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Vaginal labiaplasty: current practices and a simplified classification system for labial protrusion
Saba Motakef1, Jose Rodriguez-Feliz, Michael T Chung
1Loma Linda, Calif.; Albany and New York, N.Y.; Durham, N.C.; and Baltimore, Md. From the Department of Plastic Surgery, Loma Linda University; the Division of Plastic and Reconstructive Surgery, Albany Medical Center; the Division of Plastic, Maxillofacial, and Oral Surgery, Duke University; the Division of Plastic and Reconstructive Surgery, Mount Sinai Hospital; and the Department of Plastic and Reconstructive Surgery, Johns Hopkins University.
Labiaplasty for labial protrusion is safe and effective, with high patient satisfaction across various techniques. A new classification system and standardized perioperative management are proposed to guide future practices.
Area of Science:
- Gynecology
- Plastic Surgery
- Female Genital Cosmetic Surgery
Background:
- Vaginal labiaplasty addresses functional and aesthetic concerns of labia minora protrusion.
- Limited data exists to guide current treatment paradigms for this procedure.
- This review seeks to classify labial protrusion and summarize techniques.
Purpose of the Study:
- To establish a unifying classification scheme for labial protrusion.
- To summarize current labiaplasty techniques and practices.
- To define key areas for perioperative patient management.
Main Methods:
- A systematic literature review was conducted using the PubMed database.
- Additional relevant articles were identified through reference lists.
- Nineteen articles met inclusion criteria, analyzing 1949 patients.
Main Results:
- Seven distinct labiaplasty techniques were identified: deepithelialization, direct excision, W-shaped resection, wedge resection, composite reduction, Z-plasty, and laser excision.
- Patient satisfaction rates ranged from 94% to 100% across all techniques.
- The most frequent complication was wound dehiscence (4.7%).
Conclusions:
- Labiaplasty demonstrates safety and high patient satisfaction.
- Current surgical practices for labiaplasty are highly diverse.
- A simplified classification and standardized perioperative care are proposed, with a call for further randomized studies.
