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Date published: 4 August 2020. Hymenorrhaphy, or hymen reconstruction surgery, is a cosmetic procedure and is not . Mini Tummy Tuck (Mini Abdominoplasty) Full Tummy Tuck (Abdominoplasty) Liposuction. Dr. Deepesh Goyal, our Founder, is a renowned cosmetic and plastic surgeon in Ja. December 2020- May 2021. Shiraz: Aseman Street, Bessat Blvd. The NHS and NICE guidelines recommend having your moles checked by an expert every six months - at a minimum. He was appointed as an NHS Consultant in 2011 at Ninewells Hospital, Dundee. "Lockdown helped me make the final decision to have the surgery. Hymenorrhaphy or hymen reconstruction surgery is the surgical restoration of the hymen. The NHS criteria for weight loss surgery in accordance with the NICE guidelines include, e.g. what is the blinding of the cyclops compared to. that should be considered when booking a cosmetic procedure. Amendments to the NHS (Charges to Overseas Visitors) Regulations 2015 were introduced into Parliament on 19 July 2017. . Whilst this was potentially an option, she didn't want to risk her overall health while she was on a long waiting list. Read more about choosing who will do your cosmetic procedure. NHS leaders set out vision for vibrant Weston Hospital at the heart of local health services . From 116 verified reviews Roger Connolly, 17 September 2020. i started puberty very young so have had these for as long as i remember. Kingsbridge Private Hospital. Cost of Labiaplasty Publication Information: From February 2020, ISD plan to publish the NHS Waiting Times - Stage of Treatment publication at specialty level. September 2018. Abdominoplasty Milton Keynes Prices. Note: Lipomas that are less than 5cms should be observed only using soft tissue sarcoma guidelines (SIGN 2003). Laser hair removal. Abdominoplasty Milton Keynes Prices. Consultation. A count of Finished Consultant Episodes (FCEs) where an OPCS v.4 code for a labiaplasty procedure has been recorded by the patient age group (under 18, 18 and over) and recorded ethnicity for each year from 2008-09 to 2019-20 (provisional). When exiting the shower, gently pat dry and apply clean bandages if needed. Microdermabrasion. As a result, NHS waiting times have got longer for many various . CPT 2020 also states that "Code 19303 describes total removal of ipsilateral breast tissue with or without removal of skin and/or nipples (eg, nipple-sparing), for treatment or . View Treatment. If there is diagnostic doubt and removal is required to . Dear Ms Skillman. Whatsapp +91 96435-37060; Call Us +91 96435-37060; Email Us query@subashmedicos.com; Menu. Among the ambitions are: - The NHS will "eliminate" waits of up to 18 months by April next year, and waits exceeding 65 weeks by March 2024. Data quality Information for data providers Background Waiting times data mart Labiaplasty surgery can reshape and reduce the size and prominence of your labia Minora/Majora, the inner . All independent clinics and hospitals that provide cosmetic surgery in England must be registered with the CQC. By February 2022, it had decreased slightly to 299,478, but this is still 186 times higher than in January 2020. You will often be given an ice pack to help manage any pain. Place the other hand under the water. View details. The NEL Evidence Based Interventions Policy (NEL EBI) is a list of treatments/interventions that are only funded by the NHS when a patient meets certain clinical threshold criteria. The money allocated in the Chancellor Rishi Sunak's Budget does not amount to enough extra spending for the NHS in England to recover from the crisis and its fallout, according to health experts who argue the health service needs at least 10bn more in 2021-22. +987136480209. 0207 487 0910 https://www.thelondontransgenderclinic.uk. Remove the nail file from the scrub brush packaging. As a result, NHS Digital no longer supports any version of Internet Explorer for our web-based products, as it involves considerable extra effort and expense, which cannot be justified from public funds. We have launched a new range of audiology services as part of our Ear, Nose and Throat (ENT) department. A successful surgery includes completely removing the polyp, an improvement in symptoms, and healing well. Dr Titus Adams London UK. September 2017. Some women consider having a labiaplasty because they don't like the look of. The cheapest price available is 3,280 - what are you waiting for? hello, Im 19 (without children) and have two large labias. Cost of traditional bunion surgery UK. 54 Wimpole St London , W1G 8YJ. Scott Ennis My Profile City of Procedure: Destin Sate of Procedure: FL. Whatsapp +91 96435-37060; Call Us +91 96435-37060; Email Us [emailprotected]; Menu. it is