Abstract
Background
Patient requests for plastic surgery of the female genitalia have become more common. There are several technical options to manage hypertrophic labia minora, including direct excision, wedge resection, and deepithelialization. Labia majora hypertrophy and hypoplasia can also be managed surgically. The aim of this study was to summarize labioplasty techniques to date, and describe the senior author’s technique for labia minora and majora labioplasty.
Methods
Seventy-four patients underwent direct labia minora excision with or without clitoral hood molding and management of labia majora by the senior author from January 2009 to August 2011.
Results
The average follow-up time was 6 months. The range of the patients’ ages was wide with an average age of 35 years. One patient had an infection and one had wound dehiscence. Six patients had palpable fatty cysts in the labia majora after fat injections; the cysts of five of these patients reabsorbed before 6 months. In one patient a palpable mass persisted 8 months after surgery; however, it was not visible or painful and the patient was satisfied with the result. No cases of scar contracture, painful scar, or discomfort because of labial edge distortion were noted. The satisfaction rate was close to 100 %.
Conclusion
The direct excision of the excess labia minora is a good technique and does not produce scar-associated problems.
Level of Evidence III
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.
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References
Fitzpatrick L (19 November 2008) Plastic surgery below the belt. TIME Magazine. Available at http://www.time.com/time/health/article/0,8599,1859937,00.html
Radman HM (1976) Hypertrophy of the labia minora. Obstet Gynecol 48(Suppl):78S
Franco T, Franco D (1993) Hipertrofia de Ninfas. J Bras Ginecol 103(5):163–165
Briggs LA (1998) Female circumcision in Nigeria: is it not time for government intervention? Health Care Anal 6:14–23
Capraro VJ (1971) Congenital anomalies. Clin Obstet Gynecol 14:988–1012
Maas S, Hage JJ (2000) Functional and aesthetic labia minora reduction. Plast Reconstr Surg 105(4):1453–1456
Felicio Yde A (2007) Labial surgery. Aesthet Surg J 27:322–328
Alter G (1998) A new technique for aesthetic labia minora reduction. Ann Plast Surg 40:287–290
Giraldo F (2004) Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg 113(6):1820–1825
Alter G (2008) Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plast Reconstr Surg 120(1):358–359
Tepper OM, Wulkan M, Matarasso A (2011) Labioplasty: anatomy, etiology, and a new surgical approach. Aesthet Surg J 31(5):511–518
Munhoz AM, Filassi JR, Ricci MD, Aldrighi C, Correia LD, Aldrighi JM, Ferreira MC (2006) Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction. Plast Reconstr Surg 118(5):1237–1247 discussion 1248–1250
Choi HY, Kim KT (2000) A new method for aesthetic reduction to the labia minora (the deepithelialized reduction labioplasty). Plast Reconstr Surg 105(1):419–422 discussion 423–424
Pardo J, Solà V, Ricci P, Guilloff E (2006) Laser labioplasty of the labia minora. Int J Gynaecol Obstet 93:38–43
Vogt PM, Herold C, Rennekampff HO (2011) Autologous fat transplantation for labia majora reconstruction. Aesthetic Plast Surg 35(5):913–915
Mottura A (2009) Labia majora hypertrophy. Aesthetic Plast Surg 33:859–863
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Triana, L., Robledo, A.M. Refreshing Labioplasty Techniques for Plastic Surgeons. Aesth Plast Surg 36, 1078–1086 (2012). https://doi.org/10.1007/s00266-012-9916-z
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DOI: https://doi.org/10.1007/s00266-012-9916-z