Labiaplasty (Vaginoplasty) Pre & Post-Operative Instructions

Labiaplasty (Vaginoplasty) Pre & Post-Operative Instructions

Pre-Operative Instructions

  • Please advise the doctor if you are taking any blood thinning medication (e.g. Warfarin, Disprin, Aspirin, etc.)
  • This will need to be discontinued prior to surgery as per doctor's instructions.
  • Uncontrolled high blood pressure raises the risk of bleeding complications in all forms of surgery – please ensure your blood pressure is well controlled prior to your surgical date.
  • DO NOT take any of the following medications prior to surgery:
  • – Anti-inflammatories (e.g. Brufen, Ibuprofen, Myprodol, Voltaren, etc.).
  • – Homeopathic medications (e.g. Arnica, Rescue Remedy, St John's Wort).
  • – Vitamin E (oral or topical).
  • Prepare your skin for 3 weeks before surgery with Dermalac Lotion and Vitamin A, C & E Body Oil from Environ.
  • Take a bath or shower with antibacterial soap (or Bioscrub) on the morning of your admission.
  • Do not apply any body lotion.
  • Regardless of whether you are having a general anesthetic or conscious sedation – you should not eat or drink anything for 6 hours prior to surgery.
  • If you are a smoker – NO SMOKING for 3 months prior to surgery.
  • Bring comfortable cotton underwear.

Post-Operative Instructions

  • You will need someone to drive you home after your surgery and help you for 1 to 2 days.
  • You will need plenty of rest.
  • Decreased activity and pain medication may promote constipation, so you may want to add more fruit and fiber to your diet.
  • Be sure to increase your fluid intake.
  • Take pain medication as prescribed. Do not take aspirin or any products containing aspirin.
  • Do not drink alcohol when taking pain medications.
  • If you are taking vitamins with iron, resume these as tolerated.
  • Do not smoke, as smoking delays healing and increase the risk of complications.

Activities

  • Start walking as soon as possible – this helps to reduce swelling and lowers the chance of blood clots.
  • Do not drive until you are no longer taking any pain medications.
  • Discuss your time off from work with your surgeon; this varies according to the surgery.
  • Resume sexual activity as comfort permits, usually 4 to 6 weeks post-operatively.

Incision Care

  • No soaking in the bath while sutures or drains are in place.
  • The surgical dressings can be removed anytime they are saturated and then replaced with a sanitary pad.
  • Discomfort will be maximal in the first 3 days, improving each day thereafter.
  • You may experience temporary pain, soreness, numbness, and swelling.
  • You may tire easily for several weeks.
  • There will be bloody or blood-tinged drainage for a maximum of 1 to 2 weeks following your labiaplasty.

Follow Up Care

  • Surface stitches will be removed in 4 to 7 days post-operatively.
  • Remaining sutures will dissolve 6 to 8 weeks post-operatively.

When To Call

  • If you have increased swelling or bruising.
  • If swelling and redness persist after a few days.
  • If you have increased redness along the incision.
  • If you have severe or increased pain not relieved by medication.
  • If you have any side effects to medications, such as rash, nausea, headache, and vomiting.
  • If you have an oral temperature over 37°C.
  • If you have any drainage from the incisions or notice a foul odor.
  • If you have bleeding from the incisions that does not stop with light pressure.

Emergency Contact

078 867 61372

Reviews for

Dr. Gideon Maresky
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4.74.7 out of 5

Based on 90 reviews

JB

Julie Botha

Verified customer

Jun 25, 2025

5.0
Travelled from abroad for the surgery. Dr Maresky was really accommodating and even came in on the Sunday so that I could have my surgery as soon after arrival as possible. I’m really happy with the results. He’s approachable, puts you at ease, and delivers excellent aftercare. Highly recommend.
BM

Bongumenzi Masango

Verified customer

Jun 24, 2025

5.0
I had a wonderful experience with Dr. Maresky He was so kind, professional, and attentive throughout my lip reduction surgery. Healing has gone smoothly, and I couldn’t be happier with the results. Highly recommend this compassionate doctor for anyone considering this procedure!
KM

Kululutho Matsawe

Verified customer

Jun 24, 2025

5.0
He is absolutely the best surgeon , I had a breast lift done by him which changed my life and he was so patient and went in great detail about everything even after the procedure he allowed for follow ups to happen without having to pay each time , he was available on WhatsApp in case of any emergencies and further questions , just the absolute best 👌 and everything was so quick I loved my experience.