). Some women choose to have surgery to tighten the vagina (vaginoplasty) during the same operation
This operation increases penis length. General or local anesthesia may be used. The surgeon makes an incision (cut) at the base of the penis and cuts the ligament that attaches the penis to the body. This will cause the penis to extend out further from the body. The penis is not actually longer, but more of it is visible
This operation increases the width of the penis. General or local anesthesia may be used. Using fatty tissue harvested (removed) from another part of your body, the surgeon may sew strips of fat underneath the skin of the penis (dermal fat grafting) or inject fat into the penis (fat transfer or fat transplant)
Some men choose to have their penis increased in both length and girth during the same operation.
After the operation, you may expect:
All surgery carries some degree of risk. Some of the possible complications of cosmetic genital surgery include:
This is not a complete list. For example, your medical history or lifestyle may put you at increased risk of certain complications. You need to speak to your surgeon for more information.
Recovery may take at least six weeks. Be guided by your surgeon, but general self-care suggestions include:
Scarring will be permanent, but should fade in time. Be patient. Improvements to scars may take around a year or so.
The results of Labiaplasty are permanent. If fat transfer has been used to widen the penis, this is not permanent and it will disappear over time, because the body tends to reabsorb about 50 per cent of the injected fat. Top-up injections may be required.
Following Phalloplasty to lengthen the penis, the angle of the erection may be lower, but this should not affect sexual intercourse.