expected according to them to be not any earlier than July 2020. then there's a 12-18 months gap between appointments. Mini Abdominoplasty - Price start from 6,125. Non-Surgical Fat Reduction. NHS leaders set out vision for vibrant Weston Hospital at the heart of local health services . About Infrastructure . February 2018. Elective procedures, such as medically-necessary rhinoplasty, have been cancelled in order to divert staff to help with the Covid-19 crisis. Between 2015 and 2016, more than 200 girls under 18 had a labiaplasty, of which. Home Our Practice Patient Testimonials. Non-surgical procedures. Rejuvena Cosmo Care is one of the leading plastic surgery clinics in Jaipur. If necessary, youcan raise a concern about a doctor to the GMC. the patient is referred using a two-week wait referral form for suspected cancer. With well over 10.000 cosmetic surgeries to his credit Italian-born Dr Marcellino is an established. Laser hair removal. The following or not routinely commissioned or only commissioned in certain circumstances. London Transgender Clinic. Avoid leaving a gap of longer than 4-5 hours between meals. Impact Of Brexit On Eu Workers In Uk, View details. In order to be eligible for an NHS labiaplasty you will need to have physical reasons why you require one. Whether you can have a Tummy Tuck is dependent . Java Lang Unsatisfiedlinkerror No In Java Library Path, Grim Dawn Attack Damage Converted To Health, Best Suburbs To Invest In Melbourne 2021 Under 500k, Blue Roan Cocker Spaniel Puppies For Sale South West, can you use a cobb accessport on a different car, hombres que buscaron la presencia de dios, jw marriott mall of america room service menu, department of health and human services secretary. The NHS and NICE guidelines recommend having your moles checked by an expert every six months - at a minimum. CPT 2020 also states that "Code 19303 describes total removal of ipsilateral breast tissue with or without removal of skin and/or nipples (eg, nipple-sparing), for treatment or . May 20, 2021; promedica flower hospital npi; inventory management decisions ppt . has said he believes the NHS waiting list is going to grow even more due to 8-9 million people who have stayed away during the pandemic.Speaking on Sky News, he urged those who have stayed away to "please come forward". April 2020 October 2019. 200. Cost of traditional bunion surgery UK. When combining this with the time to attain a GP referral . Methods 448 adult women were surveyed concerning their opinion of a surgical procedure to reduce the size of an unspecified organ related to a woman's sexuality, breast reduction, and labia. A labiaplasty can be done using either a general anaesthetic or a local anaesthetic with sedation. During 2020 - a year like no other - Suzie had the opportunity to look into the cost of having weight loss surgery privately. The best way to reduce symptoms of IBS is to make lifestyle changes such as: I lead a very healthy active lifestyle, train at the gym 6-7 days each week as a way to destress and keep active, drink between 2-3 litres of water each day and avoid my food intolerances. 5. based on 141 reviews. Since the 23rd April we. As a guide, on the face, sutures should be removed in 5-7 days; on the neck, 7 days; on the scalp, 10 days; on the trunk and upper extremities, 10-14 days; and on the lower extremities, 14-21 days . - Waits of longer than a year will end by March . Some women consider having a labiaplasty because they don't like the look of. Apparently, the aim of sleeve gastrectomy is limiting the amount of . The main idea of gastric sleeve is removing 70% - 80% of the stomach. 4 Trumpington Road. Bristol Body Contouring Options. Whilst this was potentially an option, she didn't want to risk her overall health while she was on a long waiting list. Until then, take showers only. Whether you can have a Tummy Tuck is dependent . Dr. Deepesh Goyal, our Founder, is a renowned cosmetic and plastic surgeon in Ja. About Infrastructure . The NHS criteria for weight loss surgery in accordance with the NICE guidelines include, e.g. Amazing doctor and staff, I recently had labiaplasty under local anesthesia and it was the best experience of my life, the team made me feel very comfortable and I love love love my results. We are here to raise the standard of healthcare and make it accessible to all. Orthopaedic Consultant Surgeon, Mr Bianchi is an expert in his field and has been carrying out bunion operations for 15 years Dr Bianchi carries out on average 1,200 bunion operations a year Walk immediately after surgery No need for an overnight stay Minimal post-operative pain and aftercare required. Some of our partner hospitals are currently contracted with the NHS to help tackle the mounting NHS waiting