Intimate surgery in Bern

Plastische Chirurgie Bern - Portraitbild Dr. Kiermeir

Dr. med. David Kiermeir

Specialist for plastic, reconstructive and aesthetic surgery (FMH)

 more than 15 years of surgical experience

 since 12 years exclusively active in the field of plastic and aesthetic surgery

 over 6,000 performed surgeries

The field of intimate surgery comprises a series of procedures in the genital area and neighbouring parts of the body; in most cases, such procedures are aesthetically motivated rather than treatments for medical conditions.

Intimate surgery offers every woman the opportunity to shape their genital area as they wish. For instance, they might wish to reshape their labia, reduce the size of their mons veneris, remove the clitoral hood or reconstruct their hymen.

Mons veneris reduction

Facts on mons veneris reduction

Treatment duration:approx. 1 - 2 hours
Anaesthesia:local or general anaesthetic
Hospital stay:outpatient
Removal of sutures:not necessary
Sports:after approx. 2 weeks
Costs:CHF 3.000

The reasons behind an enlarged mons veneris (the term specific to the female mons pubis) often lie in hormonal changes. The fatty tissues are also changed by childbirth – and, for many women, these unwanted changes are often permanent.

Exercise and dieting can only do so much – and, sadly, sometimes it doesn’t help at all. Cosmetic liposuction can reduce the size of a woman’s mons veneris.

Frequently asked questions on mons veneris reduction

What does a mons veneris reduction involve?

We perform mons veneris reductions under local or general anaesthetic in a 1–2 hour procedure at our practice here in Bern. A mons veneris reduction uses the so-called ‘tumescent’ method, which we also use in facelifts and to surgically remove sweat glands. In this method, the surgeon injects a considerable quantity of saline solution under the patient’s skin: firstly to raise the skin slightly, and secondly to liquefy any fat deposits.

Fine cannulas are then inserted under the skin via small incisions. By moving these cannulas gently, the surgeon can remove large quantities of this fatty tissue.

If the liposuction results in large amounts of excess skin, a further incision may be made above the labia to help tauten the skin. The incision is then sutured to complete the operation.

Following the procedure, patients have to wear compression tights to protect the treated region and prevent any bumpiness or skin pockets from forming. A mons veneris reduction doesn’t require an inpatient stay, as we perform the surgery on an outpatient basis here in Bern. Patients are fully presentable and ready to return to work the following day.

What do I need to consider after the surgery?

It will take around 4 weeks for the wounds to heal fully and for all swelling to subside. You should also avoid any sporting activities for the first 2 weeks.

You won’t be able to carry out any light to moderate physical activities for about 2–4 days.

What complications could occur?

Mons veneris liposuction is an extremely low-risk procedure and leaves behind no scars – making it a safe operation.

As the surgery only involves very small incisions, the risk of infection is minimal if the patient exercises proper hygiene; the same applies for the risk of wound healing deficits.

Following a mons veneris reduction, you may experience bruising, swelling and minor sensory disturbances for a short period. However, such symptoms will fade on their own in time and aren’t any cause for concern.


Facts on Labiaplasty

Treatment duration:approx. 2 - 3 hours
Anaesthesia:local anaesthetic
Hospital stay:outpatient
Removal of sutures:not necessary
Sports:after approx. 2 weeks
Costs:CHF 3.000

Whether or not a woman feels comfortable in her on body goes far beyond what others can see. Thanks to women’s emancipation and a more open approach to the topic of intimacy, the issues of female autonomy and physical freedom in the genital area are gaining in importance.

Plastic surgery can help to remedy unwarranted yet genuine feelings of shame as well as physical complaints.

In aesthetic-plastic surgery, we refer to procedures to reduce, modify or even remove a woman’s labia majora or minora as ‘labiaplasty’. Some women naturally develop large labia majora or minora, which can be troubling for those affected. However, the natural ageing process or past pregnancies can often impact a woman’s body in ways that might make her feel ill-at-ease in her own body.

Many women still find it difficult to talk about being unhappy with the shape or condition of their intimate region and are often unaware that even very minor procedures can effect major transformations. For example, large labia majora or minora can complicate a daily hygiene routine – which is a concern, not least from a health perspective. What’s more, oversized labia can also pose difficulties when wearing tight-fitting clothing or exercising. As this sense of dissatisfaction takes a heavy toll on many women’s self-confidence and perception of their own beauty, it’s common for those affected to avoid sexual contact because they’re ashamed of the way their genitals look.

Frequently asked questions on labiaplasty

What does labiaplasty involve?

