Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases

Bucknor, Alexandra; Chen, Austin D.; Egeler, Sabine A.; Bletsis, Patrick P.; Johnson, Anna Rose; Myette, Kate; Lin, Samuel J.; Hamori, Christine A.

doi:10.1093/asj/sjx241

Cited by 39 publications

(20 citation statements)

References 21 publications

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“…In the study by Bucknor et al, they reported that cigarette use was the main cause of postoperative sequelae and higher complication rates in patients undergoing labiaplasty 17 . The negative effect of cigarette smoking on wound healing is well-known.…”

Section: Discussionmentioning

confidence: 99%

A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination

Kaya

Doğan

Yassa

et al. 2018

Geburtshilfe Frauenheilkd

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Objective Aim of the study was to assess the feasibility of a novel technique to determine the vascularity of labia minora prior to labiaplasty. Methods A cold light source employed in laparoscopic procedures was used to illuminate the outer surface of the labia minora as described in this prospective descriptive study. Results Of the patients, 46.1% (n = 41) had upper third prominence, 36% (n = 32) had middle third prominence, and 18% (n = 16) had lower third prominence according to the Banwell classification of morphologies. Right labia minora width was 0 – 2 cm in 51.7% (n = 46), 2 – 4 cm in 47.2% (n = 42) and > 4 cm in 1.1% (n = 1) of cases. Left labia minora width was 0 – 2 cm in 52.8% (n = 47), 2 – 4 cm in 41.6% (n = 37) and > 4 cm in 5.6% (n = 5) of cases. The incidence of Anterior 2 and Posterior 1 vessels in the different morphologies were statistically significantly different (p = 0.007, p = 0.018). The Anterior 2 vessel was higher in the lower morphology group whereas the Posterior 1 vessel was higher in the upper morphology group. A central vessel was observed in 93.3% (n = 83) of patients in the left labium minus and the right labium minus. The incidence of the Posterior 1 vessel was significantly higher in the left labium minus than in the right labium minus (p = 0.021). Discussion This novel technique to assess labial vascularity using a cold light source could be very useful to reduce dehiscence by avoiding excessive resection of highly vascularized tissue. Most units can easily access a cold light source, which can be used to assess labial vascularity prior to labiaplasty.

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Section: Discussionmentioning

confidence: 99%

A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination

Kaya

Doğan

Yassa

et al. 2018

Geburtshilfe Frauenheilkd

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“…The number of labiaplasty and clitoral hood reduction procedures has increased significantly in recent years, followed by a shift in the proportion of patients requiring cosmetic procedures instead of functional procedures [ 10 ]. In addition, relative hypertrophy of the labia minora caused by atrophy of the labia majora has become a major reason for postpartum women to require labiaplasty surgery.…”

Section: Discussionmentioning

confidence: 99%

Trilobal Methods for Composite Reduction Labiaplasty

Zhou

et al. 2022

Aesth Plast Surg

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Background It is difficult to plan a simple and effective surgical strategy for patients with horizontal and vertical redundant tissue of the labia minora and clitoral hood redundancy. A single edge resection or wedge resection labiaplasty with clitoral hood reduction that simultaneously resolves these three issues has yet to be reported. This study investigated the clinical effects and safety of trilobal labiaplasty via a composite incision. Methods The single-center, retrospective, observational study included data from patients with hypertrophy of the labia minora and clitoral hood who underwent trilobal labiaplasty. Results Altogether, 136 patients (average age: 31.6 ± 8.82 years; range: 21–53 years; 224 sides) sought surgery for aesthetic (39/136, 28.7%), functional (17/136, 12.5%), or both reasons (80/136, 58.8%). Overall, 134 patients (134/136, 98.5%) were followed up for 3 months. No serious complications or malformations occurred. Three patients (2.2%) underwent secondary repair surgery due to incomplete bilateral symmetry, 122 (91.0%) scored ≥ 21 points on the Female Genital Self-Image Scale, 107 (91.5%) were satisfied with the cosmetic outcomes, and 93 (95.9%) were satisfied with the functional improvement. Conclusions Trilobal labiaplasty performed via a composite incision using edge and wedge labiaplasty to adjust horizontal and vertical hypertrophy of the labia minora and remove lateral folds of the clitoris is a safe and effective method to improve the appearance and rearrange the position of the clitoral hood and clitoral frenulum while preserving the fine structure of the surrounding tissue. This method results in few complications and high functional and aesthetic satisfaction rates. Level of Evidence IV 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 www.springer.com/00266 .

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“…A abordagem vulvar e de suas relações estruturais permite melhor compreensão da paciente sobre as possibilidades cirúrgicas. Nossos resultados são coerentes com os da literatura 1,3,5 , que demonstram maior chance de deiscência nas ressecções "em cunha". O cuidado de posicionamento das incisões e a hemostasia sem uso de vasoconstrictor são fatores que podem justificar a não incidência de hematomas, além do uso de vestes íntimas mais compressivas no pós-operatório 7 .…”

Section: Discussionunclassified

“…Ainda há controvérsias na literatura sobre as indicações 1 e até aspectos do que seria uma vulva anatomicamente normal 2 . Em nossa prática, buscamos uma visão conceituando como "plástica vulvar", assim analisamos e tentamos harmonizar cirurgicamente as estruturas que se relacionam com os pequenos lábios, proporcionando uma abordagem mais ampla que ninfoplastia 4,5…”

Section: Introductionunclassified

Complicações em cirurgia íntima: análise de quarenta casos

Bonfim¹

2019

Revista Brasileira De Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Sugery

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Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases

Cited by 39 publications

References 21 publications

A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination

A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination

Trilobal Methods for Composite Reduction Labiaplasty

Complicações em cirurgia íntima: análise de quarenta casos

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