
There are a number of factors that determine whether surgery is the most appropriate treatment for restoring your intimate wellbeing.
At the HC Marbella aesthetic gynaecology unit, we have innovative, precise and safe surgical techniques. In addition, we offer you a close and dedicated support throughout the whole process.
The most common aesthetic gynaecological surgical procedures are:
Labiaplasty is an intimate procedure aimed at reshaping or reducing the labia minora or labia majora, improving both functionality and aesthetics.
This procedure is indicated when patients report:
- Physical discomfort (chafing, discomfort when playing sports or during sexual intercourse).
- Body changes following childbirth, due to age or anatomical variations (flaccidity, asymmetry or stretching) that cause discomfort.
- Aesthetic concerns that affect the patient’s self-esteem or emotional balance.
- Irritation or constant discomfort due to chafing.
- Discomfort when wearing tight clothing or swimwear.
- Feeling of tension or pressure when exercising or making certain efforts.
- Initial consultation for:
- Complete medical assessment and physical examination.
- Knowing the patient’s concerns.
- Detailed explanation of the treatment and resolution of any possible doubts.
- Pre-operative tests and pre-anaesthetic consultation.
- Day of the operation:
- Reception at the centre.
- Surgical procedure performed to reshape or reduce the labia minora or labia majora, maintaining symmetry and sensitivity.
- The procedure, which usually requires deep sedation or loco-regional anaesthesia, lasts between 45 and 90 minutes, depending on its complexity.
- The surgery is usually performed on an outpatient basis, although an overnight stay in hospital may be necessary.
- The patient is usually discharged from hospital on the same day, although in some cases discharge may take place the following day.
- The most immediate postoperative care will be:
- Control of pain and inflammation with prescribed medication.
- Gentle hygiene with water and neutral soap.
- Depending on the evolution, a relative rest period of 10 to 15 days is advisable. A follow-up appointment is usually scheduled after a week, when doctors will decide whether or not to prolong the rest.
- Sexual relations and physical exercise may be resumed after 6 to 8 weeks.
- Medical follow-up to monitor healing and the progress of the patient.
- Complete recovery occurs after 2 – 3 months.
Perineoplasty is an intimate procedure aimed at repairing and strengthening the perineal area, recovering its functionality and improving its aesthetic appearance. It is a surgical treatment indicated when the tissue of the perineal area has lost tone and elasticity, usually after childbirth. It is generally performed in combination with vaginoplasty.
The most common reasons for the indication of this surgery are:
- Discomfort or a feeling of laxity in the perineal area.
- Anatomical changes after childbirth or due to ageing of the tissues.
- Hyperlaxity or excessive width of the vagina after childbirth or due to ageing of the tissues.
- Excessive tightness. In patients suffering from atrophy or lichen sclerosus.
- Insecurity or low self-esteem due to the aesthetic perception of the intimate area.
Patients often suffer from:
- Initial consultation for:
- Complete medical assessment and physical examination.
- Knowing the patient’s concerns.
- Detailed explanation of the treatment and resolution of any possible doubts.
- Pre-operative tests and pre-anaesthetic consultation.
- Day of the operation:
- Reception at the centre.
- Surgical procedure aimed at the recovery of the perineal area, repairing the distension of the tissues and improving the functionality and aesthetics of this intimate area.
- The operation usually requires deep sedation or loco-regional anaesthesia and lasts an hour approximately.
- The patient is usually discharged from hospital on the same day, although in some cases discharge may take place the following day.
- The most immediate postoperative care will be:
- Control of pain and inflammation with prescribed medication.
- Gentle hygiene with water and neutral soap.
- Depending on the evolution, a relative rest period of 10 to 15 days is advisable. A follow-up appointment is usually scheduled after a week, when doctors will decide whether or not to prolong the rest.
- Sexual relations and physical exercise may be resumed after 6 to 8 weeks.
- Medical follow-up to monitor healing and the progress of the patient.
- Complete recovery occurs after 2 – 3 months.
Vaginal reconstruction or vaginoplasty is an aesthetic and restorative surgery performed on the vaginal anatomy for functional, aesthetic and / or reconstructive purposes.
This surgical procedure is usually indicated in the following cases:
- Vaginal laxity or distension. After one or more childbirths the vaginal canal widens and the pelvic floor weakens, causing incontinence, loss of sensitivity during sexual intercourse, and an aged appearance of the external genitalia.
- Congenital physical defects or anomalies in genital development.
