01. Circumcision

Indications –

  1. Difficulty to retract skin & clean the glance – causing irritation and infection
  2. Painful sexual act
  3. Religious ritual
  4. Cosmetic reasons
    The procedure is done under local anesthesia for adults and general anesthesia for children. It takes 30-40 minutes to complete. Clinic stay is just 2-3 hours for adults and 6-8 hours for children. It is a day care procedure.
    The foreskin covering the shaft is excised to expose the glans. The edges are pulled together and sutured. Skin and mucosal edges are properly aligned approximated with fine sutures to get best cosmetic results. Small wraparound dressing is given.
    Patient may join within a few days. Sexual abstinence for four weeks is essential.
    Although complications are very rare, dehiscence of wound, infection are possible.

02. Hymen Repair

Hymenoplasty, hymenorrhaphy or restoration of the hymenal ring.
Using different surgical techniques, the hymen can be repaired and tightened to a more intact, virgin-like state. Mostly, the surgery is undetectable after healing.
The Hymen- The hymen is a thin, delicate membrane. In younger women, the hymen is very vascular. In menopausal women it has become very thin. In adult virginal women, the hymen surrounds the vaginal opening more or less completely.
The biological function of the human hymen is still uncertain. .
It has to be incomplete, in order to allow the outflow of menstrual blood at the onset of puberty.
The social function of the hymen, however, has been and still is a mythical symbol of virginity in many cultures.
Rupture of the hymen is supposedly considered to occur during first intercourse (coitus).
In case of a wide or elastic hymen, the hymen may not be lacerated even with repeated coitus.
Restoration of the Hymen
Surgeons construct or restore hymens mostly for cultural reasons. This can be very important for some.
Restoration of the hymen is done on an outpatient basis, under local anesthesia or sedation.
Hymen surgery
Simple repair
Restoring the hymen consists of suturing together the remnants and closing the tear. It is a very simple procedure. Procedure is performed about a week prior to marriage. The result is not meant to last. In this type of surgery, definite healing is rare because the hymen is relatively avascular.
Hymen reconstruction
When the hymenal remnants are insufficient, definitive repair is performed by approximating the undermined hymen remnants or a vaginal flap
The procedure can be done under local anesthesia and as a day care surgery.
The process takes one to two hours, and patients can return to work the next day.
The sutures are dissolvable.

03. Labiaplasty (Labia Rejuvenation)

Cosmetic surgery is used to enhance appearance and self-esteem. But it can also be used to enhance function.
Enlarged inner genital lips (labia minora) can be functionally or emotionally bothersome.
Local irritation and problems with personal hygiene can interfere with sexual intercourse, and cause discomfort during other activities like cycling, walking or sitting. Labiaplasty is a cosmetic surgery procedure that offers women a solution.
Labiaplasty surgically reshapes or reduces the external appearance of the vagina.

Indications –
Reducing pain during intercourse.
Gaining a boost in self-esteem.
Reducing emotional and physical discomfort from having enlarged labia.
Enhancing sexual pleasure
Note: If you are considering future pregnancies, you may want to hold off on undergoing labiaplasty.

How is Labiaplasty Performed?
Labiaplasty is generally performed on the inner lips (Labia Minora). The excess tissue is trimmed by removing a wedge-shaped section. Labiaplasty can also be performed on the outer lips (Labia Majora). For the outer lips, liposuction can be used. For more extreme cases, these genital lips can also be surgically trimmed.

Augmentation Labiaplasty is a procedure used to enhance the deflated labia majora. This involves fat injection (harvested from patient’s own body) into the labia, providing an enhanced and youthful appearance.
Mild to moderate discomfort and swelling is expected after undergoing labiaplasty. Discomfort and swelling should subside within one to two weeks.

Penis fat injection
Fat can be injected in the penis to increase the girth.
The volume to be injected depends upon the donor site (lean people have less fat available for grafting) and the area that is going receive the graft. Grafting a thin and uniform layer enhances cell survival. The procedure has to be repeated several times for those wanting a major increase.
The fat is injected into the subcutaneous region of the shaft of penis and does not affect the stiffness.
Surgery is performed under local anesthesia with or without sedation.
Though fat injection is safe, infection is possible. Bruising and swelling are normal. The most important issue is obtaining symmetry or evenness. Careful molding at the end of surgery and repeat injections for touch-ups can tackle this issue.
Rest for a day or two is usually sufficient. Strenuous work should be avoided for a 7-10 days.
Abstinence from sexual activity for 4-6 weeks is recommended.