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I have seen a significant increase in the number of cosmetic operations I am doing on the female genital area,  including labiaplasty and fat injections.

It seems reasonably common across various age groups for women to have concerns about the appearance of their vulval area. This may be developmental variations in the size and symmetry of the labia minora, sometimes changes after pregnancy and childbirth, and sometimes age related loss of fullness of the outer area (labia majora). This leaves the inner area (labia minora and clitoral hood area more exposed and more visible.

A change in my practice over the past few years is the development of a system whereby I can to labiaplasty surgery under local anaesthetic, with very little discomfort at all during the injection and procedure itself. We are able to do this as an outpatient surgery, and this in turn makes the operation significantly cheaper.

There is a lot written about this operation on the internet, with good information and images.

This video shows the surgical removal of PIP silicone containig lymph nodes from a patients left armpit region. She had PIP implants removed, which had been in for only 5 years. Corrective surgery carried out by Mr John Davison, Plastic Surgeon in Canterbury, Kent