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Trilobal Methods for Composite Reduction Labiaplasty.

Yu Zhou1, Qiang Li1, Senkai Li1

  • 1Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Ba-Da Chu Road, Shi Jing Shan District, Beijing, 100144, People's Republic of China.

Aesthetic Plastic Surgery
|March 18, 2022
PubMed
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Trilobal labiaplasty effectively addresses labia minora and clitoral hood redundancy. This safe procedure significantly improves both functional and aesthetic outcomes for patients.

Area of Science:

  • Plastic Surgery
  • Gynecology
  • Female Genital Aesthetics

Background:

  • Planning effective surgical strategies for combined labia minora and clitoral hood redundancy is challenging.
  • Existing labiaplasty techniques do not simultaneously address horizontal and vertical tissue excess and clitoral hood issues.
  • Trilobal labiaplasty via composite incision is a novel approach investigated for these combined concerns.

Purpose of the Study:

  • To investigate the clinical effects and safety of trilobal labiaplasty using a composite incision.
  • To evaluate the method's ability to resolve horizontal/vertical labia minora hypertrophy and clitoral hood redundancy.
  • To assess patient satisfaction with functional and aesthetic results.

Main Methods:

  • Retrospective, observational study at a single center.
Keywords:
Clitoral hood redundancyEdge resectionLabia minora hypertrophyLabiaplastyWedge resection

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  • Included patients with labia minora hypertrophy and clitoral hood issues who underwent trilobal labiaplasty.
  • Data analysis focused on clinical outcomes, complications, and patient-reported satisfaction.

    • Main Results:

    • 136 patients (average age 31.6 years) underwent the procedure for aesthetic, functional, or combined reasons.
    • High patient satisfaction reported: 91.5% with cosmetic outcomes and 95.9% with functional improvement.
    • Low complication rate: 98.5% follow-up, no serious adverse events, and only 2.2% required secondary repair for symmetry.

    Conclusions:

    • Trilobal labiaplasty via composite incision is a safe and effective technique.
    • The procedure successfully improves labia minora appearance and clitoral hood position.
    • High rates of patient satisfaction with both functional and aesthetic results were achieved.