| GUEST EDITORIAL
International Journal of Aesthetic and Anti-Ageing Medicine Informa Healthcare, 119 Farringdon Road, London, EC1R 3DA, UK
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Managing Editor Rosalind Hill
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HE TERM ÔLABIAPLASTYÕ IS CURRENTLY USED TO DESCRIBE A NUMBER OF procedures used to change the appearance of the structures surrounding the vestibule of the vulva. These procedures most commonly refer to reduction of the size and/or change of the shape of the labia minora, the labia majora and the clitoral hood, as well as lifting of the clitoris and removal of hymenal remnants or perineal skin tags. The indications for the procedure may include congenital
defects, as well as cosmetic enhancement following stretching as a result of childbirth, weight-loss and ageing. There is some controversy with regard to the use of the term of Ô labia minora hypertrophyÕ , as
there is little information available concerning the dimensions of these structures ® other than the fact that there is considerable variation in presentation. As a result, there is no standardised method for grading the degree of labia minora hypertrophy and subsequently, no algorithm for surgical intervention. Furthermore, there is a wide variation in womenÕs perceptions of the ideal genital body image, especially when taking into consideration racial/ethnic and cultural influences. The most common complaint is that in the standing position the labia minora may protrude too
much below the labia majora, causing embarrassment and low self-esteem. Women who pursue the beautification of the genital area with cosmetic surgery are often
criticised. It has been suggested that they wish to acquire a flat vulva similar to the pre-pubescent aesthetic seen in pornography and commercial advertisements. Unfortunately psychological studies that investigate the prevalence of body dysmorphic disorder (BDD) in women seeking labiaplasty are lacking. In Western society, the layman opponents of religiously and culturally motivated cutting of
parts of the vulva use the terms Ôfemale genital mutilation or circumcisionÕ interchangeably with labiaplasty. The few reports that exist about patient satisfaction after labia reduction surgery are generally positive, but rather short term. In the UK, the increased demand for labiaplasty was indicated by the NHS performing double
the number of procedures in 2006 than previously reported in 2001–2005; while the official World Health Organization (WHO) resolution allows for the woman and her plastic surgeon to resolve the semantic ambiguity within the exclusive context of the doctorÐ patient relationship.
☛ Read more on page 28.
Ms Angelica Kavouni, MD FRCS EBOPRAS Cosmetic Plastic Surgeon,Harley Street, London; and Facial Lipoatrophy Clinic, Chelsea and Westminster Hospital, London
PRIME JOURNAL EDITORIAL BOARD BOARD MEMBER SPECIALISM
Dr Claude Dalle
Dr Wilmar Accursio Dr Pierre Andre Dr Ashraf Badawi
Anti-ageing & aesth. medicine France Endocrinologist Dermatology Dermatology
France Egypt
Dr Janethy Balakrishnan Dermatology Dr Lakhdar Belhaouari Dr Philippe Berros Dr Dario Bertossi
Dr Philippe Blanchemaison Phlebology Dr Pierre Bouhanna Dr Fahd Benslimane Prof Wayne Carey
Dr Claude Chauchard Dr Olivier Claude
Dr Christophe de Jaeger Geriatrics Dr Jacques Dequesne Prof Ilaria Ghersetich Dr Kate Goldie
Dr Monika Golkova Prof Eckart Haneke Dr Steven Hopping Prof Xiaoyan Jiang
Plastic surgery
Oculoplastic surgery Maxillofacial surgery
Dermatology – Hair surgery Plastic Surgeon Dermatology
Anti-ageing medicine Plastic surgery
Gynaecologist Dermatology
Aesthetic Physician Neurologist Dermatology Plastic surgery Genetics
Prof Andreas Katsambas Dermatology Dr Mario Krause
Anti-ageing medicine
Malaysia France
Monaco Italy
France France
Morocco Canada France France France France Italy UK
Czech Republic Germany USA
Canada Greece
Germany
COUNTRY Brazil
BOARD MEMBER SPECIALISM Dr David Lai
Dr Marina Landau
Dr Gustavo Leibaschoff Dr Jean-Luc Levy Dr Sohail Mansoor Prof Leonardo Marini
Cosmetic surgery Dermatology Dermatology Dermatology
Prof Dr Martino Neumann Dermatology & Venereology Prof Daniel Pella Dr Vincenzo Penna
Cardiology
Dr Chariya Petchngaovilai Dermatology Dr Philippe Piccerelle Prof Ascanio Polimeni Dr Herve Raspaldo Dr Neil Sadick
Dr Pakpilai Thavisin Dr Mario Trelles Dr Ines Verner Dr Octavio Viera
Dr Jean-Luc Vigneron Prof Bernard Weber Dr Sabine Zenker
Catherine Decuyper Wendy Lewis
Christophe Luino
Plastic surgery Dermatologist
Neuro-endocrinology Facial plastic surgery Dermatology
Anti-ageing medicine Dermatology
COUNTRY Hong Kong
Israel USA
France UK
Italy
Netherlands Slovakia Germany Thailand France Italy
France USA
Dermatology & Anti-ageing medicine Thailand Plastic surgery Dermatology
Spain Israel
Anti-ageing medicine; pediatry Spain Aesthetic dermatology Genetician
Dermatologist USA France
Luxembourg Germany
Industry expert & consultant France Industry expert
Industry expert & consultant France
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