Labia Majora Lipofilling During Body Contouring: Complications

Area of Science:

• Plastic Surgery
• Body Contouring
• Genital Aesthetics

Background:

• Increasing demand for labia majora enhancement in body contouring procedures.
• Focus on complications of combined labia majora enhancement and body reshaping surgeries.
• Introduction of the thigh-to-labium adipo-fascial flap technique.

Purpose of the Study:

• To evaluate complications associated with labia majora enhancement during body contouring.
• To present the thigh-to-labium adipo-fascial flap technique for labial augmentation.
• To compare outcomes of fat grafting versus flap technique for labia majora enhancement.

Main Methods:

• Autologous fat grafts used for labia majora enhancement in 26 patients undergoing abdominoplasty.
• Adipo-fascial flap from the medial thigh used in 2 patients during thigh lift.
• Procedures were combined with mons tacking, edge labiaplasty, and mammoplasty in various cases.

Main Results:

• Six patients experienced complications (10.7% tummy tuck, 8% fat grafting).
• Complications included respiratory event, abdominal flap burn, mons ptosis recurrence, and fat graft resorption.
• One labium majus lost prominence due to hematoma management.

Conclusions:

• Combining labia majora lipofilling with body contouring can lead to significant complications.
• Labial fat grafts are prone to resorption.
• The thigh-to-labium adipo-fascial flap provides durable maintenance of labial fullness.