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"How long will the swelling and pain last after a subcutaneous skin removal procedure?" "When can I start taking baths or exercising?" — These concerns are perfectly natural.

 

In particular, if you are planning to see a doctor or undergo surgery in Tokyo or the Ginza area, you may find yourself feeling uncertain due to the convenience of getting there and the abundance of information available.

 

In this article, we’ve organized information in a way that’s easy to understand even for first-time readers, covering common post-operative outcomes, self-care, potential risks, and key points to consider when choosing a clinic in the Ginza area of Tokyo.

 

Knowing what to expect will help you get through the postoperative period without worrying more than necessary.

 

It should be noted that the female vulva is an area in which there is significant individual variation in both appearance and function.

 

Whether you really need to have the excess skin removed, and what precautions you should take after surgery, depend on your condition and lifestyle.

 

Whether you’re in Ginza, Tokyo, or elsewhere, please consult an obstetrician-gynecologist or a female urologist who has a thorough understanding of pelvic floor anatomy, and don’t hesitate to ask any questions you may have.

 

[Doctor’s Point]

Please be careful—this is an area where you're likely to be persuaded to get unnecessary treatments and end up being up-sold!

What Is Adipose Tissue Removal? “How the Body Works” You Should Know After Surgery

The labia minora are the folds of skin surrounding the clitoris, and their appearance varies greatly from person to person.

 

In cases where friction or cosmetic concerns are significant, excision of excess skin (a procedure to remove unwanted folds) may be considered.

 

Incidentally, there is a similar procedure called clitoral hood excision; however, the clitoris is normally covered by skin, and the extent to which it naturally retracts (becomes exposed) varies from person to person.

 

In reality, very few people actually need to have their clitoral hood removed, and removing too much can lead to sexual dysfunction, such as changes in sexual sensation or discomfort caused by excessive sensitivity.

 

To ensure patient satisfaction after surgery, it is important to have a perspective that allows us to determine the “absolute minimum necessary.”

 

In addition, the labia minora serve to protect the vagina and vulva from dryness and friction. During menopause, as estrogen levels decline and the inside of the vagina becomes dry and atrophies, the labia minora also tend to become thinner and more prone to atrophy.

 

If too much tissue is removed from the labia minora or the labial folds during youth, it can increase the likelihood of dryness and pain during intercourse as you age, so the design should be planned carefully. To help avoid postoperative complications, we recommend consulting an obstetrician-gynecologist or a female urologist who has a deep understanding of anatomy and takes the pelvic floor and pelvic floor muscles into account during the examination.

Beware of "Unwanted Proposals"

At some cosmetic clinics in bustling Tokyo or Ginza, you may be told that you have “excess skin”—even though it isn’t actually noticeable—and be recommended for procedures that incur additional costs.

 

We cannot rule out the possibility that the reason they recommend unnecessary treatments is for so-called upselling.

 

The same applies to cases where clitoral hood removal is recommended too readily; care must be taken because removing too much of the clitoral hood can affect sexual function.

 

If you're unsure, consult with several doctors to verify the consistency of their explanations and their anatomical basis.

Postoperative Course Following Subcutaneous Tissue Removal (Estimated)

These are general guidelines; results may vary depending on the surgical method and individual physical condition. Please follow your doctor's instructions above all else.

• The Day of Surgery Through 2 Days After: This is a time when swelling and bruising (purple to yellow) are likely to occur. In most cases, the prescribed pain relievers will be sufficient. If applying ice, wrap the ice pack in a clean cloth and avoid applying it for too long.

• One week after surgery: Once the swelling has peaked, you may continue to experience a prickling sensation or discomfort. While showers are usually permitted on the day of the procedure or the following day, you’ll generally be instructed to avoid taking baths until the wound has healed.

• 2 to 4 weeks after surgery: Your daily life should be much easier. Take it easy with walking and see how you feel. Since cycling and running can cause chafing, consult your doctor.

• 1 to 3 months after surgery: This is the period when the swelling subsides and softness returns. Redness and changes in sensation (numbness or hypersensitivity) may gradually subside.

Whether or not the stitches need to be removed depends on the type of suture material used. Even with absorbable sutures, the ends may sometimes protrude from the skin’s surface, in which case they may need to be trimmed to adjust their length. In any case, please avoid making your own decisions; be sure to have this checked during your postoperative follow-up visit, even if you underwent the procedure in Ginza, Tokyo.