lists. Home / / labiaplasty nhs waiting list 2020. labiaplasty nhs waiting list 2020 County Down, United Kingdom. These surgeries are highly effective and minimally invasive. With well over 10.000 cosmetic surgeries to his credit Italian-born Dr Marcellino is an established. It involves shortening or reshaping the vaginal lips. Chemical peels. If you have difficulty installing or accessing a different browser, contact your IT support team. Labiaplasty can be an embarrassing topic to discuss. The small pouch that is left has a shape of a sleeve. He left his NHS post in 2020 to concentrate purely on private practice. Dr Julian De Silva is a renowned surgeon who specialises in only facial plastic surgery. Home; Hospitals; . Dr Titus Adams London UK. Clean beneath your nails. One of our friendly staff will be delighted to help with your enquiry. Vaginoplasty is a vaginal rejuvenation surgery that aims to tighten up the vagina by correcting the distension of the vaginal canal tissues and recover the contraction capacity of the vaginal muscles. Scott Ennis My Profile City of Procedure: Destin Sate of Procedure: FL. The outlook Uterine polyp removal normally improves symptoms. But it's completely normal to have noticeable skin folds around the opening of your vagina. Kingsbridge Private Hospital. Consultation. For recommendations previously supported by the Joint Business Executive Committee (March 2020): The Business Executive Committee is asked to note the commissioning statements for the 30 policies, previously supported, which will be taken through the required governance steps prior to being implemented. View details. Data quality Information for data providers Background Waiting times data mart A labiaplasty is surgery to reduce the size of the labia minora - the flaps of skin either side of the vaginal opening. October 2017. Read more>>. In January 2020, before coronavirus (COVID-19) began to impact on the UK, more than one in six patients were waiting more than 18 weeks for routine treatment. When exiting the shower, gently pat dry and apply clean bandages if needed. As a result, NHS waiting times have got longer for many various . This means non-urgent surgery is not being carried out at those locations. Labiaplasty surgery can reshape and reduce the size and prominence of your labia Minora/Majora, the inner . - Waits of longer than a year will end by March . I'm now 18 and am too old for the kids clinic, so am now on the Charing Cross waiting list. He performs not only Plastic Surgery, Non- Surgical Aesthetics treatments but also Reconstructive and Microsurgery.. His list of surgeries comes in a range of facial rejuvenation, breasts, body contouring procedures as well as extreme makeover cases. Mini Abdominoplasty - Price start from 6,125. 54 Wimpole St London , W1G 8YJ. Labia reduction surgery (also known as labiaplasty) is becoming an increasingly popular procedure for women who are concerned about the shape and size of their labia, whether it is a result of natural childbirth, age, or even weight loss. 0117 906 4870. Competitors. Dermatology meet 2022 provides a platform to exchange the knowledge which highlights the . Vaser Liposuction. About. The virus has also had an impact on staff sickness. Unfortunately, Covid-19 has had a huge impact on NHS waiting times across the board. Dr Titus Adams London UK. Dr. Deepesh Goyal, our Founder, is a renowned cosmetic and plastic surgeon in Ja. 0207 901 8500. Dear Ms Skillman. The unwanted tissue is cut away with a scalpel or laser. When exiting the shower, gently pat dry and apply clean bandages if needed. The virus has also had an impact on staff sickness. Of the remaining 15% of couples, 50% of these will conceive within 2yrs and the other 50% will be unable to conceive naturally. Even before the pandemic took charge, in January 2020 the number of patients waiting more than 18 weeks increased nearly threefold to 730,267 in this 4-year period . View details. In order to be eligible for an NHS labiaplasty you will need to have physical reasons why you require one. During the surgery, a reduction of the muscles around the vagina is performed, which improves muscle tone and elasticity. When it comes to NHS waiting lists for top surgery, I feel like I'll be waiting way too long. Continue reading. August 2017 . Amazing doctor and staff, I recently had labiaplasty under local anesthesia and it was the best experience of my life, the team made me feel very comfortable and I love love love my results. As a guide, on the face, sutures should be removed in 5-7 days; on the neck, 7 days; on the scalp, 10 days; on the trunk and upper extremities, 10-14 days; and on the lower extremities, 14-21 days . Abdominoplasty Milton Keynes Prices. hello, Im 19 (without children) and