Nowadays we are very concerned about our physical appearance, and an important part that is increasingly treated as a matter of course is the genital area.

Facts that may influence the increasing importance given to the appearance of the genitals are factors such as the popularization of full depilation, nude films, etc. and that in general the progress of society makes taboos disappear when talking about this intimate area.



As for male genital surgery, an increase in demand has also been observed. The majority of patients who request these procedures are completely normal (according to scientific publications, normality is understood as a size between 7 to 12 cm in length at rest, and 12 to 16 cm in erection). Regarding the usual circumference it is usually about 9 cm at rest, increasing up to 12 cm in erection.



What is the aesthetic aspect that female genitalia should present?

In general, the ideal of harmony in this anatomical set would be as follows: labia majora and labia minora symmetrical, with the labia minora covered by the labia majora (the labia minora should not protrude beyond the labia majora). The labia majora should be taut, with a moderate cushion of subcutaneous fat, sufficient (not absent or excessive), and full (not sagging or drooping).




It is a common procedure, and increasingly demanded by many patients. Hypertrophy (overgrowth) of the labia minora is an aesthetic and sometimes functional concern.

This is why we have patients who consult us simply because they want to improve the aesthetic appearance of this area, and labia minora reduction surgery achieves this, in a simple and painless procedure. It is usually performed in the operating room, under local anesthesia and sedation (no general anesthesia or hospitalization is required). Patients go home 2-3 hours after the procedure.

On the other hand, sometimes there are medical reasons to perform this intervention, when the hypertrophy of the labia minora is such that it causes discomfort or discomfort to patients (problems in sexual intercourse, when playing sports, when wearing tight clothing, etc.). ). In this case the procedure is similar to what we have already mentioned. Resorbable stitches are usually placed, which fall out by themselves, and this tissue heals quickly (in 7-10 days it is completely healed).

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It can be done alone or combined with labia minora reduction. Lipofilling consists of grafting the patient’s own adipose tissue in the desired area, in this case, the labia majora. This is achieved by “rejuvenating” the area, since over the years fat is usually lost, and with it the smoothness, finding the external genitalia flaccid and sagging.

The fat or adipose tissue is extracted from the patient herself, from the abdomen, thighs, buttocks… and is processed to obtain a pure and clean adipose fraction (our technique is washing and centrifugation).

This is the graft that will be deposited in the labia majora to restore their more harmonious appearance.




This procedure basically consists of cutting the suspensory ligament of the penis. The suspensory ligament is anchored to the pubis and the base of the penis. Its resection can increase the size of the penis by 1 + /-0.7 cm, without functional repercussions. It is a delicate procedure since the ligament must be adequately loosened avoiding injury to delicate structures such as sensitive nerves, spermatic ducts, or the corpora cavernosa.

Other ancillary procedures that can help improve the outcome are liposuction of the pubic area and the VY flap at the incision to access the suspensory ligament.

As a disadvantage, some patients report a certain sensation of instability of the penis during erection, although this does not cause any functional problems of any kind.


This procedure consists of infiltrating subcutaneous fat into the penis. The fat is obtained from the patient himself with a small liposuction (abdomen, flanks, etc.) is processed and purified, and is grafted in the entire penile cylinder, excluding the glans penis.

Circumference increases of about 1 cm can be expected.

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