A New Modified Labiaplasty Combined with Wedge De-Epithelialization on the Medial Side and Edge Resection

Jiang, Xudong; Chen, Sen; Qu, Siwei; Ma, Ning; Wang, Weixin; Li, Yangqun; Yang, Zhe

doi:10.1007/s00266-021-02137-2

Cited by 8 publications

(9 citation statements)

References 22 publications

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“…In a recent study by Jiang et al, 1 a new bilateral labiaplasty procedure was presented, combining wedge de-epithelialization on the medial side with edge resection on the lateral side. The authors concluded that this modified technique is a safe method with low risks, and may result in better sexual sensitivity for the patients.…”

Section: Discussionmentioning

confidence: 99%

“…The authors concluded that this modified technique is a safe method with low risks, and may result in better sexual sensitivity for the patients. 1 However, only patients with stage III labia hypertrophy or higher according to Franco’s classification were included. 17 Scarring might be more obvious in this technique, potentially leading to a decrease in sexual sensitivity after labiaplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Shifting the clitoris closer to the vaginal introitus might result in a stronger stimulation of the clitoris during intercourse, leading to an improved sexual excitability. 4 In a recent study by Jiang et al, 1 a new bilateral labiaplasty procedure was presented, combining wedge de-epithelialization on the medial side with edge resection on the lateral side. The authors concluded that this modified technique is a safe method with low risks, and may result in better sexual sensitivity for the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Today, no standard techniques for labia minora reduction have been established yet. 1 , 4 Jiang et al 1 recently introduced a new modified labiaplasty method, combining wedge de-epithelialization on the medial side and edge resection to meet the needs of more patients and reduce complications. The goals of labioplasty are the reduction of the hypertrophic labia minora, preserving the neurovascular supply and a hidden scar.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The Butterfly Technique: A Retrospective Study for Labia Minora Reduction Using an Integrated Approach

Tremp

Oranges

Schaefer

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Background: In recent years, the demand for genital plastic procedures has increased. Of those, the reduction of the labia minora has become very popular. Several techniques are described, with all its advantages and disadvantages. The aim of this study is to introduce a novel approach combining de-epithelialization with wedge resection. Methods: In this retrospective study, we included patients seen between September 2011 and April 2014 with hypertrophic labia minora. The surgical technique consisted in an integrated approach of de-epithelialization and wedge excision. Patients were examined for early and late postoperative complications. Furthermore, patient satisfaction was evaluated at the final follow-up. Results: A total of 17 labioplasties (Franco type II-IV) in 10 patients with a mean age of 29 ± 12 years (range 20-62 y) were performed. Three patients experienced wound-healing problems, requiring surgical revision. After a median follow-up of 39 ± 6 months (range 28-48 mo), a high overall patient satisfaction has been achieved (8.6 ± 1.1). No dyspareunia, hypertrophic scarring, or micturition problems have been reported. Conclusions: By using our integrated approach, hereby called the "butterfly technique," the neurovascular supply remains preserved, and an efficient volume reduction can be achieved with a concealed scar. Nevertheless, suture techniques and suture materials have to be tested to reduce the incidence of wound dehiscence rate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Butterfly Technique: A Retrospective Study for Labia Minora Reduction Using an Integrated Approach

Tremp

Oranges

Schaefer

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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show abstract

“… 29 Because of the wide spectrum of patient considerations and expectations, every patient's aesthetic or functional goals ought to be identified before a surgical technique can be decided on. 7 10 16 21 29 34 38 …”

Section: Patient's Considerationsmentioning

confidence: 99%

An Algorithm for Labia Minora Reduction Based on a Review of Anatomical, Configurational, and Individual Considerations

Lange

Hage

Karim³

et al. 2022

Arch Plast Surg

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A variety of labiaplasty techniques have been introduced to date, but no single technique will offer the optimal solution for every patient. Rather, the technique should be chosen based on anatomical, configurational, and technical considerations, as well as on patients’ personal preferences regarded maintenance of the labial rim, maintenance of labial sensitivity, and prevention of iatrogenic thickening of the labium. We reviewed, defined, and assessed labial configurational variety, neurovascular supply, reduction techniques, and patient’s preferences as the considerations relevant to the choice of labiaplasty technique. Based on this review, an algorithm was constructed that leads to a choice of reduction technique through five decisions to be made regarding (1) resection or (partial) retention of the labial free rim, (2) the measure of required labial width reduction, (3) labial vascular status, (4) prevention of iatrogenic labial thickening, and (5) preservation of labial sensibility. The choice of techniques includes edge trimming, central spindle form de-epithelialization or full thickness resection, and three modifications of the wedge resection or de-epithelialization technique. These three modifications comprised a modified anterior resection or de-epithelialization combined with posterior flap transposition, a custom flask resection or de-epithelialization, and a modified posterior wedge resection or de-epithelialization combined with anterior flap transposition. Use of the five decisional steps and the inclusion of modifications of all three conventional reduction techniques offer an improved algorithm for the choice of labioplasty technique.

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Comparison of Sexual Function, Satisfaction, and Assertiveness in Genital Cosmetic Surgery Groups: A Randomized-Sampling Cross-Sectional Study

Alavi-Arjas,

Nahidi,

Simbar

et al. 2024

Aesth Plast Surg

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A New Modified Labiaplasty Combined with Wedge De-Epithelialization on the Medial Side and Edge Resection

Cited by 8 publications

References 22 publications

The Butterfly Technique: A Retrospective Study for Labia Minora Reduction Using an Integrated Approach

The Butterfly Technique: A Retrospective Study for Labia Minora Reduction Using an Integrated Approach

An Algorithm for Labia Minora Reduction Based on a Review of Anatomical, Configurational, and Individual Considerations

Comparison of Sexual Function, Satisfaction, and Assertiveness in Genital Cosmetic Surgery Groups: A Randomized-Sampling Cross-Sectional Study

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