Labiaplasty

Leading Up To Surgery

Medication & Supplements

Stop taking Aspirin, products that contain Aspirin, and all other supplements two weeks before surgery. This includes:

  • Alka-Seltzer
  • Anacin
  • Bufferin
  • BC or Goodies powders
  • Excedrin
  • Fish oil
  • CoQ10
  • Weight loss medication
  • Vitamin E
  • Herbal supplements
  • Meal replacements or protein shakes

Prescriptions

Please make sure to get your prescriptions filled prior to your surgery date. You will be expected to bring your prescriptions with you the day of surgery. 

The pain medication that is prescribed can cause constipation. You can start prevention as early as two days before your surgery by taking Colace, or Activia yogurt. After your surgery, you can have things like MiraLAX or Milk of Magnesia, but these should not be taken before.

If you become ill or have to postpone your surgery for any reason, please notify us as soon as possible. 


Day Before Surgery

You will receive a call and email the day before your surgery with instructions regarding where and when to arrive.

This will include instructions regarding medications. 


Day Of Surgery Instructions

Food and Drink

If you are having your procedure performed under local anesthesia, it is fine to eat and drink as you normally would on the day of surgery.

If you are having your procedure performed under general anesthesia, please follow these instructions:

  • You can brush your teeth, but do not swallow any toothpaste or liquid.
  • Do not consume candy or gum.
  • You may drink water or Gatorade (any flavor except red) up to four hours before your surgery.
  • Do not drink coffee or tea day of surgery. 

Clothing

Do not wear jewelry or make-up to your surgery appointment. Wear loose, comfortable, and warm clothing. A top that zips or buttons up is preferred. Please wear glasses instead of contacts if applicable.

Sweat or Pajama pants are preferred. No yoga pants/leggings.

Fingernails must be short. If polished, it must be clear.

A responsible adult must take you home. You will need someone to stay with you for the first night after surgery.

Note: If you are a minor, a parent or legal guardian must accompany you. 

No Taxi Cabs, Lyfts, or Ubers as your transportation home.

If you need transportation/help after surgery, the team at Metro’s Other Woman, https://www.metrosotherwoman.com/raleigh-nc, have helped our patients with care, housekeeping, dog walking, taking children to soccer practice, and everything in between.

What to expect

Once you arrive in our surgery suite, the clinical staff will discuss the details of your procedure and ask you to sign an informed consent. If applicable, you will take a pregnancy test prior to surgery.

If you are having surgery under general anesthesia, you will speak with your anesthesia provider prior to your surgery. They will go over your history with you one last time before we get started and tell you what to expect when you are in the operating room. 

You will only need to undress from the waist down. 

From there, your surgeon will come in and discuss the procedure before we get started.


After Your Surgery

Care Instructions

Gently apply the antibiotic ointment that was provided on your incision site. Do this twice a day.

You may find that ice packs will help with the pain and swelling for the first 2-3 days. Remember to use ice 30-minutes on and 30-minutes off as much as you can tolerate. Do not apply longer than 30 minute due to the danger of frostbite, because the area may still be numb. When using ice pack, place a pad between ice pack and vagina.

No strenuous activity, such as running, dancing, yoga, riding a bicycle, horseback, motorcycle, etc, for 6-8 weeks.

Do not use tampons for 6-weeks.

When using the bathroom, gentle pat your incision site after urination.

Itching and discomfort is normal after this procedure. For relief, you can use Vagisil or a weakened form of Cortisone cream for 2-3 weeks, if needed. 

No sexual activity for 6 weeks.

Pain Management

Do not use heating pads to help with pain. This could cause a burn. 

Resume your normal activities as you feel comfortable. If it hurts, don't do it. If it doesn't, it is ok to do. 

Medications

Stop taking aspirin, products that contain aspirin, and all other supplements two weeks before surgery.

Do not use alcoholic beverages while taking pain medication.

You will be prescribed three different medications.

  • Pain medication: Norco or Hydrocodone and Tylenol
    • Take one to two tablets every six hours, as needed for pain
    • This medication contains Tylenol. Do not take additional Tylenol.
    • Do not take more than 11 in one day.
  • Anti-nausea medication to be taken prior to surgery: Zofran or Ondansetron
    • Take four tablets one hour prior to surgery.
    • After surgery, take one tablet every six hours, as needed for nausea.
  • Anti-nausea medication for extreme nausea: Phenergan or Promethazine
    • Take one tablet every four to six hours, as needed for extreme nausea.
    • Note: This may cause drowsiness

When To Call The Office

Call the office if you have a fever over 101 degrees, experience any sudden increase in swelling (especially on one side), or notice redness around your incision sites (especially if it’s warm to the touch).


Frequently Asked Questions

How long do I have to take off work?
Three to five days

How long does the procedure last?
About 45 minutes (if there is general anesthesia)

How long will I have to be in recovery?
At least 45 minutes

When can I drive again?
You can drive when you are no longer taking pain medication and feel comfortable driving again. Always consider that you would need to be able to react in case of an emergency. 

Can I sleep on my stomach after surgery?
You can sleep on your stomach as long as it doesn't cause you discomfort. Generally this will happen five to seven days after surgery. 

When can I get in a pool/beach/lake?
You can get in a pool/beach/lake after 3 weeks from your surgery date. 

Can I go to a tanning bed or get spray tanned after surgery?
You can get a spray tan two weeks after surgery, but make sure your incision line is protected or covered. We do not advise patients to go to the tanning bed until six weeks after surgery.