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Related Experiment Video

Updated: Sep 3, 2025

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Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis.

Joseph M Escandón1, Daniela Duarte-Bateman1, Valeria P Bustos1

  • 1From the Division of Plastic and Reconstructive Surgery, Strong Memorial Hospital, University of Rochester Medical Center; Cleveland Clinic Lerner Research Institute; Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School; Universidad El Bosque, School of Medicine; Department of Plastic and Reconstructive Surgery, Children's National Hospital; Department of Plastic and Reconstructive Surgery, Cleveland Clinic Florida; and Department of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital.

Plastic and Reconstructive Surgery
|July 25, 2022
PubMed
Summary

Labiaplasty, a common cosmetic surgery, shows high patient satisfaction rates. However, surgeons must be aware of potential complications like dehiscence and hematoma, varying by technique.

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Area of Science:

  • Plastic Surgery
  • Gynecology
  • Medical Review

Background:

  • Labiaplasty procedures are increasing, necessitating comprehensive understanding of techniques, outcomes, and complications.
  • Plastic surgeons require updated knowledge on labia minoraplasty to manage patient expectations and surgical risks effectively.

Purpose of the Study:

  • To systematically review and meta-analyze existing evidence on labia minoraplasty.
  • To assess surgical techniques, clinical outcomes, and patient satisfaction rates associated with labiaplasty.

Main Methods:

  • A systematic literature search was conducted across major databases (PubMed, Web of Science, SCOPUS, Cochrane CENTRAL) up to October 2020.
  • A random-effects model meta-analysis was employed to evaluate satisfaction and complication rates from 46 included studies.

Main Results:

  • The pooled patient satisfaction rate for labia minoraplasty was 99%, with significant heterogeneity across studies.
  • Complication rates varied by technique: laser-assisted and wedge resection had higher dehiscence rates; W-shape resection showed increased hematoma and bleeding risks.
  • Revision surgeries were most commonly due to dehiscence and aesthetic concerns.

Conclusions:

  • Labiaplasty is generally safe, but serious complications can occur, requiring surgical intervention.
  • Surgeons must possess extensive knowledge of female genital anatomy and select techniques carefully based on patient characteristics.