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A Novel Approach to Monitoring Graft Neovascularization in the Human Gingiva
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Revision Labiaplasty After Penile Inversion Vaginoplasty Using Costal Cartilage Allograft.

Nicholas Sellke1, Michael Callegari1, Kirtishri Mishra1

  • 1University Hospitals Cleveland Medical Center - Urology Institute, Cleveland, OH, USA.

Turkish Journal of Urology
|November 23, 2022
PubMed
Summary
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Revision labiaplasty can restore labia minora definition after gender-affirming surgery. Incorporating cartilage allografts offers a safe and effective solution for improved aesthetic outcomes and patient satisfaction.

Area of Science:

  • Plastic Surgery
  • Gender-Affirming Care
  • Reconstructive Surgery

Background:

  • Gender-affirming surgery, including vaginoplasty, often requires revision procedures.
  • Revision labiaplasty is common, yet labia minora may lose definition.
  • Loss of labia minora definition can lead to patient dissatisfaction.

Purpose of the Study:

  • To present a novel technique for enhancing labia minora definition after revision labiaplasty.
  • To improve aesthetic outcomes and patient satisfaction following vaginoplasty.

Main Methods:

  • A technique involving cadaveric costal cartilage allograft incorporation into revised labia minora flaps was developed.
  • The procedure was successfully demonstrated in a 38-year-old male-to-female patient who had previously undergone inversion vaginoplasty.

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Main Results:

  • The patient achieved lasting definition of the labia minora at 6 weeks post-operatively.
  • No adverse effects were observed during the follow-up period.

Conclusions:

  • This technique shows promise for effectively and safely increasing labia minora definition.
  • It may be a valuable option for patients seeking improved aesthetic results after vaginoplasty.