Nonsurgical Laser Labioplasty Alternative (NLLA)
Your (vulva often called vagina) houses your external genitalia: labia majora on the outside and labia minora tucked in the inside. Although there are huge variations in the size and shape of labia it is usually labia minora that are considered too long or too big (hypertrophied).
Labiaplasty procedures are usually about wanting your labia minora to look a certain way (typically shorter and more “tucked in” between the labia majora).
The most common indication for surgery is the lack of confidence associated with enlarged labia in intimate situation, but also discomfort when wearing a bathing suit, tight underwear or tight trousers. Other reasons for wanting labia reduction are difficulties and discomfort during the intercourse.
Labioplasty is typically carried out as a surgical procedure by trimming and reshaping the labia minora under local (injection) or general anaesthetic.
The recent developments in the field of Aesthetic Gynaecology allow nowadays to carry out non surgical labia reduction with the use of laser, without the need for cutting the tissue or general anaesthetic.
The Women’s Clinic offers a Non Surgical Laser Labioplasty Alternative (NLLA) procedure with the use of a powerful CO2 laser.
How is is done
The procedure is carried out after an application of the a topical anaesthetic (numbing cream) to the treated area to minimise any discomfort. An injection of a local anaesthetic may be offered if required.
Once your skin is numb the laser head is used to treat both labia minora step by step, using specially selected laser settings for this particular procedure.
You should feel no pain, but may expect some degree of discomfort during the treatment.
There is no bleeding as no skin gets cut and therefore there is no need for any sutures.
After the procedure, which usually lasts up to 20 minutes Sudocrem is applied to the area.
What can I expect after NLLA
You will experience a degree of swelling and some discomfort in the area shortly after the treatment; both should usually settle within 2-3 days , but it can take longer if more intense treatment has been carried out.
You will be given Sudocrem to apply to the area when required and full post treatment advice before you leave the clinic.
You will be comfortable to leave the clinic and drive the car.
You will also be able to pass urine without any problem.
When will I see the effects
You should see some reduction of your labia after the 1st treatment, as soon as the swelling goes down.However initially there won’t be a big difference as the process of tissue contraction can take 4-6 weeks. As NLLA is a non surgical procedure the reduction of volume, length of labia and improvement of the skin texture is achieved by an accumulative effect of repeated procedures. For best results we recommend usually 5 treatments . In some cases less or more treatments may be required to obtain a desirable result.
You should feel more or less back to normal within 7-10 days and can resume sexual intercourse after 7 days or sooner if the area feels comfortable. Moderate degree of pain and swelling normally lasts for the first few days and is often gone before the end of the first week.
Here is what can you expect following each type of procedure:
- Pain & swelling for a few days
- no pain on passing urine
- no bruising
- no need for sutures
- treated area staying dry
- Sudocrem applications only
- can continue with most of activities
- risk of infection almost zero
- minimal or no itching while healing
- can resume sexual activity after 1 week
- no time off work needed
- much more pain & swelling for up to 3 weeks
- initially pain on passing urine
- bruising for over 1 week
- sutures needing removal
- not uncommonly wounds oozing fluid
- application of cold packs and sometimes topical antibiotic
- restricted activities for up to 6 weeks
- much higher risk of infection and wound opening
- much more itching and irritation from stitches
- abstinence from sexual intercourse for 6 weeks
- time off work needed
How long will it last
Is it safe
Contraindications to the NLLA are pregnancy, active inflammation of the vagina and vulva, infection, skin diseases of this area and cancer