have two large labias. According to our methodology, we estimate well above 7 million patients will be on a waiting list by the end of July 2020. pharmacy and minor injury services during Easter 2020 Health services during the coronavirus pandemic and how to access them . Price Range for Labiaplasty: $2,000 . It is possible to get a labiaplasty on the NHS and you can be referred by your GP. Non-reconstructive vaginoplasty or "vaginal rejuvenation" used to restore vaginal tone and appearance is not routinely commissioned. For recommendations previously supported by the Joint Business Executive Committee (March 2020): The Business Executive Committee is asked to note the commissioning statements for the 30 policies, previously supported, which will be taken through the required governance steps prior to being implemented. To do this, skin from your scrotum will be taken out and thinned so it works well as a skin graft. 1. You will need to be assessed in order to determine whether or not this is the case, and then you will be referred to a gynaecologist. Vaginoplasty is a surgical procedure involves the creation or reshaping of the vagina. Vaginoplasty is a surgical procedure involves the creation or reshaping of the vagina. Hold the file in your dominant hand. Dear Jo, Thank you so much for your time & expertise with (my husband's) back! This helps reduce scarring. No scar Rejuvena Cosmo Care is one of the leading plastic surgery clinics in Jaipur. While free treatment is possible on the NHS, many hospitals will only operate for extreme cases which often requires being added to a waiting list. Labiaplasty surgery can reshape and reduce the size and prominence of your labia Minora/Majora, the inner . BS8 1BN. The Private Clinic. Or send us an enquiry. +9821 8873 544, Mashhad: W Danesh st, Emam Reza Blvd. We are here to raise the standard of healthcare and make it accessible to all. The best way to reduce symptoms of IBS is to make lifestyle changes such as: I lead a very healthy active lifestyle, train at the gym 6-7 days each week as a way to destress and keep active, drink between 2-3 litres of water each day and avoid my food intolerances. When combining this with the time to attain a GP referral . As of October 2020, there are over 162 888 patients waiting a year to receive treatment - in contrast, this was only 1 032 in July 2019. If you are looking for some other types of bariatric surgery nhs, you need to check whether they can be funded. Dr Massimo Marcellino London UK. Laser hair removal. Dr Julian De Silva, 23 Harley Street, London. As a result, NHS waiting times have got longer for many various . We are here to raise the standard of healthcare and make it accessible to all. November 2017. May 2020. Avoid leaving a gap of longer than 4-5 hours between meals. One in four people with mental health problems has to wait at least three months to start NHS treatment, and some do not get help for four years, new research reveals. Labiaplasty procedures. 0207 487 0910 https://www.thelondontransgenderclinic.uk. Botox injections. Hymenorrhaphy or hymen reconstruction surgery is the surgical restoration of the hymen. What a fantastic hospital to attend for Surgery, just back from a . We offer you complete transparency because we work for you, not the hospitals. Summary: A count of Finished Consultant Episodes (FCEs) where an OPCS v.4 code for a labiaplasty procedure has been recorded by the patient age group (under 18, 18 and over) and recorded ethnicity for each year from 2008-09 to 2019-20 (provisional). A labiaplasty is not classed as emergency surgery so an approved patient will have to join the labiaplasty waiting list. Botox injections. Skin lightening. Non-Surgical Skin Tightening. Skin lightening. Dr Marco is an internationally trained Plastic & Cosmetic Surgeon with over 30 years of experience. January 2006 to May 2020 3.2 Total Waiting List 3.2.1. April 2020 October 2019. It involves shortening or reshaping the vaginal lips. Westfield Health. Vaginoplasty is a vaginal rejuvenation surgery that aims to tighten up the vagina by correcting the distension of the vaginal canal tissues and recover the contraction capacity of the vaginal muscles. For recommendations previously supported by the Joint Business Executive Committee (March 2020): The Business Executive Committee is asked to note the commissioning statements for the 30 policies, previously supported, which will be taken through the required governance steps prior to being implemented. My two large labias cause me so much discomfort; i constantly am forced to 'rearrange', i cant wear certain underwear and i find wearing shorts or tight trousers a) uncomfortable, and b) noticeable. The NEL Evidence Based Interventions Policy (NEL EBI) is a list of treatments/interventions that are only funded by the NHS when a patient meets certain clinical threshold criteria. January 2018. Types of bariatric surgery nhs The most frequent nhs choices for weight loss include gastric sleeve nhs, gastric bypass and gastric band. The following or not routinely commissioned or only commissioned in certain circumstances. Since the 23rd April we. (+62) 123-456-789. The outlook Uterine polyp removal normally improves symptoms. Average Cost of Labiaplasty: $2,800 - $3,100. Until then, take showers only. If you require a nose job for medical reasons, you could apply for funding from the NHS and join the waiting list for surgery. County Down, United Kingdom. 