Sexual Aesthetics

External genital organs and vagina problems can lead to problems such as serious lack of self-confidence, clothing choice problems, discomfort and dissatisfaction during sexual intercourse, and penis problems in men. With the knowledge that deformities in the sexual areas can be corrected, the demand for these operations is increasing day by day. Correction and reduction of the inner lips in women, labiaplasty, correction of episiotomy scars, narrowing of the vagina with vaginoplasty, fat injection or liposuction to the outer lips and pubic area, and hymenoplasty are the surgeries performed for this purpose. Penis curvature correction, lengthening and prosthesis installation are some of the surgeries performed in men.

Labioplasty
Many women complain about the size of the labia minora (inner lip) in their sexual area. Problems in wearing trousers or swimming costumes, shyness and distress in sexual life, and hygiene problems are the most common problems experienced. Most women do not want the inner lips to be larger than the outer lips or to extend beyond the outer lips. Large or unequal inner lips can lead to lack of self-confidence and respect in women. Sometimes it can also cause problems between spouses. Enlarged labia majora may be genetically normal or may be the result of hormonal effects, childbearing, stretching, or chronic irritation. Labiaplasty surgery is a relatively minor procedure in which the inner lips are reduced and their shape corrected. The surgery takes 1-2 hours. Partial swelling and pain may occur in the inner lips after the surgery, which can be performed under general anesthesia, epidural anesthesia or local anesthesia and sedation. It is a surgery that is generally well tolerated by patients. Postoperative antibiotic treatment is recommended and surgical site cleaning is taught. Patients can return to work within 2-3 days. It is recommended to restrict sexual intercourse for 3-6 weeks and since dissolvable stitches are used, stitch removal is not required. The scar is not visible because it is very well camouflaged. Although there are complications such as anesthesia risks, infection, bleeding, wound opening, asymmetry, and the need for new surgery, no problems are encountered when performed by expert surgeons.

 Vulva Aesthetics (Liposuction or Fat Injection)
The outer lips called labia majora and the triangular hairy mons pubis area can sometimes be too prominent and developed. This situation, which makes it difficult to wear underwear and trousers, can cause discomfort in women. Liposuction can ensure that this area has the ideal size and appearance. This surgery, which is generally performed under general anesthesia, takes about 30 minutes. There may be swelling and bruising in this area after the surgery. Final results can be seen within 4-6 weeks. When the outer lips and the mons pubis area just above them are too flat and atrophic after menopause, due to some diseases, or normally, an aesthetic appearance does not occur, and the inner lips and sometimes the vaginal entrance area may remain open. This deformity can be corrected by fat injections taken from another part of the body. This surgery, which is generally performed under general anesthesia, takes about 30 minutes. There may be swelling and bruising in this area after the surgery. Final results can be observed within 1-2 weeks.

Vagina Tightening Renewal Surgeries (Vaginoplasty)
With advancing age, after multiple and difficult vaginal child births, the vaginal mucosa, environmental support and Looseness may occur in muscle tissues. This situation causes an enlarged and loose vaginal tissue, sometimes sagging of tissues such as the bladder, urethra and rectum, and complaints such as urinary incontinence and constipation. A wide and loose vagina may cause decreased pleasure in sexual intercourse for the partners.

Birth tear
occurs when the vagina uncontrollably tears towards the anus during normal birth, especially in the first birth. Sometimes the birth tear can be very severe and extend into the intestine. Especially in the first birth, an incision called episiotomy is made to prevent the vagina from tearing when the baby's head comes out. In addition, failure to sew the episiotomy correctly may disrupt the appearance of the genital organ and vagina. Birth tear may also cause loosening at the entrance to the vagina. Vaginoplasty surgeries are performed to solve these complaints. When there are problems such as urinary incontinence and constipation, cystocele and rectocele repairs may be required. attached. Labiaplasty surgery can also be performed at the same time. Vaginoplasty surgery is a surgery that takes about 1-2 hours and is performed under general anesthesia. During the surgery, deformities in the vaginal area are corrected, narrowing and tightening are performed. Dissolvable stitches are used in the surgery and no stitches need to be removed. Patients can return to their daily lives after 1-2 days. It is recommended to restrict sexual intercourse for up to 6 weeks. In order to prevent the old deformity from recurring in a new pregnancy after surgery, cesarean delivery is recommended. However, there is nothing that prevents normal birth.