Basics of Postoperative Self-Care

• Clean: After urinating, gently clean the area with a shower or wet wipes, then pat it dry lightly.

• dryness: Make sure to dry any moisture thoroughly and wear cotton underwear that minimizes friction. Change sanitary pads frequently to keep them clean.

• Pain: Use prescription medications as directed. If you experience severe pain, sudden swelling, a foul odor, or a fever, see a doctor as soon as possible.

• Exercise and Sexual Activity: If the wound moves, it will heal more slowly. Please refrain from cycling, horseback riding, yoga poses that involve spreading your legs, sexual activity, and using tampons until you receive permission.

• Bowel movements: Eat foods high in fiber and drink plenty of fluids to avoid straining. Consult your doctor about taking laxatives or stool softeners as needed.

Specific instructions vary by facility. It’s not uncommon for medical institutions in Tokyo or Ginza to have different policies. Keep the information sheet on file, and contact the facility as soon as possible if you have any questions.

Possible Complications and Risks

Since this is a medical procedure, it’s impossible to reduce it to zero. Here’s a simple breakdown of the most common examples.

• Bleeding and Hematomas: Minor bruising is common, but if you experience severe swelling or persistent tightness under the skin, please see a doctor.

• Infection: Redness, warmth, increased pain, pus, etc. These symptoms often improve with early antibiotic treatment.

• Founding and Departure: The thread didn't agree with your body, or the wound opened up due to friction, etc. If it's small, it may close on its own.

• Asymmetry and Level Differences: As a general rule, make no decision until the swelling subsides. Re-evaluate in a few months.

• Hypersensitivity/Hyposensitivity: The area near the clitoris is rich in nerves. Hypersensitivity and numbness often improve gradually, but please consult a doctor if symptoms persist.

• The Effects of Overresection: Dryness, susceptibility to chafing, changes in sexual function, etc. Prevention is of the utmost importance.

We cannot make definitive statements such as “The results will definitely be ◯◯.” Keep in mind that pain, downtime, and duration of results vary from person to person, so be sure to create a realistic plan.

Tips for Choosing a Counseling Service in Ginza, Tokyo (Qualifications and How to Evaluate Them)

The female vulva is a delicate area where the vagina, vestibule, clitoris, labia minora, and pelvic floor muscles all interact with one another. Please use the following guidelines as a reference when considering where to seek consultation in Ginza, Tokyo.

• The Expertise of Obstetricians and Gynecologists and Female Urologists: Do you have a sufficient understanding of anatomy to assess the pelvic floor and pelvic floor muscles?

• Experience in Women's Urology: Even among urologists, there are some who have little experience treating female urological conditions. Be sure to confirm whether they have specialized training in women’s health.

• Transparency in Employment History: Be wary of practitioners who emphasize their title as “ob-gyn” even though they have switched from obstetrics and gynecology to cosmetic surgery. Also, be cautious of those who claim to specialize in a field—such as obstetrics and gynecology or female urology—despite having no experience in those areas.

• Choosing the Right Treatment: Can you properly apply treatments—such as labia minora, epididymis, perineal reconstruction, and vaginal care—not only based on "Before & After" results but also according to the specific symptoms?

Especially in Ginza, Tokyo, where there is a wealth of information, it’s important to evaluate your options carefully. Be sure to check objective criteria such as membership in professional societies, certifications, and a track record of activities related to the pelvic floor.

How to Interpret “Before & After” Photos (Avoiding "Photo Scams")

"Before & After" photos can be helpful, but the overall impression may change due to editing or excessive lighting.

 

Ensure that the images were taken in the lithotomy position (a position where the legs are spread apart to provide a clear view of the vulva), that the surgical site is clearly visible, and that the angle, distance, and lighting are consistent.

 

Signs to watch out for include excessive skin retouching, invisible incision lines, and blurry focus. Even on information sites for Tokyo and Ginza, be sure to check that the source of the photos matches the accompanying descriptions.

Understanding Standard Rates (Ginza, Tokyo)

Prices vary depending on factors such as the surgical procedure, anesthesia, follow-up visits, and revision costs.

 

If the price is significantly higher or lower than the market rate, be sure to carefully verify the details (consultation time, quality of anesthesia, safety measures, and postoperative follow-up).