1. Types of bariatric surgery nhs The most frequent nhs choices for weight loss include gastric sleeve nhs, gastric bypass and gastric band. Individual Funding Requests. It is possible to get a labiaplasty on the NHS and you can be referred by your GP. To do this, skin from your scrotum will be taken out and thinned so it works well as a skin graft. 3.8. Non-Surgical Skin Tightening. Abdominoplasty - Price start from 7,700. Try to avoid waiting until you are very hungry, as this can lead you to not follow the 20/20/20/20 rule and then encounter problems. 3.8. The NHS criteria for weight loss surgery in accordance with the NICE guidelines include, e.g. A Doppler ultrasound, combined with a regular ultrasound, takes images of the lower limbs to enable doctors to evaluate how well the blood is circulating and to look for the presence of deep venous thrombosis (DVT) clots. Dr Massimo Marcellino London UK. Share. Dr Julian De Silva is a renowned surgeon who specialises in only facial plastic surgery. As of October 2020, there are over 162 888 patients waiting a year to receive treatment - in contrast, this was only 1 032 in July 2019. View details. - Waits of longer than a year will end by March . Read more>>. It is possible to get a labiaplasty on the NHS and you can be referred by your GP. it is expected according to them to be not any earlier than July 2020. then there's a 12-18 months gap between appointments. Of the remaining 15% of couples, 50% of these will conceive within 2yrs and the other 50% will be unable to conceive naturally. IVF Referral Form Farnham pts 2020 - check list of eligibility form - Word format for patients registered with a Farnham GP Surgery . February 2018. This will include the same indicators and tables as the current publication but with the addition of dropdowns for specialty. 200. Elective procedures, such as medically-necessary rhinoplasty, have been cancelled in order to divert staff to help with the Covid-19 crisis. Non-Surgical Skin Tightening. Labiaplasty 3500 - 4000 A labiaplasty or labia minora reduction is designed to decrease the size of the labia minora, or 'inner lips' of the vagina. Dr Julian De Silva, 23 Harley Street, London. Dr Massimo Marcellino London UK. Patient Testimonials. This policy relates to female genitalia surgery requests including labiaplasty, vaginoplasty, hymenorrhaphy and . +985138112029. The NHS and NICE guidelines recommend having your moles checked by an expert every six months - at a minimum. When combining this with the time to attain a GP referral . Just wanted to say thank you for doing such an amazing job on my surgery. Luxmed, located in Pulawska, Warsaw, Poland offers patients Labiaplasty procedures among its total of 74 available procedures, across 14 different specialties. To do this, skin from your scrotum will be taken out and thinned so it works well as a skin graft. Allow the water to flow between your fingertip and fingernail as you remove dirt with the file. According to our methodology, we estimate well above 7 million patients will be on a waiting list by the end of July 2020. Vaginoplasty is a surgical procedure where Dr Hamlet removes the penis and scrotum to create female genitalia. Labia reduction surgery (also known as labiaplasty) is becoming an increasingly popular procedure for women who are concerned about the shape and size of their labia, whether it is a result of natural childbirth, age, or even weight loss. 5 signs and symbols that are used to convey information; what channel is cbs on directv 2021 Please wait. As a guide, on the face, sutures should be removed in 5-7 days; on the neck, 7 days; on the scalp, 10 days; on the trunk and upper extremities, 10-14 days; and on the lower extremities, 14-21 days . There's also no guarantee you'll get the result you expected, and it will not necessarily make you feel better about your body. hello, Im 19 (without children) and have two large labias. Remove the nail file from the scrub brush packaging. Luxmed. Raising the Standard of Healthcare. Remove the nail file from the scrub brush