Aesthetic Plastic Surgery

, Volume 37, Issue 5, pp 887–891 | Cite as

Vaginal Labiaplasty: Defense of the Simple “Clip and Snip” and a New Classification System

  • Peter Chang
  • Mark A. Salisbury
  • Thomas Narsete
  • Randy Buckspan
  • Dustin Derrick
  • Robert A. Ersek
Case Report Aesthetic

Abstract

Vaginal labiaplasty has become a more frequently performed procedure as a result of the publicity and education possible with the internet. Some of our patients have suffered in silence for years with large, protruding labia minora and the tissue above the clitoris that is disfiguring and uncomfortable and makes intercourse very difficult and painful. We propose four classes of labia protrusion based on size and location: Class 1 is normal, where the labia majora and minora are about equal. Class 2 is the protrusion of the minora beyond the majora. Class 3 includes a clitoral hood. Class 4 is where the large labia minora extends to the perineum. There are two principal means of reconstructing this area. Simple amputation may be possible for Class 2 and Class 4. Class 2 and Class 3 may be treated with a wedge resection and flap advancement that preserves the delicate free edge of the labia minora (Alter, Ann Plast Surg 40:287, 1988). Class 4 may require a combination of both amputation of the clitoral hood and/or perineal extensions and rotation flap advancement over the labia minora.

Level of Evidence V

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Keywords

Vaginal labiaplasty Clip and snip 

Notes

Acknowledgments

We would like to thank Eugene Gonzales, Rachel Salas, Jill Niemtschk, Kimberly Hickman, Carmel Kenan, Rebecca Allison, Tori Farnsworth, Priscilla Tambunga and the entire Personique Surgery Center staff for their efforts in the completion of this manuscript.

References

  1. 1.
    Alter GJ (1998) A new technique for aesthetic labia minora reduction. Ann Plast Surg 40:287PubMedCrossRefGoogle Scholar
  2. 2.
    Choi HY, Kim KT (2000) A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg 105:419–422PubMedCrossRefGoogle Scholar
  3. 3.
    Girling VR, Salisbury M, Ersek RA (2005) Vaginal labioplasty. Plast Recontr Surg 115(6):1792–1793CrossRefGoogle Scholar
  4. 4.
    Rouzier R, Louis-Sylvestre C, Paniel BJ, Haddad B (2000) Hypertrophy of labia minora: experience with 163 reductions. Am J Obstet Gynecol 182:35–40PubMedCrossRefGoogle Scholar
  5. 5.
    Pardo J, Sola V, Ricci P, Guilloff E (2006) Laser labioplasty of labia minora. Int J Gynaecol Obstet 93:38–43PubMedCrossRefGoogle Scholar
  6. 6.
    Felicio YA (2007) Labial surgery. Aesthet Surg J 27:322–328CrossRefGoogle Scholar
  7. 7.
    Ersek RA (2004) Dissociative anesthesia for safety sake: ketamine and diazepam—a 35 year personal experience. Plast Reconstr Surg 1113(7):1955–1959Google Scholar

Copyright information

© Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013

Authors and Affiliations

  • Peter Chang
    • 1
  • Mark A. Salisbury
    • 1
  • Thomas Narsete
    • 1
  • Randy Buckspan
    • 1
  • Dustin Derrick
    • 1
  • Robert A. Ersek
    • 1
  1. 1.AustinUSA

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