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International Urogynecology Journal

Erschienen in:

01.12.2013 | Review Article

Female genital cosmetic surgery: a review of techniques and outcomes

verfasst von: Cheryl B. Iglesia, Ladin Yurteri-Kaplan, Red Alinsod

Erschienen in: International Urogynecology Journal | Ausgabe 12/2013

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Abstract

The aesthetic and functional procedures that comprise female genital cosmetic surgery (FGCS) include traditional vaginal prolapse procedures as well as cosmetic vulvar and labial procedures. The line between cosmetic and medically indicated surgical procedures is blurred, and today many operations are performed for both purposes. The contributions of gynecologists and reconstructive pelvic surgeons are crucial in this debate. Aesthetic vaginal surgeons may unintentionally blur legitimate female pelvic floor disorders with other aesthetic conditions. In the absence of quality outcome data, the value of FGCS in improving sexual function remains uncertain. Women seeking FGCS need to be educated about the range and variation of labia widths and genital appearance, and should be evaluated for true pelvic support disorders such as pelvic organ prolapse and stress urinary incontinence. Women seeking FGCS should also be screened for psychological conditions and should act autonomously without coercion from partners or surgeons with proprietary conflicts of interest.

Honore LH, O’Hara KE (1978) Benign enlargement of labia minora: report of two cases. Eur J Obstet Gynecol Reprod Biol 8(2):61–64PubMedCrossRef

Hodgkinson DJ, Hait G (1984) Aesthetic vaginal labioplasty. Plast Reconstr Surg 74(3):414–416PubMedCrossRef

Milkos JR, Moore RD (2008) Labiaplasty of the labia minora: patients’ indications for pursuing surgery. J Sex Med 5(6):1492–1495CrossRef

Yurteri-Kaplan LA, Antosh DD, Sokol AI, Park AJ, Gutman RE, Kingsberg SA, Iglesia CB (2012) Interest in cosmetic vulvar surgery and perceptions of vulvar appearance. Am J Obstet Gynecol 207:428.e1–e7CrossRef

Konig M, Zeijlmans IA, Bouman TK, van der Lei B (2009) Female attitudes regarding labia minora appearance and reduction with consideration of media influences. Aesthetic Surg J 29:65–71CrossRef

Bramwell A, Morland C, Garden AS (2007) Expectations and experience of labial reduction: a qualitative study. Br J Obstet Gynaecol 114:1493–1499CrossRef

Crouch NS, Deans R, Michala L, Liao LM, Creighton SM (2011) Clinical characteristics of well women seeking labial reduction surgery: a prospective study. BJOG 118(12):1507–1510PubMedCrossRef

Michala L, Koliantzaki S, Antsaklis A (2011) Protruding labia minora: abnormal or just uncool? J Psychosom Obstet Gynaecol 32(3):154–156PubMedCrossRef

Jothilakshmi PK, Salvi NR, Hayden BE, Bose-Haider B (2009) Labial reduction in adolescent population—a case series study. J Pediatr Adolesc Gynecol 22:53–55PubMedCrossRef

10.

Essen B, Johnsdotter S (2004) Female genital mutilation in the West: traditional circumcision versus genital cosmetic surgery. Acta Obstet Gynecol Scand 83(7):611–613PubMed

11.

Koster M, Price LL (2008) Rwandan female genital modification: elongation of the labia minora and the use of local botanical species. Cult Heal Sex 10(2):191–204CrossRef

12.

Bagnol B, Mariano E (2008) Vaginal practices: eroticism and implications for women’s health and condom use in Mozambique. Cult Heal Sex 10(6):573–585CrossRef

13.

Scholten E (2009) Female genital cosmetic surgery—the future. J Plast Reconstr Aesthet Surg 62(3):290–291PubMedCrossRef

14.

Kelly B, Foster C (2012) Should female genital cosmetic surgery and genital piercing be regarded ethically and legally as female genital mutilation? BJOG 119:389–392PubMedCrossRef

15.

