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The vulva encompasses the external structures of the female reproductive system. At the forefront is the monpubis, a cushion of fatty tissue atop the pubic bone. Once puberty sets in, this area typically grows hair. Extending from just behind the mons pubis are the labia majora (labia = 'lips'; majora = 'larger'), which are larger skin fs olds coated with hair. Nestled within are the labia minora (labia = 'lips'; minora = 'smaller'), which are thinner, more...
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Labia Minora Repair.

Stefan Gress1

  • 1, Salvatorstrasse 3, 80333, Munich, Germany. stefan.gress@plast-chirurgie.de.

Aesthetic Plastic Surgery
|July 7, 2021
PubMed
Summary

Corrective labia minora reduction surgery significantly improves function and psychological well-being in patients with iatrogenic deformities. Establishing surgical standards is crucial to prevent these concerning complications.

Area of Science:

  • Plastic Surgery
  • Female Genital Surgery

Background:

  • Labia minora reduction is a common plastic surgery procedure.
  • An increasing number of corrective surgeries are needed due to poorly performed initial operations.
  • Overresection leading to 'small penis deformity' is a frequent iatrogenic issue.

Purpose of the Study:

  • To evaluate outcomes of corrective labia minora reconstruction.
  • To highlight the rise in iatrogenic deformities and their causes.

Main Methods:

  • Reconstruction techniques include using redundant labial tissue for flaps or vaginal skin advancement.
  • Postoperative outcomes were assessed via anonymous questionnaires from 544 patients.

Main Results:

  • Corrective surgery showed significant improvement in functional and psychological impairments.
Keywords:
Botched labia minora reductionClitoral protrusionIatrogenic labia minora deformityLabial reconstructionSmall penis deformity

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  • Overall patient satisfaction with corrective procedures was very high, even if initial aesthetic goals weren't fully met.

    • Conclusions:

    • The rise in iatrogenic deformities from labia reduction is alarming, stemming from underestimation and lack of knowledge.
    • These deformities have severe psychological and physical impacts.
    • Training and surgical standards are essential to minimize errors and improve patient outcomes.