Simultaneous Labia Minora and Clitoral Hood Reduction by Introducing a New Laser-assisted Technique: A Pilot Study

Document Type : Brief Report

Author

Gynecologist, Private Clinic, Isfahan, Iran

Abstract

Introduction: Hypertrophy of labia minora can result in uncomfortable sexual or physical activity as well as aesthetic concerns. Currently, labiaplasty is the only treatment of choice which is performed by various techniques. We introduce a new laser-assisted technique for concurrent aesthetic labia minora and clitoral hood reduction.
Method: This experimental study was conducted between July and August 2021 on patients with hypertrophic labia minora. Patients were randomly selected using random number table. We included patients with esthetic concern, uncomfortable sexual intercourse or symptoms of local discomfort. Labia minora was completely resected using laser cuts (laser model), sparing only a thin layer at the base of labia minora. Then, clitoral hood was resected using laser cuts, leaving a tiny triangle-shaped remnant in the central area. This triangle-shaped area is then sutured to the surrounding tissues using a 3-0 monofilament suture. All the patients completed the Rosenberg self-esteem scale (RSEs), female sexual function index (FSFI) and genital appearance satisfaction scale questionnaires before and two weeks after the operation.
Results: We analyzed 15 female patients with a mean age of 32.86±9.97 years. The mean RSEs score was 13±5.22 before and 23.93±3.91 after the intervention (p=0.001). All the patients had a significantly improved genital appearance after the operation (p<0.05). No complications were reported in patients.
Conclusion: the introduced laser-assisted technique for labiaplasty has no significant complications and is also associated with significant improvements in self-esteem and genital appearance satisfaction scores.

Keywords


  1. Sinnott CJ, Glickman LT, Natoli NB, Dobryansky M, Veeramachaneni HB. Outcomes, Techniques, and Risk Factors for Dehiscence in Central Wedge Labiaplasty. Annals of Plastic Surgery. 2020;85(S1):S68-S75.
  2. American Society for Aesthetic Plastic Surgery. ASAPS 2017 statistics: Cosmetic Surgery National Data Bank statistics. Available at: www.surgery.org/sites/default/files/ASAPS-Stats2017-Quick-Facts.pdf. Accessed September 7, 2019. [
  3. Oppenheimer AJ. The horseshoe labiaplasty: problems and pearls. Annals of plastic surgery. 2017;78(6S):S286-S8.
  4. Özer M, Mortimore I, Jansma EP, Mullender MG. Labiaplasty: motivation, techniques, and ethics. Nature Reviews Urology. 2018;15(3):175-89.
  5. Zhou Y, Li Q, Li S, Cao Y, Liu M, Li Y, et al. Trilobal Methods for Composite Reduction Labiaplasty. Aesthetic Plastic Surgery. 2022:1-9.
  6. Le T, Lockrow E, Endicott S. A Novel Technique Using Ultrasonic Shears Versus Traditional Methods in Labiaplasty: A Retrospective Case-Control Study. Journal of Minimally Invasive Gynecology. 2021;28(11):S84-S5.
  7. Giraldo F, González C, de Haro F. Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plastic and reconstructive surgery. 2004;113(6):1820-5.
  8. Rosenberg M. Rosenberg self-esteem scale (RSE). Acceptance and commitment therapy Measures package. 1965;61(52):18.
  9. Safarinejad M. Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors. International journal of impotence research. 2006;18(4):382-95.
  10. Veale D, Eshkevari E, Ellison N, Cardozo L, Robinson D, Kavouni A. Validation of genital appearance satisfaction scale and the cosmetic procedure screening scale for women seeking labiaplasty. Journal of Psychosomatic Obstetrics & Gynecology. 2013;34(1):46-52.
  11. de Alencar Felicio Y. Labial surgery. Aesthetic surgery journal. 2007;27(3):322-8.
  12. Maas SM, Hage JJ. Functional and aesthetic labia minora reduction. Plastic and reconstructive surgery. 2000;105(4):1453-6.
  13. Ostrzenski A. Fenestration labioreduction of the labium minus: A new surgical intervention concept. International Scholarly Research Notices. 2014;2014.
  14. Choi HY, Kim KT. of Labia Minora (the Deepithelialized Reduction Labioplasty). Plast Reconstr Surg. 2000;105(419).
  15. Alter GJ. Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plastic and reconstructive surgery. 2008;122(6):1780-9.
  16. Rouzier R, Louis-Sylvestre C, Paniel B-J, Haddad B. Hypertrophy of labia minora: experience with 163 reductions. American journal of obstetrics and gynecology. 2000;182(1):35-40.
  17. Lista F, Mistry BD, Singh Y, Ahmad J. The safety of aesthetic labiaplasty: a plastic surgery experience. Aesthetic surgery journal. 2015;35(6):689-95.