World Health Organization. Female genital mutilation. Fact sheet N 241 February 2012, 1 October 2012

16.

Mirzabeigi MN, Moore JH, Mericli AF, Bucciarelli P, Jandali S, Valeiro IL (2012) Current trends in vaginal labioplasty: a survey of plastic surgeons. Ann Plast Surg 68(2):125–134PubMedCrossRef

17.

ACOG Committee Opinion No. 378 (2007) Vaginal “rejuvenation” and cosmetic vaginal procedures. Obstet Gynecol 110:737–738CrossRef

18.

Goodman MP, Placik OJ, Benson RH et al (2010) A large multicenter outcome study of female genital plastic surgery. J Sex Med 7:1565–1567PubMedCrossRef

19.

Miklos JR, Moore RD (2011) Postoperative cosmetic expectations for patients considering labiaplasty surgery: our experience with 550 patients. Surg Technol Int 1:170–174

20.

Goodman MP (2009) Female cosmetic genital surgery. Obstet Gynecol 113(1):154–159PubMed

21.

Pardo JS, Sola VD, Ricci PA, Guiloff EF, Freundlich OK (2006) Colpoperineoplasty in women with a sensation of a wide vagina. Acta Obstet Gynecol Scand 85(9):1125–1127PubMedCrossRef

22.

Kent D, Pelosi MA III (2012) Vaginal rejuvenation: an in-depth look at the history and technical procedure. AJCS 29(2):89–96

23.

Moore RD, Miklos JR (2012) Vaginal reconstruction and rejuvenation surgery: is there data to support improved sexual function? AJCS 29(2):97–113

24.

Dobbeleir JM, Landuyt KV, Monstrey SJ (2011) Aesthetic surgery of the female genitalia. Semin Plast Surg 25(2):130–141PubMedCrossRef

25.

Pelosi MA III, Pelosi MA II (2011) Cosmetic vaginal surgery. US Obstet Gynecol 6(1):55–58

26.

Alinsod R (2006) Overview of vaginal rejuvenation, new frontiers in pelvic surgery. NSOCP/AAOCG, Las Vegas

27.

Kent D (2008) Vaginal rejuvenation in review. Plastic Surgery Practice. http://www.plasticsurgerypractice.com/issues/articles/2008-12_05.asp. Accessed 23 August 2012

28.

Gaspar A, Addamo G, Brandi H (2011) Vaginal fractional CO2 laser: a minimally invasive option for vaginal rejuvenation. Am J Cosmetic Surg 28(3):156–162CrossRef

29.

Gaspar A (2012) Comparison of two novel laser treatments in aesthetic gynecology. Journal of Lasers and Health Academy. Supplement(1)

30.

Brambilla M (2008) Intramuscular-submucosal lipostructure for the treatment of vaginal laxity. Paper presented at: Congresso Internazionale di Medicina Estetica; October 10; Milan, Italy

31.

Adamo C, Corvi M (2009) Cosmetic mucosal vaginal tightening (lateral colporrhaphy) improving sexual sensitivity in women with a sensation of wide vagina. Plast Reconstr Surg 123(6):212e–213ePubMedCrossRef

32.

Ostrzenski A (2012) Vaginal rugation rejuvenation (restoration): a new surgical technique for an acquired sensation of wide/smooth vagina. Gynecol Obstet Invest 73:48–52PubMedCrossRef

33.

Alinsod R (2011) Awake in-office Barbie labiaplasty, awake in-office labia majora plasty, awake in-office vaginoplasty, awake in-office labial revision. Congress on Aesthetic Vaginal Surgery, Tucson

34.

Rouzier R, Haddad B, Deyrolle C, Pelisse M, Moyal-Barracco M, Paniel BJ (2002) Perineoplasty for the treatment of introital stenosis related to vulvar lichen sclerosus. Am J Obstet Gynecol 186(1):49–52PubMedCrossRef

35.

Glazer HI, Ledger WJ (2002) Clinical management of vulvodynia. Rev Gynaecol Pract 2(1–2):83–90CrossRef

36.