 

Tokyo and Ginza are areas where prices can vary widely, partly due to high rent and labor costs. For peace of mind, it’s best to evaluate clinics comprehensively—not just based on price, but also on the clarity and persuasiveness of the explanations, the doctors’ expertise, and the post-operative support system.

Frequently Asked Questions (Common Topics Discussed During Consultations in Ginza, Tokyo)

Q. When can I return to work?

A. If your job involves desk work, you may be able to return to work as early as the next day. If your job involves standing for long periods or a lot of walking, please work with your doctor to develop a plan.

Q. When can I have sex?

A. Generally, you should wait 2 to 4 weeks after surgery, but the healing process varies from person to person. Be sure to get approval from your doctor during a follow-up visit.

Q. Will there be any scars or changes in sensation?

A. Redness, stiffness, numbness, and sensitivity tend to change over the course of several months. While you may not return to exactly the same condition as before, many people find that these symptoms become less bothersome over time.

Q. Can I schedule a consultation outside of Ginza, Tokyo?

A. Of course, that's possible. You should prioritize factors such as the convenience of getting to the clinic and whether the post-operative follow-up system suits your needs.

Tips for Avoiding Repeat Surgery or Revisions

• Prioritizing a design that "doesn't remove too much." Minimizing the risk of future dryness and pain during intercourse.
• If you feel something is off—such as being told you have a subcutaneous layer when you don’t—consider seeking a second opinion, including at other facilities in Tokyo or Ginza.
• We do not base our judgments solely on "before and after" results, but place greater emphasis on explanations provided during consultations, physical examinations, and anatomical evidence.

Small Tips to Make Your Medical Appointments in Ginza, Tokyo, Go More Smoothly

• You'll walk more slowly for a few days after surgery, so be sure to allow plenty of time for travel.

• Wear soft clothing and underwear to reduce friction.

• Bring a girdle, sanitary napkins, and a spare pair of underwear.

While Ginza in Tokyo is easily accessible by public transportation, it can also get crowded. Consider your physical condition and choose a time of day when it won’t be too taxing.

What kind of doctor should I consult?

• Obstetricians and gynecologists, as well as female urologists, who specialize in the pelvic floor and pelvic floor muscles.
• Someone who can choose the appropriate procedure—such as labia minora, labia majora, vaginal, or perineal reconstruction—based on the specific symptoms.
• Someone who can clearly explain that “circumcision is rarely necessary” and the “dangers of removing too much.”
• Someone who honestly discloses their professional background and continues to deepen their expertise in women’s health. Even after switching to cosmetic surgery, be wary of statements that make it seem as if they are still practicing as an OB-GYN. Also, be cautious of cases where someone claims to be a specialist in female urology despite having limited experience in the field.

A First Step Toward Seeking Counseling in Ginza, Tokyo

Tokyo and Ginza offer a wide range of options. Start by checking out the atmosphere over the phone or online, and during your initial consultation, clearly communicate your priorities regarding your concerns (such as cosmetic issues, pain, or functionality)—this will help ensure your satisfaction with the results.

 

Another important factor to consider is whether they answer your questions politely without pressuring you to make a reservation.

Summary

After subcutaneous fat removal surgery, once you get past the swelling and discomfort of the first week or two, your daily life will gradually become easier.

 

What’s important is the approach of “designing to avoid over-collection” and “providing appropriate treatment only to those who need it.”

 

It is natural for the clitoris to be covered by skin, and very few people need to have a clitoral hood removed.

 

The labia minora serve to protect the vagina and vulva; therefore, excessive removal should be approached with caution to prevent future dryness and pain during intercourse.

 

Since solicitations for unnecessary treatments may be an upsell tactic, be sure to get multiple opinions and check whether the “before and after” photos are clear images taken at a low angle and free of excessive editing.

 

Tip: We recommend consulting an obstetrician-gynecologist or a female urologist who is well-versed in anatomy—including the pelvic floor and pelvic floor muscles—and can tailor treatment to your specific symptoms.

 

In Tokyo and Ginza, where there is a wealth of information, it’s crucial to evaluate your options carefully. Whether the price is significantly higher or lower than the market rate, be sure to review the details thoroughly and prioritize clinics that provide satisfactory explanations and post-operative follow-up care.

 

If you'd like to find out if this is right for you, please feel free to reach out for a consultation. Let's work together to find the best approach for you, at a pace that's comfortable for you.

 

▷ Treatment Page for Removing the Secondary Skin Layer

▷ Counseling Appointment Page