Aesthetic Labia Minora Reduction with Inferior Wedge Resection and Superior Pedicle Flap Reconstruction

Alter, Gary J.

doi:10.1097/01.prs.0000237003.24294.04

Cited by 134 publications

(126 citation statements)

References 9 publications

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“…2 Other studies have similarly been limited to functional and physical results of FGPS. [3][4][5][6][7][8][9][10] Bramwell et al 16 utilized semi-structured interviews to gain insight about psychological well-being of participants; their results revealed important individual variations in motivation, access, and response to surgery that were not detected in earlier research. In particular, most women initially reported feeling their genitals were "abnormal" and expressed the goal of achieving a "normal" (to them) genital appearance as the main reason for surgery.…”

mentioning

confidence: 99%

“…Physical discomfort and cosmetic concerns are frequently combined, and many women relate feelings of vaginal and perineal laxity detrimental to coital enjoyment and orgasmic facility. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] Female genital plastic/cosmetic surgery (FGPS) has been developed in response to women's desires to modify the appearance and function of their vulvas and vaginas. A growing literature is accumulating regarding the rationale for choosing FGPS.…”

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confidence: 99%

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Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery

et al. 2016

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Abstract:Background: Little prospective data exists regarding the procedures constituting female genital plastic/cosmetic surgery (FGPS).Objectives: To evaluate whether the procedures of labiaplasty and vaginoperineoplasty improve genital self-image image, and evaluate effects on sexual satisfaction.Method: Prospective cohort case-controlled study of 120 subjects evaluated at baseline, 6, 12, and 24 months postoperative, paired with a demographically similar control group. Interventions include labiaplasty, clitoral hood reduction, and/or aesthetic vaginal tightening, defined as perineoplasty + "vaginoplasty" (aka "vaginal rejuvenation.") Outcome Measures include Body Image, Genital Self-Image, Sexual Satisfaction, and Body Esteem.Results: As a group, study patients tested at baseline showing body dissatisfaction, negative genital self-image and poorer indices of sexual satisfaction. Preoperative body image of study patients were in a range considered to be mild-moderately dysmorphic, but matched controls at one and two years; genital self-image scores at entry were considerably lower than controls, but by 2-year follow-up had surpassed control value at entry. Similarly, sexual satisfaction values, significantly lower at entry, equaled at one, and surpassed control values at 2 years. Postoperatively, at all points in time, these differences in body image and genital self-image disappeared, and sexual satisfaction markedly improved. Overall body esteem did not differ between study and control groups, with the exception of the genital esteem quotient, which improved after surgery.Conclusions: Women requesting and completing FGPS, when tested by validated instruments, at entry report sexual dissatisfaction and negative genital self-image. When tested at several points in time after surgery up to two years, these findings were no longer present. When performed by an experienced surgeon, FGPS appears to provide sexual and genital selfimage improvement.http://mc.manuscriptcentral.com/asjournal Aesthetic Surgery Journal Image, Genital Self-Image, Sexual Satisfaction, and Body Esteem.Results: As a group, study patients tested at baseline showing body dissatisfaction, negative genital self-image and poorer indices of sexual satisfaction. Preoperative body image of study patients were in a range considered to be mild-moderately dysmorphic, but matched controls at one and two years; genital self-image scores at entry were considerably lower than controls, but by 2-year follow-up had surpassed control value at entry. Similarly, sexual satisfaction values, significantly lower at entry, equaled at one, and surpassed control values at 2 years.Postoperatively, at all points in time, these differences in body image and genital self-image disappeared, and sexual satisfaction markedly improved. Overall body esteem did not differ between study and control groups, with the exception of the genital esteem quotient, which improved after surgery. Conclusions:Women requesting and completing FGPS, when tested by validated instruments, at...

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confidence: 99%

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Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery

et al. 2016

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“…Multiple studies of labiaplasties reveal high rates of overall satisfaction, including improved self-esteem [16][17][18][19]. In the absence of any head-to-head comparative trials presently, recommendations cannot be made that which technique provides the best cosmetic results.…”

Section: Labiaplastymentioning

confidence: 99%

Female Cosmetic Genital Surgery: Delivering What Women Want

Magon¹,

Alinsod²

2016

J Obstet Gynecol India

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Female cosmetic genital surgery (FCGS) is the latest and fastest growing sub-specialty in the broad specialty of gynecology. It encompasses procedures designed to change aesthetic and/or functional aspects of women's genitalia. In case of FCGS, there is difficulty in separating purely aesthetic concerns from medical concerns, because there is much overlap. The initial controversies over FCGS have almost settled down in the light of the mounting scientific evidence suggesting that a number of procedures that currently exist are safe, effective, and capable of treating to a considerable extent the suite of conditions associated with course-of-life vulvo-vaginal changes. Also, the rapidly expanding demands that have arisen for FCGS procedures from women across the globe have made it imperative for the reconstructive pelvic surgeons to master

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“…Fifteen of the 18 papers presented as case reports or case series with no description of methodology or study design and, of these, three alluded to the use of nonstandardised questionnaires given out to patients. 11,13,16 Three of the 18 papers were reviews of retrospective notes and, of these, one was combined with a clinical examination and nonstandardised questionnaire with no description of tool development. 7 Follow-up methodology Nine papers presented follow-up data, with the length of follow-up unspecified.…”

Section: Methodsmentioning

confidence: 99%

“…Of the 21, 18 were reports of surgical procedures. [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] The remaining three papers were as follows: one qualitative study of patient experience after labial reduction, 20 one study of patient indications for surgery, 21 and one survey of women's attitudes to their labia. 22 Of the remaining 19 of the 40 publications that did not include surgical results, one was a description of a technique, 23 five were letters on points relating to the surgical technique, [24][25][26][27][28] and three were discussions of the surgical technique.…”

Section: Evaluation Of Research Methodologymentioning

confidence: 99%

Labial surgery for well women: a review of the literature

Michala

Creighton

2009

BJOG

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This review investigates the quality and content of published reports relating to labial surgery for well women. Electronic databases were searched for relevant articles between 1950 and April 2009. Forty articles were identified, 18 of which included patient data. The specification of the study design was unavailable in 15 of the 18 papers; the remaining three were retrospective reports. No prospective, randomised or controlled studies were found. All reports claimed high levels of patient satisfaction and contained anecdotes pertaining to success. Medically nonessential surgery to the labia minora is being promoted as an effective treatment for women's complaints, but no data on clinical effectiveness exist.

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Aesthetic Labia Minora Reduction with Inferior Wedge Resection and Superior Pedicle Flap Reconstruction

Cited by 134 publications

References 9 publications

Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery

Evaluation of Body Image and Sexual Satisfaction in Women Undergoing Female Genital Plastic/Cosmetic Surgery

Female Cosmetic Genital Surgery: Delivering What Women Want

Labial surgery for well women: a review of the literature

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