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Labia minora reduction techniques: a comprehensive literature review.
Carlo Maria Oranges1, Andrea Sisti1, Giovanni Sisti1
1Dr Oranges is a Resident in the Plastic, Reconstructive and Aesthetic Surgery School, Marche Polytechnic University, Ancona, Italy. Dr A. Sisti is a Resident in the General and Specialist Surgery Department, Plastic Surgery Division, University of Siena, Siena, Italy. Dr G. Sisti is a Resident in the Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
Aesthetic Surgery Journal
|April 25, 2015
Summary
Labiaplasty techniques for reducing the labia minora show high patient satisfaction and good outcomes across eight different methods. Complications are infrequent, with most cases requiring no revision surgery.
Area of Science:
- Gynecological Surgery
- Plastic Surgery
- Female Genital Procedures
Background:
- Numerous labia minora reduction techniques exist, but comprehensive data on their overall complications and patient satisfaction is lacking.
- Previous research primarily consists of case reports and retrospective series.
Purpose of the Study:
- To conduct a comprehensive literature review on labiaplasty techniques.
- To determine the outcomes, complications, and patient satisfaction rates associated with various labia minora reduction methods.
Main Methods:
- A systematic search of PubMed/Medline was conducted using keywords related to labiaplasty and labia minora reduction techniques.
- Included were clinical studies describing surgical techniques for labia minora reduction.
- Excluded were review articles and non-surgical publications.
Main Results:
- Thirty-eight studies (1971-2014) involving 1981 patients were analyzed.
- Eight distinct labiaplasty techniques were identified: edge resection, wedge resection, deepithelialization, W-plasty, laser, custom flask, fenestration, and composite reduction.
- All techniques demonstrated satisfactory clinical results with low complication rates, though some required revision.
Conclusions:
- All eight evaluated labiaplasty techniques yield favorable outcomes.
- High patient satisfaction and low morbidity are consistently observed across these diverse surgical approaches.
- Labiaplasty is an effective procedure for labia minora reduction with generally good results.