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Photos before and after intimate surgery

The photos illustrate before-and-after clinical cases of plastic and aesthetic surgery. The same patients are shown in the before-and-after photos, and no results have been altered using retouching software. The observed result is unique to each patient, and an identical result can hardly be expected for another person, due to each person’s own individuality. These results are published with permission, non-reproducible, unretouched and real. Photographs are essential to illustrate the medical information texts on this site and do not constitute advertising, but simply illustrate the articles.

The main intimate surgery techniques in practice are reduction nymphoplasty, hymen reconstruction, vaginoplasty and cliroridian plasties. Reduction nymphoplasty consists in reducing the labia minora when they are too long and cause functional discomfort. The main symptoms are discomfort during sports (cycling), intercourse and dressing. The procedure to reduce the labia minora is performed on an outpatient basis under general anaesthetic, and the postoperative course is usually straightforward.

Hymenoplasty or hymen reconstruction is often requested after an episode of sexual assault involving non-consensual intercourse. The hymen can be reconstructed using simple sutures connecting the hymenal remnants. The procedure is performed under local anaesthetic, with rapid post-operative recovery.

Vaginoplasty is often performed in a post-partum context, i.e. after childbirth, when the vagina is too large, causing a gap and discomfort during intercourse. We can either use mucosal reduction techniques with internal longitudinal plasty, or fat transfer or lipofilling techniques. In some cases, heavier techniques involving muscle plasty are appropriate.

Clitoral reduction plasty or clitoridoplasty is used in practice on patients who have taken steroids to build up their muscles. This practice is strictly forbidden and leads to major health problems. The clitoris can become enlarged, with organs sometimes reaching 6 cm or more. Some cases are secondary to local malformations or tumors. Certain endocrine diseases may also be responsible for the increased size of the clitoris. The major risk of these operations is nerve damage and loss of sensitivity in the area.

Reconstruction after excision is frequent. The clitoris is sometimes covered by the hood, or even amputated in its external portion. Reconstruction techniques exist and can be implemented.

Intimate surgery also covers the field of transgender (“sex change”) surgery. Vaginoplasty and phalloplasty are always performed in the context of a multidisciplinary approach to trans-identity. All these plastic surgery procedures require a team and a plastic surgeon trained in these highly specialized surgical techniques. Dr. Masson is a specialist in the field of intimate surgery.

Men also make use of these surgical techniques, the most frequent procedures being lengthening of the penis and widening to combat vestiary syndrome. Cutting the suspensory ligament of the penis is the most common technique for lengthening, while lipofilling, by injecting fat, increases the thickness, i.e. diameter, of the penis. Scrotal reduction plasty (testicle lift) is sometimes performed in cases of slack scrotal sack with heavy, drooping testicles that can cause real functional discomfort.


Dr Vincent Masson is a plastic surgeon with a post-graduate diploma in plastic, reconstructive and aesthetic surgery and a gold medal in surgery from the Paris Hospitals. He is a former senior registrar and attaché at the Hôpital Saint Louis.

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