McCormack WM, Spence MR (1999) Evaluation of the surgical treatment of vulvar vestibulitis. Eur J Obstet Gynecol Reprod Biol 86(2):135–138PubMedCrossRef

37.

Foster DC, Butts C, Shah KV, Woodruff JD (1995) Long-term outcome of perineoplasty for vulvar vestibulitis. J Womens Health 4(6):669–675CrossRef

38.

Kaufman RH, Friedrich EG Jr (1985) The carbon dioxide laser in the treatment of vulvar disease. Clin Obstet Gynecol 28(1):220–229PubMedCrossRef

39.

Lawson AE, Hawtof D, Gowda M, Jackson I, Osgood G (1991) Complications of laser therapy in the gynecological patient: a review of four patients. Ann Plast Surg 27(4):364–367PubMedCrossRef

40.

Davison SP, West JE, Caputy G, Talavera F, Stadelmann WK, Slenkovich NG (2011) Labiaplasty and Labia Minora Reduction. eMedicine.com. http://emedicine.medscape.com/article/1372175-overview

41.

Giraldo F, Gonzalez C, de Haro F (2004) Central wedge nymphectomy with a 90-degree Z-plasty for aesthetic reduction of the labia minora. Plast Reconstr Surg 113(6):1820–1825PubMedCrossRef

42.

Tepper OM, Wulkan M, Matarasso A (2011) Labioplasty: anatomy, etiology, and a new surgical approach. Aesthet Surg J 31(5):511–518PubMedCrossRef

43.

Lloyd J, Crouch NS, Minto CL et al (2005) Female genital appearance: “normality” unfolds. BJOG 112(5):643–646PubMedCrossRef

44.

Rezai A, Jansson P (2007) Clinical techniques: evaluation and result of reduction labioplasty. The American Journal of Cosmetic Surgery. 24(2): http://www.cosmeticsurgeryspecialists.co.uk/wp-content/uploads/Article2.pdf

45.

Alter G (1998) A new technique for aesthetic labia minora reduction. Ann Plast Surg 40:287–290PubMedCrossRef

46.

Munhoz AM, Filassi JR, Ricci MD, Aldrighi C, Correia LD, Aldrighi JM et al (2006) Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction. Plast Reconstr Surg 118(5):1237–1247PubMedCrossRef

47.

Alter GJ (2011) Labia minora reconstruction using clitoral hood flaps, wedge excisions, and YV advancement flaps. Plast Reconstr Surg 127(6):2356–2363PubMedCrossRef

48.

Cao YJ, Li FY, Li SK, Zhou CD, Hu JT, Ding J, Xie LH, Li Q (2012) A modified method of labia minora reduction: the de-epithelialised reduction of the central and posterior labia minora. J Plast Reconstr Aesthet Surg 65(8):1096–1102PubMedCrossRef

49.

Choi HY, Kim KT (2000) A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg 105(1):419–422, discussion 423–424PubMedCrossRef

50.

Solanki NS, Tejero-Trujeque R, Stevens-King A, Malata CM (2010) Aesthetic and functional reduction of the labia minora using the Maas and Hage technique. J Plast Reconstr Aesthet Surg 63(7):1181–1185PubMedCrossRef

51.

Alter GJ (2008) Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plast Reconstr Surg 122(6):1780–1789PubMedCrossRef

52.

Maas SM, Hage JJ (2000) Functional and aesthetic labia minora reduction. Plast Reconstr Surg 105(4):1453–1456PubMed

53.

Rouzier R, Louis-Sylvestre C, Paniel BJ, Haddad B (2000) Hypertrophy of labia minora: experience with 163 reductions. Am J Obstet Gynecol 182:35–40PubMedCrossRef

54.

Felicio YA (2007) Labial surgery. Aesthet Surg J 27(3):322–328CrossRef

55.

Di Saia JP (2008) An unusual staged labial rejuvenation. J Sex Med 5(5):1263–1267, discussion 1263–1267PubMedCrossRef

56.

