Labioplasty

from Wikipedia, the free encyclopedia

As labioplasty ( synonym : labioplasty , labia plasty , labia correction ) are operations of cosmetic intimate surgery to reduce, modify, reconstruct or remove the labia .

The most common form of labioplasty is the reduction of the labia minora. Labioplastic changes to the outer (large) labia are possible, but are performed comparatively less often.

Reasons for labioplasty

The interventions can be medically and functionally justified or pursue aesthetic goals. Labioplasty as a plastic-surgical construction of the labia is used as part of a gender reassignment operation . A reconstruction of existing structures can take place after a medically indicated, gynecological operation.

Forms of labioplasty

Labia reduction

Vulva after complete removal of the inner labia (labia minora)

The most common area of ​​application is the reduction of the labia, whereby the inner labia are reduced in size or even completely removed. Various surgical techniques can be used here. An algorithm that also takes into account the size and anatomical position of the clitoral jacket helps to select the appropriate surgical technique. A reduction in the size of the outer labia is also less common.

In addition to functional impairments, mainly aesthetic motifs are cited as the reason for the intervention . In this case, it is a so-called plastic surgery .

Padding of the outer labia

As a result of age and severe weight loss, the outer labia may sag. The cause of this is a loss of subcutaneous adipose tissue. These become wrinkled and lose their firmness and fullness. This can be countered by padding with autologous fat or by tightening the connective tissue.

An enlargement (volume augmentation) of the outer labia can be brought about by a lipostructure autologous fat transplantation. A varicosis of the labia can be corrected with sclerotherapy .

(Re) construction of the labia

Surgical removal of tumors , removal of hemangiomas and certain metabolic diseases can make the reconstruction of the vulvovaginal region, i.e. a. the labia. Such interventions are also used in the context of gender reassignment operations on trans- and intersex people to convert from male to female appearance.

Excess tissue can sometimes be used to replicate the labia. For example, tissue removed from the foreskin during sex reassignment surgery can be used to build up the inner labia.

Clitoral mantle correction (clitoral mantle reduction)

The clitoral jacket consists of skin that lies over the clitoris in the anterior genital area . With enlarged labia, it is often the case that the clitoral jacket is too big. With a clitoral mantle correction, the enlarged clitoral mantle is tightened to the side and towards the center of the body.

Web links

Commons : Labioplasty  - collection of images, videos and audio files

Individual evidence

  1. ↑ JR Miklos, RD Moore: Vaginal Rejuvenation and Cosmetic Vaginal Surgery. In: Textbook of Female Urology and Urogynecology. Second edition. Informa Healthcare, 2006, ISBN 1-84184-358-X , pp. 1056-1074 ( online ( memento of the original dated September 24, 2011 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this note (PDF; 1.7 MB), accessed on November 20, 2010). @1@ 2Template: Webachiv / IABot / www.miklosandmoore.com
  2. ↑ Dr. v. Lukowicz: A Simple Algorithm for the Correct Technique for Shrinking the Inner Labia . In: Magazine for Aesthetic and Plastic Surgery, 2013 . No. 3 , p. 20-26 .
  3. ↑ Consensus paper: "Guidelines for Female Genital Surgery".
  4. ↑ M. Farage, H. Maibach: Lifetime changes in the vulva and vagina. In: Archives of gynecology and obstetrics. 273 (4), 2006, pp. 195-202. PMID 16208476
  5. ^ A b Cosmetic Vaginal Surgery. International Society of Cosmetogynecology
  6. ↑ HY Choi et al. a .: A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). In: Plastic and Reconstructive Surgery . Volume 105, 2000, pp. 419-422. PMID 10627011
  7. ↑ Stefan Gress: Aesthetic corrections in the female genital area ( Memento of the original from April 30, 2009 in the Internet Archive ) Info: The @1@ 2Template: Webachiv / IABot / www.medfuehrer.de archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. In: Medführer Online News. medführer GmbH.
  8. ↑ YL Lai, CJ Chang: Vulvovaginal reconstruction following radical tumor resection: report of 12 cases. In: Changgeng Yi Xue Za Zhi. Volume 22, Issue 2, 1999, pp. 253-258. PMID 10493031 .
  9. ↑ Oliver Breitmeier: Plastic vulva operations. ( Memento of the original from October 21, 2012 in the Internet Archive ) Info: The archive link was inserted automatically and has not yet been checked. Please check the original and archive link according to the instructions and then remove this notice. (PDF; 153 kB) In: Frauenarzt. 47, 6, 2006, pp. 498-499. (accessed on August 13, 2010) @1@ 2Template: Webachiv / IABot / www.frauenarzt.de
  10. ^ Gary J. Alter: Reply (to Aesthetic Labia Minora and Clitoral Hood Reduction Using Extended Central Wedge Resection). In: Plastic & Reconstructive Surgery. 124, Issue 1, 2009, pp. 337-338, doi: 10.1097 / PRS.0b013e3181a83986 .
  11. ↑ HV Velidedeoğlu, OK Coşkunfirat, MN Bozdoğan, U. Sahin, Y. Türkgüven: The surgical management of incomplete testicular feminization syndrome in three sisters. In: British Journal of Plastic Surgery. Volume 50, Issue 3, 1997, pp. 212-216. PMID 9176010 .
  12. ^ UT Hinderer: Reconstruction of the external genitalia in the adrenogenital syndrome by means of a personal one-stage procedure. In: Plastic Reconstruction Surgery. Volume 84, Issue 2, 1989, pp. 325-337. PMID 2748745 .
  13. ↑ PA Sutcliffe, S. Dixon, RL Akehurst, A. Wilkinson, A. Shippam, S. White, R. Richards, CM Caddy: Evaluation of surgical procedures for sex reassignment: a systematic review. In: Journal of Plastic Reconstruction and Aesthetical Surgery. Volume 62, 2009, pp. 294-306. PMID 18222742 .
  14. ↑ MS Leone, C. Introini, C. Neumaier, PL Santi, M. Massa: Surgical Correction of Ambiguous Genitalia in 46-Year-Old Woman. In: Aesthetic plastic surger. 36 (2), Apr 2012, pp. 474-476. PMID 21947336
  15. ↑ Labia Reduction Munich | Dr. by Lukowicz & colleagues. In: Aesthetics in Munich. Retrieved January 23, 2020 (German).