Outcomes, Techniques, and Risk Factors for Dehiscence in Central Wedge Labiaplasty

Area of Science:

• Plastic Surgery
• Gynecology
• Female Cosmetic Genital Surgery

Background:

• Outcomes of female cosmetic genital surgery (FCGS) in group private practice settings are not well-documented.
• This study addresses the need for data on FCGS techniques and results.

Purpose of the Study:

• To assess outcomes of female cosmetic genital surgery (FCGS).
• To describe FCGS techniques employed in a large group private plastic surgery practice.

Main Methods:

• Retrospective chart review of patients undergoing FCGS from 2009-2018.
• Analysis of demographic, clinical, and operative data.
• Assessment of postoperative complications and revision surgery rates.

Main Results:

• Seventy-seven women underwent FCGS (ages 14-53).
• Central wedge excision (n=45) and extended central wedge excision (n=32) were primary techniques.
• Postoperative asymmetry/redundancy (12/77) and wound dehiscence (12/77) were most common, with high revision rates (10/12 and 9/12, respectively).
• Single-layer closure and mons pubis liposuction were identified as risk factors for wound dehiscence.

Conclusions:

• Central wedge excision and extended central wedge excision are utilized in group practice.
• High rates of asymmetry and dehiscence necessitate careful technique selection.
• Risk factors for dehiscence include single-layer closure and additional mons pubis liposuction.