Body Plastic Surgery and Intimate Surgery in Londrina

I perform a comprehensive range of body plastic surgery and female intimate surgery procedures at my clinic in Londrina, Brazil. My specialties include labiaplasty (labia reduction), pubic liposuction, fat grafting to the labia majora, clitoral hood reduction, and vaginoplasty. Each procedure is planned individually, taking into account the anatomy and aesthetic goals of each patient.

Labiaplasty, also called labia reduction or labial surgery, is the surgical reduction of the labia minora. I prefer the wedge technique labiaplasty, which I learned directly from Dr. Gary Alter in the United States. This technique removes a wedge-shaped segment and preserves the natural edge of the labia, supporting a natural contour when the indication is appropriate.

Female intimate surgery is usually well tolerated when it is properly indicated and performed with appropriate anesthesia. During recovery, discomfort varies from patient to patient and is managed with prescribed medication and postoperative guidance. Many patients return to light activities in a few days, but this depends on the specific procedure and individual healing.

Recovery after intimate surgery depends on the procedure performed and on individual healing. Many patients return to daily activities in about 3 to 5 days. I usually recommend avoiding intense physical exercise for 3 weeks and sexual intercourse for approximately 40 days, but the final guidance is individualized after surgery.

The wedge technique is planned so the scar can be positioned within the natural folds and borders of the labia. The suture is performed with delicate absorbable threads, and the final appearance depends on anatomy, healing quality, postoperative care, and the extent of the correction.

Pubic liposuction, also known as mons pubis liposuction, is recommended for women who have excess fat in the mons pubis -- the area above the pubic bone that can cause discomfort when wearing tight pants or a bikini. I perform precise pubic area contouring through small incisions, with the goal of improving contour while respecting the patient's anatomy.

Yes, in many cases it is possible to combine procedures when the patient's health, anatomy, and surgical plan allow it. For example, labia reduction may be combined with pubic liposuction or fat grafting to the labia majora in the same surgical session. The indication is only made after evaluating safety, operative time, and recovery.

The type of anesthesia depends on the procedure. Labia reduction, for example, can often be performed with local anesthesia combined with sedation. In more extensive or combined procedures, epidural or general anesthesia may be necessary. I discuss the options, benefits, and risks with each patient during the consultation.

In the initial consultation, I evaluate the area to be treated, discuss the patient's expectations, and explain the procedure in detail, including technique, risks, alternatives, and postoperative care. It is also the right time to ask questions. Preoperative tests are requested when surgery is being planned.

The results of intimate surgery are generally long-lasting, but they are not immune to aging, weight changes, pregnancy, hormonal factors, or individual healing. In labia reduction and pubic liposuction, removed tissue does not usually grow back; in fat grafting to the labia majora, part of the grafted fat may be absorbed in the first months.