Monsplasty for Women After Massive Weight Loss

Marques, Maíra; Modolin, Miguel; Junior, Wilson Cintra; Gemperli, Rolf; Ferreira, Marcus Castro

doi:10.1007/s00266-011-9859-9

Cited by 15 publications

(8 citation statements)

References 12 publications

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“…Excessive skin and fat are removed by dissecting to the level of the mons pubis fascia along an area bordered superiorly at abdominoplasty or prior scar and inferiorly approximately 5-7 cm above the anterior vulvar commissure. Lateral incision shapes can vary by technique including trapezoidal shape, 74,75 circular arch, 53,76 swallow crescent, 53 sharp triangular wedge, 73,77 and continuous abdominoplasty incisions extending laterally over upper thighs corresponding to parallel abdominoplasty incision 77 . The mons pubis is then anchored to the abdominal fascia with permanent or delayed absorbable sutures 53,73–75,77 …”

Section: Methodsmentioning

confidence: 99%

“…Lateral incision shapes can vary by technique including trapezoidal shape, 74,75 circular arch, 53,76 swallow crescent, 53 sharp triangular wedge, 73,77 and continuous abdominoplasty incisions extending laterally over upper thighs corresponding to parallel abdominoplasty incision 77 . The mons pubis is then anchored to the abdominal fascia with permanent or delayed absorbable sutures 53,73–75,77 …”

Section: Methodsmentioning

confidence: 99%

“…If the mons pubis is not addressed at the time of abdominal contouring the patient may be left with an unsatisfactory aesthetic result. Additionally, performing a surgical mons pubis reduction at the time of a labia minora reduction procedure could lead to overcorrection and painful tightening of the pubic region 53,74 …”

Section: Methodsmentioning

confidence: 99%

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Joint Report on Terminology for Cosmetic Gynecology

2022

Female Pelvic Med Reconstr Surg

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Introduction and hypothesis:The current terminology used to describe cosmetic gynecologic procedures includes many nondescriptive, trademarked, or informal names, which contributes to substantial ambiguity about their aims and specific techniques. The development of clear, uniform descriptive terminology for cosmetic gynecology is needed for patients, researchers, and practitioners across multiple specialties.Methods: This document was developed from a collaboration of selected members from the International Urogynecological Association (IUGA) and the American Urogynecologic Society (AUGS). Wide-ranging literature reviews were performed to identify the breadth of currently used terms and tools for measuring efficacy and safety. After extensive internal review the adoption of each definition was ratified by group consensus.Results: A terminology report for elective cosmetic gynecology procedures, anatomical classification, outcome metrics, and reporting of complications has been developed. This document seeks to provide clear descriptive guidance for patients, researchers, and practitioners across multiple specialties. This document will be subject to internal review by IUGA and AUGS to incorporate and adopt evidence-based changes in the field.Conclusions: A consensus-based document establishing clear terminology for cosmetic gynecology procedures has been created. Use of these terms should be encouraged to provide clarity to patients seeking these procedures and to facilitate future research to establish the safety and efficacy of these procedures.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Joint Report on Terminology for Cosmetic Gynecology

2022

Female Pelvic Med Reconstr Surg

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“… 103 , 109 , 110 Monsplasty candidates are often obese, adding to perioperative concerns, 111 but the surgery has been shown to improve urinary dysfunction and hygiene in massive weight loss patients. 112 , 113 After the redundant tissue has been excised, Scarpa’s fascia should be anchored to the rectus abdominis muscle fascia to avoid descent. 109 , 110 Potential complications include bleeding, hematoma, and scarring.…”

Section: The Proceduresmentioning

confidence: 99%

The Safe Practice of Female Genital Plastic Surgery

Furnas

Canales²,

Pedreira

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Summary: The purpose of this article is to guide surgeons in the safe practice of female genital plastic surgery when the number of such cases is steadily increasing. A careful review of salient things to look for in the patient’s motivation, medical history, and physical examination can help the surgeon wisely choose best candidates. The anatomy is described, with particular attention given to the variations not generally described in textbooks or articles. Descriptions are included for labiaplasty, including clitoral hood reduction, majoraplasty, monsplasty, and perineoplasty with vaginoplasty. Reduction of anesthetic risks, deep venous thromboses, and pulmonary emboli are discussed, with special consideration for avoidance of nerve injury and compartment syndrome. Postoperative care of a variety of vulvovaginal procedures is discussed. Videos showing anatomic variations and surgical techniques of common female genital procedures with recommendations to reduce the complication rate are included in the article.

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“…For a full description of these Evidence-Based Medicine ratings, please refer to the We read with interest the article by Marques et al [1] on monsplasty in female patients after bariatric surgery for weight reduction. Most authors indeed focus on correction of the mons in women [2,3].…”

mentioning

confidence: 99%