Trilobal Methods for Composite Reduction Labiaplasty

Abstract

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 .

The impact of labiaplasty on sexuality

“…Additionally, a crescent-shaped skin segment below the clitoris and a rectangular skin segment with a central point above the clitoral hood were excised. The wound margins were joined to achieve a balanced reduction and tightening of the labia minora, and to correct the protruding tip of the clitoris [6]. The appearance of the preoperative labial hypertrophy and the appearance after the composite reduction labiaplasty are shown in Figure 1a and 1b, respectively.…”

Aesthetic Gynecological Surgeries in Children and Adolescents

“…При правильном проведении операции также максимально сохраняются иннервация и кровоснабжение, не нарушается чувствительность. В то же время краевая резекция подразумевает иссечение наиболее выступающего участка гипертрофированной малой половой губы без сохранения естественного резецированного края [30]. Техника клиновидной резекции достаточно проста: после нанесения разметки, по которой выполняется резекция, на края малых половых губ накладываются зажимы Кохера, с помощью которых отводят края гипертрофированных половых губ в латеральную сторону от клитора.…”

Collagen Biostimulatores in the Vulva’s Region

“…The demand for aesthetic treatments has increased worldwide in recent years, especially when associated with rejuvenation and well-being. Among the body areas that have gained greater prominence is the female genitalia, adhering to procedures that include changes, mainly, in the labia minora and majora, related to size, symmetry, firmness and the presence of wrinkles [1,2].…”