Labiaplasty and Labia Minora Reduction Workup

  • Author: Steven P Davison, DDS, MD; Chief Editor: Jorge I de la Torre, MD, FACS   more...
 
Updated: Nov 28, 2011
 

Laboratory Studies

Routine preoperative laboratory studies appropriate for patient age and health status are sent.

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Imaging Studies

Routine imaging appropriate for patient age and health status is performed.

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Diagnostic Procedures

Labial hypertrophy is a clinical diagnosis made when the physician performs a physical examination of the patient. No diagnostic studies are required.

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Histologic Findings

Surgical specimens are not routinely sent to the pathologist for histological examination.

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Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

Steven P Davison, DDS, MD  Private Practice, President, DAVinci Plastic Surgery, Washington, DC

Steven P Davison, DDS, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American Association of Plastic Surgeons, American College of Surgeons, American Laryngological Rhinological and Otological Society, American Medical Association, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, and American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Coauthor(s)

Justin E West  MD, Director of Breast Reconstruction

Justin E West is a member of the following medical societies: American Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Gregory Caputy, MD, PhD, FICS  Chief Surgeon, Aesthetica Plastic and Laser Surgery Center, Inc

Gregory Caputy, MD, PhD, FICS is a member of the following medical societies: American Society for Laser Medicine and Surgery, Canadian Medical Association, International College of Surgeons, International College of Surgeons US Section, Pan-Pacific Surgical Association, and Wound Healing Society

Disclosure: Syneron Corporation Salary Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Wayne Karl Stadelmann, MD  Stadelmann Plastic Surgery, PC

Wayne Karl Stadelmann, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Society of Plastic Surgeons, New Hampshire Medical Society, Northeastern Society of Plastic Surgeons, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery Center

Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society

Disclosure: Nothing to disclose.

Chief Editor

Jorge I de la Torre, MD, FACS  Professor of Surgery and Physical Medicine and Rehabilitation, Chief, Division of Plastic Surgery, Residency Program Director, University of Alabama at Birmingham School of Medicine; Director, Center for Advanced Surgical Aesthetics

Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama

Disclosure: Nothing to disclose.

Additional Contributors

The authors wish to thank our 2 patients for allowing the use of their photographs for this article, as well as Dr. Allison Nauta for the illustration labeled as Media file 2.

References

  1. Hodgkinson DJ, Hait G. Aesthetic vaginal labioplasty. Plast Reconstr Surg. Sep 1984;74(3):414-6. [Medline].

  2. Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. Mar 1998;40(3):287-90. [Medline].

  3. Alter GJ. Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg. Jun 2005;115(7):2144-5; author reply 2145. [Medline].

  4. Rouzier R, Louis-Sylvestre C, Paniel BJ, Haddad B. Hypertrophy of labia minora: experience with 163 reductions. Am J Obstet Gynecol. Jan 2000;182(1 Pt 1):35-40. [Medline].

  5. Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg. Jan 2000;105(1):419-22; discussion 423-4. [Medline].

  6. Munhoz AM, Filassi JR, Ricci MD, Aldrighi C, Correia LD, Aldrighi JM, et al. Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction. Plast Reconstr Surg. Oct 2006;118(5):1237-47; discussion 1248-50. [Medline].

  7. Maas SM, Hage JJ. Functional and aesthetic labia minora reduction. Plast Reconstr Surg. Apr 2000;105(4):1453-6. [Medline].

  8. Giraldo F, González C, de Haro F. Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg. May 2004;113(6):1820-5; discussion 1826-7. [Medline].

  9. Goodman MP. Female genital cosmetic and plastic surgery: a review. J Sex Med. Jun 2011;8(6):1813-25. [Medline].

  10. Trichot C, Thubert T, Faivre E, Fernandez H, Deffieux X. Surgical reduction of hypertrophy of the labia minora. Int J Gynaecol Obstet. Oct 2011;115(1):40-3. [Medline].

  11. Girling VR, Salisbury M, Ersek RA. Vaginal labioplasty. Plast Reconstr Surg. May 2005;115(6):1792-3. [Medline].

  12. Goodman MP, Placik OJ, Benson RH 3rd, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. Apr 2010;7(4 Pt 1):1565-77. [Medline].

 
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Patient with previous abdominoplasty scar presented to clinic reporting labia minora that were too visible.
External female genitalia. Labia minora are found inside the labia majora.
Preoperative photograph of patient (lithotomy position).
With the patient under anesthesia, the authors demonstrate redundant labia minora tissue.
Markings for de-epithelialization on outside of labia minora.
Markings for de-epithelialization on inside of labia minora.
Photograph taken in operating room after surgery is complete. Note the swelling of the labia minora, which subsides in the following weeks.
Follow-up appointment week 2. Note the decreased swelling.
Follow-up appointment week 4. The swelling has almost completely subsided, resulting in a dramatic improvement in appearance.
Example of scalloping along free edge that can result when a running external suture technique is used.
 
 
 
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