packaging. Cambridge. In the UK, the cost of traditional bunion surgery is 4,218 with consultation fees usually included. Non-reconstructive vaginoplasty or "vaginal rejuvenation" used to restore vaginal tone and appearance is not routinely commissioned. Dr. Deepesh Goyal, our Founder, is a renowned cosmetic and plastic surgeon in Ja. Rejuvena Cosmo Care is one of the leading plastic surgery clinics in Jaipur. Gastric sleeve, called also a sleeve gastrectomy, is a bariatric surgery performed for obese people who need a significant weight loss to regain health. If you've had a mole removed, it's every three months. My two large labias cause me so much discomfort; i constantly am forced to 'rearrange', i cant wear certain underwear and i find wearing shorts or tight trousers a) uncomfortable, and b) noticeable. January 2018. 2. Bristol Body Contouring Options. Home Our Practice Patient Testimonials. Dr Titus Adams London UK. Transgender people face NHS waiting list 'hell' Published. This policy relates to female genitalia surgery requests including labiaplasty, vaginoplasty, hymenorrhaphy and . Mashhad: W Danesh st . Our innovative technology enables us to monitor patient . [5] Whether you can have a Tummy Tuck is dependent . close panel . No scar 3.8. Treatment prices at Cambridge. This multi-speciality hospital has NABH accreditation and UK NHS guidelines. The NHS and NICE guidelines recommend having your moles checked by an expert every six months - at a minimum. It's normal after a labiaplasty to have soreness, bruising and swelling for up to 2 weeks. It involves shortening or reshaping the vaginal lips. Until then, take showers only. Dear Ms Skillman. The unwanted tissue is cut away with a scalpel or laser. A labiaplasty is surgery to reduce the size of the labia minora - the flaps of skin either side of the vaginal opening. Dermatology meet 2022 provides a platform to exchange the knowledge which highlights the . If you've had a mole removed, it's every three months. : having a body mass index (BMI) of 40 or higher, or over 35 for patients who suffer from other health conditions affected by their obesity, not managing to lose weight by implementing other weight loss methods such as dieting and exercising, Labiaplasty can be an embarrassing topic to discuss. the patient is referred using a two-week wait referral form for suspected cancer. You will often be given an ice pack to help manage any pain. Labiaplasty can be an embarrassing topic to discuss. November 2017. Luxmed, located in Pulawska, Warsaw, Poland offers patients Labiaplasty procedures among its total of 74 available procedures, across 14 different specialties. CPT 2020 states that "Mastectomy procedures (with the exception of gynecomastia [19300]) are performed either for treatment or prevention of breast cancer." September 2017. Or send us an enquiry. Non-reconstructive vaginoplasty or "vaginal rejuvenation" used to restore vaginal tone and appearance is not routinely commissioned. Or send us an enquiry. This can also cause you to feel uncomfortable when eating, or lead you to experience regurgitation (see Common Problems for more information on problem . If there is diagnostic doubt and removal is required to . Get in touch. Last modified on Thu 9 Dec 2021 17.47 EST. If you've had a mole removed, it's every three months. When it comes to NHS waiting lists for top surgery, I feel like I'll be waiting way too long. This means non-urgent surgery is not being carried out at those locations. Pelvic floor surgery tightens the area and creates a firm repair which supports the bladder and/or bowel wall as well as the vaginal walls. Introduction Labiaplasty and Vaginoplasty are regarded as procedures of low clinical priority and therefore Place the other hand under the water. In the UK, the cost of traditional bunion surgery is 4,218 with consultation fees usually included. The NHS criteria for weight loss surgery in accordance with the NICE guidelines include, e.g. We welcome you all from around the world for the "5 th International Conference on Dermatology and Cosmetology" during August 22, 2022 at Zurich, Switzerland with the theme " The Safety Analysis of novel therapies in Dermatology and cosmetology ". One of our friendly staff will be delighted to help with your enquiry. DIEP, Nipple Reconstruction and Liposuction. September 2018. If you've had a mole removed, it's every three months. These might be: Pain during sexual intercourse Discomfort due to rubbing on clothes Rare hormonal disorders causing the labia minora to enlarge December 2017. Dr Julian De Silva is a renowned surgeon who specialises in only facial plastic surgery. Labiaplasty is surgery to reduce the size of the labia minora - the flaps of skin either side of the vaginal opening.