For excellence in cosmetic surgery, Dr. James Apesos combines artistry and experience to achieve beautiful, natural results
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Apesos Skin Health
  Labiaplasty

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Women know that all labia are not created the same. Photos in magazines offer a view of pre selected female models possessing anatomic features designed to sell magazines.

Labia come in all sizes with varying degrees of symmetry. Large labia can cause irritation and difficulty wearing certain clothing, particularly athletic wear.

Unfortunately, when most women approach their family doctor or gynecologist about their concerns they are often are rebuffed. Today, Dr. Apesos is a member of the group of plastic surgeons trained in female labia reduction and reconstruction.

There is no reason not to seek a consultation to determine if the correct procedure is available for reducing the labia, a large clitoral hood, or correcting asymmetry.

How do I start?

THE MOST IMPORTANT CONSIDERATION: Those considering genital surgery such as labiaplasty should seek out a qualified plastic surgeon or gynecologist who performs the procedure. A qualified surgeon is a physician that is properly credentialed at a reputable hospital. Dr Apesos has gone through this vital credentialing process and is on the staff of several local hospitals as a plastic surgeon plus he is a Full Clinical Professor of Surgery at the Wright State University School of Medical.

Make an appointment to have a consultation with us. On your first visit to my practice you will fill out questionnaires asking your medical history. Your personal medical history is of vital importance to my understanding of the type of care you will need as a patient.

In consultation your needs will be evaluated. Some of the questions may be very personal, but this is your chance speak up about your concerns and condition. In other words just what is bothering you and what you expect to have completed. We will cover ground you probably seldom ever discuss with anyone else.

Specifically questions as to why you want the labia reduced are very important. Are there physical symptoms such as pain, itching, irritation? Does the excess tissue interfere with sports activities; does you genital anatomy show through certain swimwear or clothing? Is the appearance a source of embarrassment during intimate situations?

Where will the surgery be performed?

Labiaplasty is performed in our office facility and not a hospital primarily because of financial reasons. These procedures are generally thought of as cosmetic in nature because body functionality is not yet considered to be impaired; therefore such work is not covered through most medical insurance plans.

The procedure seldom takes more than an hour and a half. This will depend upon the amount of improvement and sculpting that will be required.

Will Labiaplasty be painful?

You will feel some discomfort, usually this is mild. Swelling occurs for the first few days. We will prescribe medication which reduces discomfort also applying cool compresses can be very helpful.

How fast will I recover?

Our best advice is to first and foremost follow our post operative instructions. The healing process can be reduced by adhering to the strict instructions you will be given. While you recover we insist there be no sexual penetration of the vagina for the first six weeks. You may be allowed to very carefully use tampons or even perform douches during the recovery stage. Most patients return to work in 2-3 days, but avoid heavy lifting and any sports or dancing involving a lot of movement. Specifically you must not do any horse back riding, do not use bicycles stationary or on the road, and no riding on motorcycles.

Are there long-term effects after Labiaplasty?

Labiaplasty is permanent. There is a very little chance the labia will ever enlarge once again following childbirth.

Tell me the Risks and Limitations of Labiaplasty?

Specifically, risks for labiaplasty may include pigmentation changes or asymmetry. Small changes in sensation during sex are very rare. All forms of surgery carry some degree of risks and complications, including scarring, wound separation, and infection. Be aware that most patients report no such issues. Discuss risks with us prior to surgery. You want to know, so ask.

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Apesos Plastic Surgury Pavilion
Before and After

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Clitoral Reduction
Image Set 1