| INVASIVE SURGERY | ARTICLE Key points
■ Labiaplasty and associated procedures have seen an increase in popularity in recent years
■ The authors of this article follow a step-by- step technique when undertaking labia minora plasty, which is mainly a de-epithelisation technique that may (or preferably not) be followed by a resection of the free outer border of labia minora
■ The aim is to fit the technique to the individual patient, in order to plan the best way in which to obtain a stable and good result, and without any complications
The technique that the authors discuss in this article is one which they
believe to be both simple and successful. It is a technique that can be adapted to a number of patient-specific situations, successfully resolving them.
outer part of the labia (which will only require a little more
time in surgery). The results are clear. By de-epithelising the inner and outer part of both labia minora without breaking the full thickness integrity of the labia minora, this technique allows the possibility of a further ÔdelicateÕ soft amputation of the border of labia minora to better fit the shape of the labia minora that the patient desires.
Discussion The technique that the authors discuss in this article is one which they believe to be both simple and successful. It is a technique that can be adapted to a number of
Further reading
● Giraldo F, González C, de Haro F. Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg 2004; 113(6): 1820–5
● Girling VR, Salisbury M, Ersek RA. Vaginal labioplasty. Plast Reconstr Surg 2005; 115(6): 1792–3
● Maas SM, Hage JJ. Functional and aesthetic labia minora reduction. Plast Reconstr Surg 2000; 105(4): 1453–6
● Munhoz AM, Filassi JR, Ricci MD et al. Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction. Plast Reconstr Surg 2006; 118(5): 1237–47
● Rouzier R, Louis-Sylvestre C, Paniel BJ, Haddad B. Hypertrophy of labia minora: experience with 163 reductions. Am J Obstet Gynecol 2000; 182(1 Pt 1): 35–40
patient-specific situations, successfully resolving them. The goal of treatment is to obtain a more aesthetic appearance of the external genitalia, without adding scars and without distorting them, and with the aim of avoiding any adverse effects, such as numbness, paraesthesia, or pain. Satisfaction of patients is overwhelming.
Conclusions It is astonishing how Ôsurgery of the intimateÕ is now frequently requested, but in different ways from different patients: Those patients from Northern Europe are more interested in labiaplasty with regard to mons veneris reshaping, clitoral unhooding and vaginal stretching, while those coming from other countries are often more interested in revirgination and lipostructure of perineum. Among the different issues, labiaplasty or reduction of
labia minora is of growing interest and the authors feel that the technique proposed by Davison, and detailed in this article, is the most useful and elegant.
Declaration of interest None Figure images 1–7 ç Erri Cippini
■ The goal of treatment is to obtain a more aesthetic appearance of the external genitalia, without adding scars and without distorting them, and with the aim of avoiding any adverse effects
References
1. Hodgkinson DJ, Hait G. Aesthetic vaginal labioplasty. Plast Reconstr Surg 1984; 74(3): 414–6
2. Labiaplasty and Labia Minora Reduction. Davison SP. Medscape, 2011. http://tinyurl. com/clyowpm (accessed 17 August 2012)
3. Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. Mar 1998;40(3):287-90.
4. Alter GJ. Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg 2005; 115(7) :2144–5
5. Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg 2000; 105(1): 419–22
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