Summary: Labiaplasty, referring to a surgical labia minora reduction, is the most commonly requested genital rejuvenation by women. The purpose of this article is to show an innovative maneuver in the technique for this increasingly demanded procedure. In this strategy, labia minora are attached temporarily to the internal thigh with stitches resembling an open butterfly wing. This maneuver stabilizes the redundant labia minora soft tissue, easing the evaluation of asymmetry and aiding precision in the treatment. The study investigated 12 patients, 10 presenting bilateral hypertrophic labia minora and 2 patients with only unilateral abnormal anatomy, n = 22. The mean age was 25 years. The postoperative follow-up was uneventful. All patients presented labia minora with anatomic configuration. In 1 patient, we registered immediate bleeding that needed revision. The butterfly-like maneuver with the labia minora temporarily attached to the inner thigh can ease labiaplasty with central and inferior wedge resection. It helps diagnose asymmetry and adds precision to resect the correct amount of the hypertrophic tissue.

A Estratégia de Saúde da Família (ESF) proporciona acompanhamento longitudinal e atenção integral à saúde. Este estudo avaliou a influência do tempo de adesão à ESF sobre a incidência de eventos cardiovasculares e cerebrovasculares entre idosos cadastrados na CASSI-Florianópolis. Os agravos selecionados justificam-se pela alta incidência, boa notificação e associação com fatores de risco modificáveis pela ESF. Quanto maior o tempo de adesão à ESF, menor a incidência de eventos agudos, demonstrando efetividade da mesma. Foi realizado estudo de coorte histórica, com 674 idosos (60 anos ou mais) cadastrados entre novembro de 2003 a março de 2007. Realizou-se análise bivariada e multivariada com regressão logística. Identificaram-se como fatores de risco independentes: idade acima de 80 anos (OR=3,44; IC95%: 1,8-6,2), diabetes (OR=2,62; IC95%: 1,4-4,7), hipertensão (OR=1,68; IC95%: 1,0-2,6) e sedentarismo (OR=2,06; IC95%: 1,2-3,2). Não houve associação significativa com gênero, dislipidemia, obesidade, tabagismo ou alcoolismo. O maior tempo de adesão à ESF demonstrou efeito protetor independente (OR=0,43; IC95%: 0,2-0,8), após ajuste para covariáveis anteriores, sendo eficiente na redução do risco de eventos cardiovasculares e cerebrovasculares entre idosos cadastrados.

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Background:Scar retraction and soft-tissue depression may compromise aesthetics and cause social embarrassment. The purpose of this study was to evaluate the results of treating soft-tissue depressions or retractions at varied anatomy regions with combined upward suture traction and percutaneous subcision.Methods:There were 40 patients (age: mean, 39 years; range, 22–55 years; 39 women and 1 man) (total, 77 soft-tissue lesions) who had treatment with the present technique from 1996 to 2013. Postoperative follow-up was from 6 months to 2 years. The treated anatomic areas were evaluated in 5 groups: (1) face (8 patients; 8 lesions); (2) gluteal (16 patients; 46 lesions); (3) breast (7 patients; 10 lesions); (4) abdomen (7 patients; 7 lesions); and (5) lower limb (2 patients; 6 lesions). The technique included placing a 2-0 nylon monofilament suture deep at the core of the depression, pulling vertically up with the suture, and using a needle or miniblade (placed percutaneously or through a small incision) to release the adhesions.Results:The depressions were released successfully in all patients. Bruises around treated areas persisted for 2–3 weeks. Moderate induration persisted until 3 months. In the gluteal region, 6 patients who had retracted areas with diameter >5 cm developed seroma after treatment; the seromas resolved after needle aspiration or placement of a Penrose drain for 2 weeks (2 patients).Conclusion:The present results confirmed the efficacy of the combined subcision method with upward traction at diverse body sites as previously reported for inverted nipple in the breast.