Intimate plastic surgery

The development of new technologies and easy access to information on the Internet, along with the widespread use of visual media, has significantly impacted the psychological development of young people, especially during adolescence. In particular, girls and young women today place great importance on their appearance and often aspire to idealize various parts of their bodies, including the external genitalia. In some cultures, such as in Japan, the «bi-winged» butterfly-shaped labia minora were admired and considered attractive. However, in most Western countries, minimal labial prominence has been seen as the aesthetic norm.

The Royal College of Obstetricians and Gynaecologists (RCOG) has presented ethical guidelines regarding female genital cosmetic surgery, including discussions about the influence of pre- and postoperative photographic materials and online advertising.

Hypertrophy of the labia minora has been referenced as early as 1771 by James Cook, and later defined by anatomist Georges Cuvier, as tissue extending beyond the labia majora. However, the definition of true hypertrophy remains debated, with no universal consensus among gynecologists, pediatricians, and plastic surgeons.

Friedrich proposed that hypertrophy be defined when the labia minora measure more than 50 mm from the midline to the lateral edge. More recent standards suggest thresholds of 30–40 mm.

Etiology of Hypertrophy:

• Myelodysplasia
• Lymphangiomas and lymphedema
• Chronic irritation
• Inflammatory diseases (e.g., Crohn’s disease, endometriosis)
• Exposure to exogenous androgens
• Laron syndrome
• Traditional ethnic modifications
• Masturbation during puberty

Motivations for Intimate Plastic Surgery in Yerevan, Armenia:

• Psychological discomfort
• Emotional stress
• Embarrassment and anxiety
• Low self-esteem

According to Miklos and Moore, patients seeking corrective surgery fall into three categories: those seeking purely aesthetic improvement; those with functional complaints (e.g., pain, discomfort); and those experiencing both.

Aesthetic concerns are cited by 68%–87% of women as the main motivation for intimate plastic surgery in Yerevan, Armenia. Only around 10% mention external pressure from partners, suggesting that self-perception plays a major role.

Embarrassment may begin as early as adolescence, during communal changing scenarios, leading to body image concerns even in the absence of physical pathology. Some patients also report discomfort while wearing underwear or needing to fold or push the labia inward for a smoother appearance.

These issues can impact quality of life, including difficulties with sports (e.g., cycling, running, swimming) and sexual activity (dyspareunia, irritation, and hygiene problems), which in turn may lead to chronic infections and pain.

Intimate Plastic Surgery in Yerevan, Armenia: Pros and Cons

Various surgical methods such as elliptical excision, wedge excision, double wedge excision, zig-zag technique, and deepithelialization are well-documented in the medical literature. Indications for surgery include functional, social, aesthetic, and sexual concerns across a wide age range. However, surgery is considered appropriate only in carefully selected cases.

Possible side effects include:

• Scarring
• Chronic vulvar pain
• Dyspareunia (pain during intercourse)
• Asymmetry (may require revision)
• Bleeding

In particular, Miklos and Moore report that patients who wish to undergo corrective surgery can be divided into three broad categories: strictly for aesthetic reasons; individuals with exclusively functional impairments (pain and/or discomfort); and those with both problems.

As for the aesthetic side, 68%- 87% of women identify this problem as one of, or the main reason for wanting to have intimate plastic surgery in Yerevan, Armenia. And only 10% say that this decision was made under the influence of their sexual partners, which indicates that self-esteem is a serious problem.

Embarrassment may be the result of directly comparing girls to each other during adolescence, for example, when changing clothes in common rooms and rooms; this comparison causes psychological complexes in some girls, even in the absence of true physical problems. Many complain about the presence of bulges when wearing underwear, and some about the need to constantly fold the MPGs or push them into the vaginal cavity in order to visually reduce the bulge.

All this affects the normal life of women, including sports (for example, running, cycling, swimming) or intimate life (soreness or discomfort during sexual intercourse — dyspareunia, as well as irritation and problems with personal hygiene, which, in turn, can cause chronic infection, pain and additional irritation).

Intimate plastic surgery in Yerevan, Armenia: pros and cons.

Many methods, such as elliptical excision, wedge and double wedge excision, zig-zag, deepithelialization, are available and widely described in the medical literature. Indications for surgical treatment of hypertrophy are associated with functional, social, aesthetic, and sexual problems in a wide age range, and only in carefully selected cases is this type of surgery considered justified. It is important that patients are aware of possible side effects after intimate plastic surgery in Yerevan, Armenia:

• scars.
• chronic vulvar pain.
• dyspareunia.
• asymmetries (requiring repeated correction).
• bleeding.
• Intimate plastic surgery

The procedure:

The surgery typically lasts around 30 minutes. Absorbable sutures dissolve on their own within about a week.

As with any surgery, bruising, swelling, and mild pain may occur and typically resolve within 2–4 weeks. Ice packs are recommended during the first 48 hours to reduce swelling. Showers are allowed after 1–2 days, but bathing should be avoided for 3–4 weeks. Comfortable cotton underwear is advised.

Patients should avoid physical activities such as running, cycling, or swimming for 2 weeks and refrain from sexual activity for 4–6 weeks post-surgery.

According to RCOG, intimate plastic surgery in Yerevan, Armenia should not be performed before the age of 18. This is partly due to hormonal influences during puberty, where the labia minora can undergo natural enlargement. Exposure to endocrine-disrupting chemicals like xenoestrogens can further affect development.

Labia Majora Augmentation

Correction of labia minora hypertrophy is often complemented with labia majora volume restoration. Protrusion of the labia minora can result not only from their enlargement but also from the atrophy of surrounding tissues. At our clinic, we use autologous fat transfer (lipofilling) to enlarge the labia majora, providing both aesthetic and functional improvements.

Liposuction-Assisted Intimate Surgery

Liposuction can reduce volume in the pubic area. In Yerevan, Armenia, this is often performed alongside abdominoplasty to enhance the overall contour.

Postpartum Intimate Plastic Surgery in Yerevan, Armenia

Post-childbirth vaginal rejuvenation has become increasingly popular among women who prioritize fulfilling and comfortable intimate relationships. Plastic surgeons and gynecologists collaborate to restore vaginal tone and pelvic floor function.

G-Spot Augmentation

The G-spot is a sensitive erogenous zone first described by Dr. Ernst Gräfenberg in 1940. Located on the anterior vaginal wall about 4–5 cm from the urethral opening, its size can expand significantly during arousal.

Procedure: G-spot Enhancement via Lipofilling

Autologous fat is injected into the G-spot area to enhance its prominence and sensitivity. The procedure takes about 1 hour under local anesthesia, with a recovery period of 3 days.

In addition to lipofilling, our clinic offers injections of stem cells (ADSCs), nanosized fat grafts, and injectable platelet-rich fibrin (iPRF) into the vaginal mucosa, clitoral base, and labia minora. These methods improve elasticity, tissue folding, and sexual sensitivity.

Scientific Background on G-Spot Augmentation

The very existence of the G-spot continues to be debated within the scientific community. However, public interest and the growing focus on sexual wellness have led to increased acceptance and demand for procedures aimed at enhancing this erogenous zone. Clinical practice has evolved to include surgical options for G-spot enhancement, especially in centers specializing in sexual aesthetics.