In our Bern practice, we usually perform labiaplasty under local anaesthetic: a general anaesthetic is not usually required. The surgery can take 2–3 hours depending on the treatment scope and complexity.

Labia reduction procedure

There are various labiaplasty methods available to patients, differing primarily in the location of the incisions. Using a special laser, the surgeon removes part of the labia minora. The location and shape of the incisions depend on the surgical method selected. The labia minora can also be removed in their entirety. The surgeon then sutures the incisions using fine medical thread that dissolves over time and therefore doesn’t need to be removed.

Surgery to reduce the size of the labia majora is a less common procedure. This treatment involves liposuction of fat tissue in the areas to be treated.

Labia augmentation procedure

On the other hand, we can also augment a woman’s labia. In this case, prepared fat tissues previously taken from the patient are injected into the labia majora, affording them a plumper, fuller appearance.

What do I need to consider after the surgery?

Following surgery on the labia, you should avoid placing any physical strain or pressure on the genital region. You should also avoid exercise, physically demanding work and sexual intercourse in the first few weeks following the procedure.

What complications could occur?

As an operation, labiaplasty has a very low risk of complications. At worst, you might experience some slight bleeding, bruising or wound healing deficits. You might also experience numbness in the genital area following labia surgery, though this usually dissipates quickly on its own.

Of course, there is a certain risk of infection – though if patients follow hygiene rules carefully and care diligently for the wounds, this risk can be reduced to virtually zero.

G-spot amplification

Facts on G-point amplification

Treatment duration:approx. 1 hour
Anaesthesia:local anaesthetic
Treatment method:injection with hyaluronic aid or body fat
Hospital stay:outpatient
Removal of sutures:not necessary
Sports:after 1 day
Costs:CHF 900

The fabled G-spot is a source of sexual pleasure for women – and has long been a source of controversy. Nevertheless, in 2008 researchers finally demonstrated that every woman has one. The G-spot is a particularly sensitive area in the front wall of a woman’s vagina, about 3–5cm above the urethral opening in the front vaginal wall. The circular ridges of the vagina (known as vaginal rugae) are particularly pronounced and deep in this region.

If a woman’s G-spot is augmented, it can significantly enhance her sexual pleasure and ability to reach orgasm. This procedure can be performed under local anaesthetic or with twilight sedation as requested. The G-spot itself is amplified by injecting the patient’s own fat from elsewhere on their body or using hyaluronic acid injections.

Frequently asked questions on G-spot amplification

What does G-spot amplification involve?

We can perform G-spot amplification as an outpatient procedure here in Bern; the treatment takes around an hour. Patients are fully presentable immediately afterwards. The treatment procedure depends on the filler selected.

When using hyaluronic acid

If the G-spot is to be amplified using hyaluronic acid, a local anaesthetic is administered to the area around the G-spot. We then inject a small amount of hyaluronic acid. Hyaluronic acid’s considerable water binding capacity swells the G-spot to double its original size. As hyaluronic acid is a substance that occurs naturally in the human body, it is also broken down by the body over time. The amplification effect therefore fades over the course of around a year, after which time the G-spot returns to its former size.

For the treatment results to be long-lasting, the amplification procedure should be repeated at regular intervals.

When using the patient’s own body fat

In contrast to hyaluronic acid injections, G-spot amplification using the patient’s own body fat provides lasting results – that is to say, the filler isn’t broken down in time. To begin with, the surgeon uses liposuction to collect fat tissue from elsewhere on the patient’s body. As only a small quantity of fat tissue is required, this procedure is rather minor. The extracted fat is then prepared before being injected into the vaginal wall, where some of the injected fat cells take hold and remain permanently. This makes it possible to enhance a woman’s G-spot with long-lasting effects.

What do I need to consider after the surgery?

For hyaluronic acid injections: As the hyaluronic acid is broken down by the body, the effect will last around 6–12 months. After this time, the G-spot will have returned to its original size and the procedure can be repeated.

You can have intercourse again 24 hours after the treatment.

What complications could occur?

As with all injections, those to amplify a woman’s G-spot may result in slight swelling, bruising and redness. However, such symptoms should recede of their own accord within a few days.

There is also a risk of infection, though this risk is kept to an absolute minimum if patients adhere strictly to hygiene requirements.

Opening hours

Monday8.00 a.m. - 5.30 p.m.
Tuesday8.00 a.m. - 5.30 p.m.
Wednesday8.00 a.m. - 5.30 p.m.
Thursday8.00 a.m. - 5.30 p.m.
Friday8.00 a.m. - 5.30 p.m.

and by appointment