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Operations: Excision of excess labial tissue

Insurance code: P0550

Introduction: This information is written by John Fairbank and is provided for the benefit of his patients. Additional information will be given during consultation in the clinic and during the pre-operative discussion. It is not appropriate for all surgeons’ individual practice or for all patients.

Purpose of operation: Removal of excess labial tissue is a surgical manoeuvre to remove excess labial tissue for cosmetic reasons or to improve comfort with tight fitting clothes and horse riding for example. Some insurance companies do not cover these procedures for non medical indications.

Description of procedure: The excess labial tissue is carefully agreed and demarcated prior to surgery. The excess skin is removed and sutured with fine stitches. A catheter is sometimes inserted to relieve bladder emptying in the first 24 hours.

Anaesthetic: General

Length of stay: Day case or overnight stay depending on post-operative comfort
Post-operative management: Analgesia as required. A short course of anti-biotics are prescribed.

Potential complications. Complications at the time of surgery are rare. Post-operative complications are also rare but include bleeding at the time of surgery and post-operative bruising. Post-operative infection is possible and signs of infection would require inspection and possible anti-biotic use. Complete symmetry is rarely possible due to difficulty determining the amount of skin to be removed and shrinkage of tissue during the post-operative healing phase.

Post-operative consultation: A post-operative review at anywhere from 3 weeks to 3 months may be suggested depending on the indication for the surgery and the immediate post-operative course. Signs of infection should be reported to the General Practitioner or to Mr Fairbank as discussed during the post-operative period.

Other considerations: Labial reduction has been reported in some television and Newspaper articles as a fashionable procedure and should only be undertaken for genuine physical discomfort.

Relevant websites:

http://www.bupahospitals.co.uk/asp/cosmetic/women/body_reshaping/labial_reduction.asp