Cosmetic Revision Surgeries after Transfeminine Vaginoplasty

Area of Science:

• Plastic Surgery
• Gender-Affirming Surgery
• Urology

Background:

• Vaginoplasty is the most common genital gender-affirming surgery for transgender women.
• While functional and aesthetic outcomes have improved, cosmetic revision surgeries are increasingly common.
• Updated knowledge on revision procedures is essential.

Purpose of the Study:

• To examine the prevalence, types, and techniques of vulvar cosmetic revision surgeries after transfeminine vaginoplasty.
• To analyze trends in cosmetic revisions over an eight-year period.

Main Methods:

• Retrospective review of clinical charts for patients undergoing cosmetic revision surgery post-vaginoplasty.
• Inclusion of patients from the institution and those referred from other centers.
• Statistical analysis of surgical techniques, prevalence, and topography of revisions.

Main Results:

• 11.29% of patients undergoing vaginoplasty at the institution required cosmetic revision.
• Labiaplasty (31.42%) and clitoroplasty (23.26%) were the most frequent revision procedures.
• No significant differences in revision prevalence or topography were found among different vaginoplasty techniques.

Conclusions:

• Cosmetic revision surgeries are frequent following transfeminine vaginoplasty.
• Labiaplasty and clitoroplasty are the most common procedures needed.
• Multicenter, prospective studies are recommended to improve cosmetic outcomes and scientific evidence.