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Associated Plastic Surgeons, S.C.
Otto J. Placik, M.D., F.A.C.S.

845 N. Michigan Ave., Suite 923 E
Chicago, Illinois 60611
Tel: 312-787-5313
Fax: 847-398-1784

Recent Articles Featuring Dr. Placik

Article about labiaplasty in the Chicago Sun Times

 

About Dr. Otto J. Placik:

Dr. Placik received his medical degree from Northwestern University where he also completed residencies in general and plastic and reconstructive surgery. He completed a fellowship in the aesthetic reconstruction of complex nasal and facial deformities at St. Joseph Hospital in Chicago and an additional fellowship in microvascular and hand surgery at Davies Medical Center, an affiliate of the University of California, San Francisco. Dr. Placik is certified as a diplomate by the American Board of Plastic Surgery, Inc.® and is an active member of The American Society of Plastic Surgeons. He is an active member of several local and national professional organizations. Dr. Placik's hospital appointments include Northwest Community Hospital in Arlington Heights and Evanston Northwestern Healthcare (Evanston and Glenbrook Hospitals). Otto J. Placik, M.D. is a member of the Northwestern University Division of Plastic Surgery Teaching Staff. He holds an academic appointment as a Clinical Assistant Professor of Surgery (Plastic) at Northwestern University Medical School. Dr. Placik actively participates in the reconstruction of complex pediatric deformities at the Shriner's Hospital for crippled children in Chicago.

Procedures:

Labia Minora Reduction

This procedure is requested by women who state that their labia minora (inner lips) are excessively large. This may affect one or both sides. Women report that they are uncomfortable or sore while exercising or competing in sports such as bicycle riding. Others are embarrassed and refrain or are hesitant to undress in front of a potential intimate partner. Another frequent complaint is discomfort in tight garments. Many individuals report being embarrassed by the appearance of their labia in well-fitting clothing such as bathing suits or lingerie. Large labia minora may interfere with sexual activities preventing stimulation of the clitoris during sex. Excessively large labia which are repeatedly subject to trauma may become irritated, painful, and ulcerated. Some women report an increased incidence of urinary infections due to difficult hygiene considerations. Enlarged labia may be congenital (present at birth) or made worse by repeated pregnancies or prolonged or particularly traumatic labor and delivery. A labia reduction (labiaplasty) procedure can be performed to reduce the labia minora.

Various techniques are available for treating prominent labia minora. The standard approach utilized by many gynecologists and plastic surgeons is a simple removal of leading edge of the labia, thereby shortening and reducing it. The edge is then repaired. This is the least complicated technique and is easily completed in the office. Another method recently popularized by Dr. Alter called the "Alter labia contouring" procedure "the new labiaplasty". In this surgery, the excess labia are reduced by removing a wedge (pie shaped piece) of labia and closing the remaining tissue resulting in smaller labia. This produces a scar across the labia rather than running the length of the leading edge. This is indicated for women in whom the central one third of the labia minora is largest.

This surgery is commonly completed under local anesthesia using oral sedation and can be performed in our fully accredited surgical center. General anesthesia is available if requested but is not necessary. In individuals concerned about postoperative discomfort, a pain pump can be inserted but is not typically requested. The incidence of complications is low and manageable. You can resume light duty work in 5 days. Sexual intercourse is restricted for about 4-6 weeks.

G-Spot Amplification

The G-spot is an erogenous zone located on the upper wall of the vagina approximately 1/3 of the distance from the vaginal entrance to the cervix. When stimulated, it is considered responsible for triggering vaginal orgasms. Injection of a filler material (either collagen or hyaluronic acid i.e., restylane) has been credited with making the area more accessible. This has been shown to result in enhanced sexual arousal and gratification.

This procedure is performed using topical anesthesia and involves injection of filler materials which are identical to those placed into the face.

Labia Majora Augmentation

Atrophic (sunken, empty, deflated) appearing labia majora may be a consequence of genetic factors, weight loss, or aging. This results in a loss of the youthful fullness of the labia majora. Augmentation of the labia majora can be achieved by lipoinjection (fat grafting from the abdomen or thighs). This is collected using liposuction techniques.

This surgery is typically is scheduled for 1 hour and performed under monitored or general anesthesia. It is commonly combined with other female genitalia cosmetic surgery procedures. If performed as an isolated procedure, you should be able to resume sexual activities in about two weeks.

Mons Pubis Liposuction and/or Lift

Following massive weight gain and subsequent loss or a prolonged pregnancy, it is not uncommon for a woman to report dissatisfaction with her loose, sagging, or prominent mons pubis. Rarely patients may be born with an excessive fatty deposit in this region. Patients describe a visible pubic fullness or mass which is clearly evident when wearing pants. Many women complain that the bulge makes them look like a man. Liposuction is a convenient method of extracting and diminishing the volume of the pubis. Occasionally there is an associated skin laxity which creates the illusion of an aged or collapsed appearance due to loss of support. A lift or suspension of these tissues is accomplished by excising an elliptical (football) shaped piece of skin immediately above the pubic hairline. This elevates and rejuvenates the genitalia in combination with liposuction. It is frequently completed in massive weight loss procedures such as tummy tuck but can be done as an isolated surgery subsequent to an abdominoplasty. These areas can be rejuvenated and lifted by excising excess skin above the pubic hair and removing excess fat in the pubic region. The pubic liposuction and pubic lift procedure may be combined with a tummy tuck or requested after having a tummy tuck.

These procedures are most commonly performed under general anesthesia in our fully accredited surgical center. In individuals concerned about postoperative discomfort, a pain pump can be inserted but is not typically requested. The incidence of complications is low and manageable. A drain may be required. You can resume light duty work in 7-10 days. Sexual intercourse is restricted for about 4-6 weeks.

Labia Majora Remodeling

The outer hair bearing lips (labia majora) of the genitalia can be affected by redundant skin or bulky tissue. Women describe being embarrassed by a visible bulge in snug clothing such as active wear or bathing suits. Labia majora hypertrophy (overgrowth) may be due to a congenital condition, aggravated by pregnancy, or generalized aging. Early or less severe degrees of labia majora hypertrophy without skin laxity can be managed with liposuction if the primary problem is fatty or “puffy” labia. More advanced hypertrophy can be treated with labia majora reduction which is accomplished by excising an elliptically (football) shaped section from the inner or hidden surface of each labia majora. The incision is concealed in the valley between the labia minora and majora.

These procedures tend to require to more surgery than a labia minora reduction and are therefore frequently performed under general anesthesia in our fully accredited surgical center. In individuals concerned about postoperative discomfort, a pain pump can be inserted but is not typically requested. The incidence of complications is low and manageable. You can resume light duty work in 5 days. Sexual intercourse is restricted for about 4-6 weeks.

 

 


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31 yo 5'9" 145 lbs 2 children Labiaplasty with clitoral hood reduction

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28 yo 5'3" 115 lbs 0 children Labiaplasty with clitoral hood reduction & clitoral frenulum reduction.

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39 yo 5'5" 130 lbs 0 children Labiaplasty with clitoral hood reduction

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49 yo 5'5" 124 lbs 2 children Labiaplasty

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32 yo 5'4" 115 lbs 0 children Labiaplasty

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20 yo 5'8" 138 lbs 0 children Labiaplasty

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22 yo 5'4" 144 lbs 0 children Labiaplasty with Clitoral Hood Reduction

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21 yo 5'4" 130 lbs 0 children Labiaplasty with Clitoral Hood & Clitoral frenulum reduction

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