Here is what her result looked like, prior to labiaplasty. About 90 minutes before she came to the operating room, the lower part of her pubic hair was shaved, and EMLA cream was applied to her vulva, under plastic-wrap occlusion. She was also given 10 mg of Valium to take orally. Once in the operating room, the EMLA cream was removed, the patient's vulva was washed with Betadine, and blue surgical drapes were applied. Here we see the operative site after completion of these preparations.
Surgery is about to begin.
Here some of the Betadine has been wiped off, and the skin incision lines, as well as a few alignment marks, have been drawn on the skin with purple surgical marker. Local anesthetic is now being injected to further numb the skin. The anesthetic solution also contains epinephrine, a vasoconstrictive agent, which will greatly reduce bleeding. The skin is now incised with the scalpel along the previously-drawn lines. Next, the skin is gently freed from the underlying tissue.