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Labia majora lifting technique with polydioxanone threads.

Savas O Aglamis1, Selver K Akkaya2, Elif O Sahin3

  • 1Department of Obstetrics and Gynecology, Dr. Ozgur Aglamis Private Clinic, 34381, Sisli, Istanbul, Turkey.

Sexual Medicine
|October 2, 2025
PubMed
Summary

Polydioxanone (PDO) thread lifts significantly improved labia majora hypotrophy, enhancing self-image and sexual function. This minimally invasive rejuvenation offers a safe and effective alternative to traditional surgical methods.

Keywords:
genital estheticlabio majorslabioplasty

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Area of Science:

  • Aesthetic Medicine
  • Dermatology
  • Plastic Surgery

Background:

  • Polydioxanone (PDO) threads are synthetic, absorbable sutures utilized for cosmetic rejuvenation and lifting procedures.
  • Labia majora hypotrophy is a condition often addressed through surgery, fat grafting, or hyaluronic acid fillers.

Purpose of the Study:

  • To evaluate the efficacy and safety of using polydioxanone (PDO) threads for rejuvenation and enlargement in patients with labia majora hypotrophy.
  • To assess the impact of PDO thread suspension on female genital self-image.

Main Methods:

  • A prospective study involving 21 patients diagnosed with labia majora hypotrophy.
  • Application of a PDO thread suspension technique using 50 mm screw threads (30G-38mm needle) with 10 threads per side.
  • Preoperative and postoperative assessment using the Female Genital Self-Image Scale (FGSIS).

Main Results:

  • The overall FGSIS total score showed a statistically significant increase post-intervention.
  • All individual parameters within the FGSIS demonstrated significant improvement from preoperative to postoperative scores.
  • The PDO thread procedure exhibited a favorable safety profile in this patient cohort.

Conclusions:

  • PDO thread suspension is a minimally invasive and effective method for labia majora lifting and rejuvenation.
  • This technique offers comparable results to traditional methods with potential advantages in invasiveness.
  • The procedure positively impacts patients' self-confidence and sexual function, making it a preferable alternative to surgery.