Clitoris Reduction
Clitoris tissue is a budding-shaped structure located at the front end of the vaginal opening in women. It may have a different structure and size in each woman. It is continuous with the inner lips and is protected by the outer lips. It grows as it fills with blood during sexual intercourse. When the surrounding skin tissue and outer lips are excessively large, the growth of the clitoris tissue may be prevented and stimulation during sexual intercourse may be prevented. By removing this obstacle, it becomes easier to enjoy sexual intercourse. The surgery, which is roughly similar to male circumcision, takes about 1 hour. It is usually performed under general anesthesia. During the surgery, excess skin tissue is removed and dissolvable stitches are used. Specialists must be careful about infection and bleeding during this surgery. In this surgery, which requires a lot of effort, full recovery takes about 2 weeks. During this period, sitting, driving and exercise restrictions are required. 3-4 cm inside, on the upper wall, immediately adjacent to the urinary tract, there are "Skene's glands", which produce fluid similar to the prostate gland in men, and an area with contractile properties (erectile tissue). This tissue, where Skene's glands are densely located in women, is called the G spot. After sexual stimulation, arousal occurs with increased secretion at the G point. The G spot is seen as a tissue that provides stimulation along with the clitoris. This sensitive area, which is more visible as a result of the reinforcement of these areas with dermal fillers, provides easier arousal and orgasm in patients. . This procedure is a non-surgical procedure performed under examination conditions. The patient can immediately return to daily life and sexual life.

Hymenoplasty
Hymen, called 'hymen', covers the structure called urogenital sinus, which enables the formation of internal sexual organs in women during embryological development. It occurs when the middle of the membrane structure degenerates and opens. Thanks to the opening in the hymen structure, menstrual discharge occurs in women. It has various forms. Some women request hymen repair for ethnic, social, cultural and religious reasons. The surgery, which can be performed with general anesthesia or local anesthesia and sedation, takes about 30 minutes. During the surgery, the surrounding tissues are stitched with a special technique, or repair can be made with the vaginal mucosa called a 'flap' from the area. The patient can immediately return to daily activities. Depending on the stitch used, stitches may sometimes need to be removed.

Penis Thickening and Lengthening
Penis lengthening surgeries are various surgeries performed for men who have problems with the size of their sexual organ, that is, their penis. The topic of penis enlargement has been an area of ​​interest for men since ancient times. A large and large penis, seen as a symbol of masculinity and strong man, is defined by its full erection size. While the length of the penis is on average 2-2.5 cm at birth, it reaches 5-6 cm in the pre-adolescent period. The penis, which reaches 8-10 cm in adolescence, can be approximately 15-16 cm in case of erection (hardening). Sexual plastic surgery methods used in the world to extend penis size or enlarge the penis are limited. The most commonly used method is by releasing a portion of the suspensory connective tissue (ligament) that connects the penis from its root to the pubic bone, removing some of the penile tissue remaining inside, and sliding the skin over it from the sides. Sometimes, elongation is achieved by advancing the skin tissues onto the penis in a V-Y shape from the root of the penis. In this method, hairy skin may advance into the penis tissue. Following this, months of treatment are required to make the penis grow longer with weights. In order to increase the thickness of the penis, fat or skin-fat layer should be taken from the person or Alloderm (dermal matrix tissue) is transplanted under the skin of the penis. Vacuum pumps, which are claimed to enlarge the penis, can cause damage and damage due to reverse pressure on the valves that hold the blood inside the penis when it becomes erect. In addition, even if very small valves are provided with this type of application, the penis returns to its previous size when the application is stopped, that is, its effects are not permanent. Fat injections cannot provide permanent results and injection sessions in the valves may be required. It is not possible to find the same hard consistency during erection.

Penoscrotal Webbing
In some men, the scrotum extends like a web up to the tip of the penis, causing the border between the penis and the scrotum to become unclear. can open. This image may lead to the appearance of a short penis. It may also cause problems during sexual intercourse. This condition may be congenital or may have occurred as a result of excess skin being removed during circumcision. In surgery, the mesh area is removed and repaired with zigzag incisions and stitches (Z plasty). It is a relatively easy procedure. It is performed under general anesthesia.

Correction of Penile Curvature
Penile curvature is a common problem that can be congenital or acquired. It can happen anywhere along the length of the penis and in any direction. Congenital (born) penis curvature may be downward and is called 'Congenital chordee'. The reason is that scar tissue at the bottom of the penis pulls it downwards. The reason why this curvature is sideways is that the penis is pulled towards the shorter side as a result of the inequality in the length of the tissues that provide erection. Peyronie's disease, which is a subsequent curvature of the penis, is a disease characterized by the scar tissue formed in the tunica albuginea tissue around the erectile tissues, restricting the erection of this scarred area during penis erection and causing curvature in that area. In this disease, which is generally seen between the ages of 40-60, the scar tissue is generally in the upper part and the curvature is upward. Improvement can be observed in half of the patients in the first 12 months. The exact cause is unknown. Sometimes, due to trauma to the penis as a result of strain during sexual intercourse or other reasons, fractures and injuries occur in the cavernous tissues that provide erection.

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