At consultations of plastic surgery, we often meet requests to form genital organs according to individual desires. Operations can be ordered because of religious conviction, sexual inferiority complex, or merely because of aesthetical reasons.
Patients frequently do not know whom to call upon with their intimate problems. One of the specialities at our clinic is to perform plastic surgery of the genital organs. This is done on very few places in Hungary. List of some routine operations from my practice see below.
- Total removal of the foreskin (circumcision)
- Removal of the foreskin, its shaping
- Correction of lateral and longitudinal curvature of penis
- Increasing length of the penis (depending on anatomical endowments, 3-4 cm lengthening is possible!)
- Tightening loose skin of the penis
- Shaping excessively big size and form of the inner lips (labia minora)
- Plastic surgery of the inner lips; making elongated, outranged inner lips prettier
- Modifying size, form of bulging, fatty outer lips and form of vaginal orifice
- Reconstruction of the hymen
- Tightening vagina to strengthen sexual pressure
1. For women
Women can also have deviations on their private parts which can cause either psychical or corporeal problems. One part of these problems can be corrected by plastic surgery.
Extremely big size of the inner lips can cause several problems. They can get pressed into the wrinkles of the underwears or they can get pressed during love-making. This can be very painful. With reduction, size and form are reconstructed. Operation is generally made in local anaesthesia at the out-patient department. Of course, this intervention can be done in full narcosis upon the patient’s request. After the operation, ability to orgasm will remain unchanged.
After delivery, dilatation of the vagina can also cause complaints. Besides complaints concerning urination, possible incontinence, reaching sexual pleasure can also be more difficult. During the operation, we tighten the vagina at the presence of a gynaecologist; in this way most part of complaints will be solved.
Existence or absence of virginity can be very important with certain ethnic groups or religious denominations. Today reconstruction of damaged hymen can already be solved.
Beside the above mentioned, different deviations of forms, asimmetries can also be occur. For their reconstruction, individual examinations are necessary.
2. For men
Numerous men have problems with their penis all over the world. Erection problems belong to the professional field of urology. Plastic surgery makes changes in the form and size of penis.
Curvature of penis can occur, which can cause even impotence. Above deviation of 30 degrees, surgical reconstruction is indicated. During this reconstructive operations, length of the penis can be shortened with 0.5-1cm.
In case natural procedures for enlarging penis were not successful, enlargement is possible also with operation.
There exist several procedures for correction of length and thickness. Some of them result in illusive, some in real enlargement.
Many men have problems with their frenulum. This is a string-like form; it can be found on the back part of the foreskin. During sexual intercourse, this can be cracked, causing pains and bleeding. When foreskin is drawn back, it can bend bulb of the penis downwards, causing shortening of the penis.
As a result of cutting this frenulum through, the complaints will cease, and the length of the erected penis can become 1 cm longer.
With more corpulent men fat deposited on the pubic region can protrude over the penis and takes away even 2-3 cm from its length. With aspiration of fat from this area this length can be regained.
The biggest real enlargement can be achieved – 2-4 cm – with cutting ligament fixing penis (or rather the part of it containing corpus cavernosum and spongiosum) to the pelvis. This is the most serious from the possible interventions; it can be performed only in narcosis.
In this case the total recovery time is 5-6 weeks, while this duration is 2-3 week for the other interventions.
The most suitable method for thickening of the penis is filling it with the patient’s own fat.
During this procedure, fat aspirated from another part of the body (abdomen, buttock) is filled – after appropriate refinement – underneath the skin of the penis. On one occasion, it is not possible to transfer a big amount of fat, that is why generally 2-3 interventions are necessary to get a good result. It can be done under local anaesthesia without any significant risks.
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