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Gentle walking resumes earlier."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"After swelling fully resolves and scars mature."},"fly_home_after_days":{"min":5,"max":7,"unit":"days","qualifier":"After wound check and surgeon clearance; long-haul flights may need the upper end."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":7,"unit":"days","qualifier":"Early healing check before flight home, counted from surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"Assessment of healing and result, counted from surgery; can be remote."}}],"indications":["Enlarged or asymmetric labia minora causing physical discomfort","Irritation, chafing or hygiene difficulty","Discomfort during exercise or intercourse"],"main_risks":["Bleeding or hematoma","Infection","Wound dehiscence","Asymmetry or unsatisfactory appearance","Over-resection","Scarring or painful scars","Altered sensation or dyspareunia","Prolonged swelling","Need for revision"],"pain":"Mild to moderate discomfort and swelling for the first several days, managed with oral analgesics and cold packs; gradually settles over 1-2 weeks.","preparation":["Consultation with examination and discussion of expectations","Review of medical history and medications with the surgeon","Pre-operative tests as clinically indicated","Smoking avoidance before and after surgery","Schedule outside menstruation","Prepare sanitary pads and loose clothing","Arrange transport home"],"recovery_timeline":[{"phase":"First week","description":"Swelling, bruising and tenderness; sutures are usually dissolvable; hygiene care and cold packs. Gentle walking as tolerated.","restrictions":["No tight clothing","No sexual activity","No exercise","Avoid prolonged sitting and cycling"]},{"phase":"Weeks 2-4","description":"Swelling and discomfort decrease; most daily activities resume.","restrictions":["No tampons or intercourse until cleared","Avoid friction activity"]},{"phase":"Weeks 4-6","description":"Healing largely complete; return to exercise and intimacy once cleared by surgeon.","restrictions":["Gradual return to vigorous activity"]},{"phase":"Months 3-6","description":"Residual swelling resolves and scars mature to final result.","restrictions":[]},{"phase":"At any time","description":"Seek urgent assessment for heavy or expanding bleeding/swelling, severe or worsening pain, fever, spreading redness or discharge, wound opening, or urinary retention/difficulty.","restrictions":[]}],"rehabilitation_days":{"min":7,"max":14,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after uncomplicated labiaplasty; no formal rehabilitation program."},"result_longevity":"Generally long-lasting, as removed tissue does not regrow; aging, hormonal changes or childbirth may alter appearance.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned corrective surgery (asymmetry, dehiscence, residual excess, over-resection) within 1-2 years of standalone primary labia minora reduction."},"scars":"Scars lie along the labial edge; they fade over months but may remain visible or painful.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single surgical session; follow-up checks are not counted."},"stages":[{"code":"surgery","label":"Labia minora reduction surgery","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Typical single-stage procedure."},"success":{"metric":"Patient-reported satisfaction with appearance and function","value":90,"unit":"percent of patients satisfied","horizon":"About 6-12 months after surgery","population":"Adult women after standalone primary labia minora edge resection.","evidence_status":"limited"},"techniques":[{"name":"Edge (trim) resection","suits_whom":"Patients with excess labial edge tissue who accept an edge scar and removal of pigmented edge.","recovery":"Healing over about 4-6 weeks; sutures usually dissolve; scar lies along the labial edge."},{"name":"Wedge resection","suits_whom":"Patients with thick or protruding labia needing a preserved natural edge.","recovery":"Central wedge-line scar; healing timeline broadly similar to edge resection."},{"name":"De-epithelialization/Z-plasty variants","suits_whom":"Selected patients wanting to preserve edge and texture.","recovery":"Healing course depends on the chosen variant; scar placement varies by technique."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Bilateral labia minora reduction alone, operating time."},"initial_assessment_documents":["Front photos of the vulva, standing","Close-up photos of the labia, relaxed and spread","Side photos showing labial protrusion","List of blood thinners","Recent gynecological exam report (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient surgery; stay 5-7 days until wound check and clearance. Later follow-ups can be remote."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the surgeon explains how likely the risks and complications are, and how they would be treated","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/cosmetic-treatments/labiaplasty/","host":"nhs.uk","quote":"Your surgeon should explain how likely these risks and complications are, and how they would be treated if you have them.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check you can meet the surgeon before the procedure","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/cosmetic-treatments/labiaplasty/","host":"nhs.uk","quote":"Always book an appointment to meet the surgeon before the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}},{"id":"C4","text":"Check the surgeon can communicate with you in a language you speak well","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure your surgeon speaks English or another language you speak well enough.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask how many labiaplasty surgeries the surgeon has performed","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/labiaplasty/selecting-surgeon","host":"theaestheticsociety.org","quote":"How many labiaplasty surgeries have you performed?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Ask what options exist if the labiaplasty outcome does not meet the agreed goals","scope":"procedure","source":{"url":"https://www.theaestheticsociety.org/procedures/genital/labiaplasty/selecting-surgeon","host":"theaestheticsociety.org","quote":"What are my options if the outcome of my labiaplasty does not meet the goals we agreed on?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Surgeon or hospital does not want to discuss the details of surgery","scope":"procedure","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Be wary of surgeons and hospitals that do not want to discuss the details of surgery with you.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Offer markets cosmetic surgery as part of a holiday package","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Beware of any hospital which markets cosmetic surgery as part of a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Increased bleeding or seeing clumps of blood","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21953-labiaplasty","host":"my.clevelandclinic.org","quote":"Increased bleeding or seeing clumps of blood.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Discolored pus or discharge","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/21953-labiaplasty","host":"my.clevelandclinic.org","quote":"Discolored pus or discharge.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Excessive swelling or worsening 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labia.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-at-every-stage-of-your-labiaplasty","host":"plasticsurgery.org","quote":"Recovery varies from person to person, but most women are able to return to their normal routine within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"wedge-resection","name":"Wedge resection","how_it_works":{"text":"Wedge resection reduces labia size and length through a V-shaped incision","source":{"url":"https://isaps.org/discover/patients-home/procedures/body-procedures/labia-minora-reduction/","host":"isaps.org","quote":"It reduces the size and length of the labia minora through a V-shaped incision.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":1,"max":2,"unit":"weeks","label":"1–2 weeks","source":{"url":"https://www.plasticsurgery.org/news/blog/what-to-expect-at-every-stage-of-your-labiaplasty","host":"plasticsurgery.org","quote":"Recovery varies from person to person, but most women are able to return to their normal routine within 1 to 2 weeks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}},{"id":"de-epithelialization","name":"De-epithelialization/Z-plasty variants","how_it_works":{"text":"Surface layer is removed from the central area of the labia minora","source":{"url":"https://www.isaps.org/discover/patients-home/procedures/body-procedures/labia-minora-reduction/","host":"isaps.org","quote":"A de-epithelialization of the central area of both the medial and lateral part of the labium minor is 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