L-Shaped Incision in Composite Reduction Labiaplasty
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ORIGINAL ARTICLE
GENITAL SURGERY
L-Shaped Incision in Composite Reduction Labiaplasty Fengyong Li1 • Qiang Li1 • Yu Zhou1 • Senkai Li1 • Yujiao Cao1 • Meichen Liu1 Shuai Qiang1 • Ye Yuan1 • Zhen Zhang1
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Received: 27 January 2020 / Accepted: 1 July 2020 Ó Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020
Abstract Labia minora hypertrophy, in combination with clitoral hood protrusion, is a common deformity encountered in clinic practice and should be treated as a compound entity. Most targeted surgical procedures are too complex to understand and master. Herein, we introduce a relatively simple method to correct this deformity. In this study, we retrospectively review our experience treating patients with deformity of labia minora hypertrophy combined with clitoral hood protrusion between January 2017 and November 2019. All patients received correction surgery to repair the complex deformity. During the procedures, we divided the complex operation into two parts: clitoral hood reduction using L-shaped incision and then labiaplasty using L-shaped edge resection. We describe the details of the method step-by-step and evaluate the treatment outcomes. A total of 38 sides (14 bilateral procedures and 10 unilateral procedures) of clitoral hood reduction and labiaplasty were performed. There were no wound healing complications in any cases. One patient had a secondary corrective operation for obvious asymmetry of bilateral labia minora. Ultimately, all the patients were satisfied with the cosmetic appearance and did not have complaints. The surgical procedure we describe proved to be an effective, simple method for dealing with the complex situation of hypertrophy of labia minora combined with clitoral hood protrusion. Subsequent L-shaped edge resection of
& Fengyong Li [email protected] 1
Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Ba-Da Chu Road, Shi Jing Shan District, Beijing 100144, People’s Republic of China
labiaplasty is appropriate for individuals with darker skin, in particular. Level of evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266. Genital Surgery Keywords Clitoral hood Hypertrophy of labia minora Labiaplasty Surgical correction
Over the past several years, there has been a significant increase in the number of patients seeking cosmetic surgery of the external female genital area. Among these patients, over 50% undergo labiaplasty. Initially, the main purpose of the surgery was to enhance the shape of the labia minora only. Techniques such as longitudinal trimming of the edges of the labia and wedge resection, where a V, W, or other irregular portion of the labia is excised and sutured, were common [1-4]. However, the situati
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