Measuring success
The success of vaginoplasty is personal and subjective � to the surgeon, the
patient or her partner. The true measure of success would be the three
parties are happy. I always abide by my teacher's wisdom of treating a
patient as "a whole, not a hole".  It's important to be sensitive to the
psychological and emotional aspects of the patient and her partner. It helps
manage expectations and improve the chances of a successful outcome. The
majority of my patients, who have sought vaginoplasty, are in the
pre-menopausal stage and a significant number is in their 30s. They have
certainly reported better sexual satisfaction � and relationship � after the
surgery.
But the greatest sex organ is truly what's between the ears � the brain.
Stimulation of the clitoris and vulva, which can be achieved through
foreplay, sends positive signals to the brain, which in turn gives sexual
satisfaction. However, a satisfactory vulval/vaginal stimulation still
requires a "good fit".  While vaginoplasty is not the one-size-fits-all
solution to enhancing sex life, it cannot be denied that a proper fit does
matter in bed.
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Headline: Labioplasty

Apart from vaginoplasty, I'm seeing more patients requesting for Labioplasty
(reduction of the labia). Some patients, especially those below 40 years
old, are very upset by their enlarged labia. Some complained that
penetration was more difficult and they felt a pain when their partner
searched for the point of entry. Others felt depressed when their partners
looked at their vulva and got turned off by the sight. Labioplasty is a
simple surgery involving the excess labia skin being cut away using a
straight or a zigzag interlocking cut. Stitching is done using very fine
sutures and these are removed within a week.  Labioplasty can be done as a
day procedure with excellent results.
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