Trichot C, Thubert T, Faivre E, Fernandez H, Deffieux X (2011) Surgical reduction of hypertrophy of the labia minora. Int J Gynaecol Obstet 115(1):40–43PubMedCrossRef

57.

Ellsworth WA, Rizvi M, Lypka M, Gaon M, Smith B, Cohen B, Dinh T (2010) Techniques for labia minora reduction: an algorithmic approach. Aesthetic Plast Surg 34(1):105–110PubMedCrossRef

58.

Baskin LS, Erol A, Li YW, Liu WH, Kurzrock E, Cunha GR (1999) Anatomical studies of the human clitoris. J Urol 162(3 Pt 2):1015–1020PubMed

59.

Hunter JG (2008) Considerations in female external genital aesthetic surgery techniques. Aesthet Surg J 28(1):106–107, author reply 107PubMedCrossRef

60.

Salgado CJ, Tang JC, Desrosiers AE 3rd (2012) Use of dermal fat graft for augmentation of the labia majora. J Plast Reconstr Aesthet Surg 65(2):267–270PubMedCrossRef

61.

Blugerman G, Amar R, Schavelzon D, et al. (2011) Advanced lipotransfer techniques. In: Serdev N (Ed.), Advanced techniques in liposuction and fat transfer. Rijeka, Croatia: InTech, http://www.intechopen.com/books/advanced-techniques-in-liposuction-and-fat-transfer/advanced-lipotransfer-techniques. Accessed 19 August 2012

62.

Vogt PM, Herold C, Rennekampff HO (2011) Autologous fat transplantation for labia majora reconstruction. Aesthetic Plast Surg 35(5):913–915PubMedCrossRef

63.

Triana L, Robledo AM (2012) Refreshing labioplasty techniques for plastic surgeons. Aesth Plast Surg. doi:10.1007/s00266-012-9916-z

64.

Kilchevsky A, Vardi Y, Lowenstein L, Gruenwald I (2012) Is the female G-spot a distinct anatomic entity? J Sex 9:719–726CrossRef

65.

Grafenberg E (1950) The role of the urethra in female orgasm. Int J Sexol 3:145–148

66.

Puppo V, Gruenwald I (2012) Does the G-spot exist? A review of the current literature. Int Urogynecol J 23:1665–1669PubMedCrossRef

67.

Rabinerson D, Horowitz E (2007) G-spot and female ejaculation: fiction or reality. Harefuah 146:145–147PubMed

68.

Ostrzenski A (2012) G-spot anatomy: a new discovery. J Sex Med 9(5):1355–1359PubMedCrossRef

69.

Park HJ, Jung KH, Kim SY, Lee JH, Jeong JY, Kim JH (2010) Hyaluronic acid pulmonary embolism: a critical consequence of an illegal cosmetic vaginal procedure. Thorax 65(4):360–361PubMedCrossRef

70.

Marchitelli CE, Sluga MC, Perrotta M, Testa R (2010) Initial experience in vulvovaginal aesthetic surgery unit within a general gynecology department. J Low Genit Tract Dis 14(4):295–300PubMedCrossRef

71.

Pardo J, Sola V, Ricci P, Guilloff E (2006) Laser labioplasty for labia minora. International J of Gyn Obst 93:38–43CrossRef

72.

Oxman AD (2004) Grading quality of evidence and strength of recommendations. BMJ 328:1490–1494PubMedCrossRef

Titel: Female genital cosmetic surgery: a review of techniques and outcomes
verfasst von: Cheryl B. Iglesia
Ladin Yurteri-Kaplan
Red Alinsod
Publikationsdatum: 01.12.2013
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 12/2013
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-013-2117-8

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Female genital cosmetic surgery: a review of techniques and outcomes

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Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Hochrisiko-Eingriffe für postoperative Übelkeit

Adjuvante Brustkrebstherapie: Doppelt hält besser

Manche Gestagene können das Risiko für Meningeome erhöhen

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Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

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