- Reconstruction after trauma, oncological interventions or previous surgeries.
- Gender affirmation in transsexual women, with the aim of acquiring female genitalia and having an aesthetically pleasing and functional vagina.
Patients usually present with some of the following signs:
- Loss of muscle tone and sensation of widening of the vaginal canal.
- Prolapse of the pelvic organs (bladder, uterus, vagina, rectum).
- Urinary incontinence.
- Decreased sensitivity during sexual intercourse.
- Effects on the emotional health of the patient.
- Initial consultation for:
- Complete medical assessment and physical examination.
- Knowing the patient’s concerns.
- Detailed explanation of the treatment and resolution of any possible doubts.
- Pre-operative tests and pre-anaesthetic consultation.
- Day of the operation:
- Reception at the centre.
- Surgical procedure aimed at narrowing or reconstructing the vagina, improving sexual function, firming the pelvic floor and treating incontinence.
- The procedure usually requires deep sedation or loco-regional anaesthesia and lasts 1 hour and a half approximately.
- The patient is usually discharged from hospital on the same day, although in some cases discharge may take place the following day.
- The most immediate postoperative care will be:
- Control of pain and inflammation with prescribed medication. Antibiotic treatment may be required.
- It is important to maintain rigorous hygiene.
- Depending on the evolution, a relative rest period of 10 to 15 days is advisable. A follow-up appointment is usually scheduled after a week, when doctors will decide whether or not to prolong the rest.
- Sexual relations and physical exercise may be resumed after 6 to 8 weeks.
- Medical follow-up to monitor healing and the progress of the patient.
- Complete recovery occurs after 2 – 3 months.
The labia majora lift is an aesthetic gynaecological procedure that aims to tighten, firm and restore the volume and firmness of the labia majora of the vulva, rejuvenating them.
The passage of time, weight loss, hormonal changes or pregnancy can cause alterations in the shape, size or elasticity of the labia majora, causing physical discomfort and aesthetic concerns.
A clitoral hood lift or reduction is a surgery performed to remove the excess skin covering the clitoris.
- Loss of firmness and volume in the labia majora.
- Excess skin.
- Lack of confidence and desire to improve the aesthetic appearance of the area.
- Alteration of the anatomy due to vulvar conditions such as lichen sclerosus.
- As a complement to other treatments related to aesthetic gynaecology.
Patients often report:
- Initial consultation for:
- Complete medical assessment and physical examination.
- Knowing the patient’s concerns.
- Detailed explanation of the treatment and resolution of any possible doubts.
- Pre-operative tests and pre-anaesthetic consultation.
- Day of the operation:
- Reception at the centre.
- Surgical procedure for labia majora or clitoral hood lift.
- The operation usually requires deep sedation or loco-regional anaesthesia and lasts between one and two hours.
- The patient is usually discharged from hospital on the same day, although in some cases discharge may take place the following day.
- The most immediate postoperative care will be:
- Control of pain and inflammation with prescribed medication. Antibiotic treatment may be required.
- It is important to maintain rigorous hygiene.
- Depending on the evolution, a relative rest period of 10 to 15 days is advisable. A follow-up appointment is usually scheduled after a week, when doctors will decide whether or not to prolong the rest.
- Sexual relations and physical exercise may be resumed after 6 to 8 weeks.
- Medical follow-up to monitor healing and the progress of the patient.
- Complete recovery occurs after 2 – 3 months.
Dr. Escobar, Ángela
Ginecología y Obstetricia, especialista en la Unidad de Mama
Dr. Pakzad, Ramin
Facharzt für Gynäkologie und Geburtshilfe
Dr. Bizjak da Fonseca, Tina
Ginecología y Obstetricia, especialista en suelo pélvico
Dr. Santiago Blázquez, Juan Carlos
Ginecología y Obstetricia, especialista en Ginecoestética
Dr. Castillo Garriga, Mª José
Ginecología y Obstetricia
Dr. Sánchez Miguel, Tamara
Histeroscopia y Estudios de Fertilidad
Histeroscopia, Embarazo de Alto Riesgo y Estudios de Fertilidad
Dr. Amores Vergara, María
Ginecología y Obstetricia
Dr. Avendaño García, Juan Diego
Ginecología y Obstetricia, especialista en Ginecología Oncológica
Dr. Ouahla, Nezha
Ginecología y Obstetricia
Tel.: +34 952 908 628
+34 609 148 799
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