The "Y technique": Redefining the Surgical Approach to Combined Labia Minora and Clitoral Prepuce Reduction

Area of Science:

• Female Genital Cosmetic Surgery
• Plastic Surgery Outcomes
• Surgical Techniques

Background:

• Labiaplasty is a common cosmetic surgery for women, addressing aesthetic, functional, and psychosocial concerns.
• Labia minora elongation often co-occurs with clitoral prepuce prominence, a factor frequently overlooked in surgical planning.
• This study focuses on a novel surgical approach integrating these two aspects.

Purpose of the Study:

• To describe a surgical technique for labiaplasty that incorporates clitoral prepuce contouring alongside labia minora reduction.
• To evaluate the outcomes of this integrated technique in a retrospective cohort of patients.

Main Methods:

• A retrospective review of 132 labiaplasty patients (out of 185) who completed anonymous questionnaires on motivations, experience, and outcomes.
• The
• Y technique
• was utilized in 103 cases, focusing on simultaneous correction of labia minora and clitoral prepuce.
• Procedures were primarily performed in an outpatient setting under local anesthesia using the Fraxx System.

Main Results:

• The
• Y technique
• was effective in cases with combined labia minora elongation and clitoral prepuce prominence.
• Patients reported high satisfaction, improved self-esteem, body image, and sexual function.
• The perioperative experience was favorable, with minimal complications and high tolerability.

Conclusions:

• Outpatient labiaplasty under local anesthesia is a safe and well-accepted procedure.
• The
• Y technique
• offers a simple, reproducible method for achieving excellent functional, psychosocial, and aesthetic results.
• Simultaneous correction of labial and clitoral prepuce issues enhances overall patient outcomes.