title: Aesthetic labia minora reduction with inferior wedge resection and superior pedicle flap reconstruction.
abstract: BACKGROUND
  Aesthetic surgery of female genitalia is an uncommon procedure, and of the techniques available, labia minora reduction can achieve excellent results. Recently, more conservative labia minora reduction techniques have been developed, because the simple isolated strategy of straight amputation does not ensure a favorable outcome. This study was designed to review a series of labia minora reductions using inferior wedge resection and superior pedicle flap reconstruction.
  
  
  METHODS
  Twenty-one patients underwent inferior wedge resection and superior pedicle flap reconstruction. The mean follow-up was 46 months. Aesthetic results and postoperative outcomes were collected retrospectively and evaluated.
  
  
  RESULTS
  Twenty patients (95.2 percent) underwent bilateral procedures, and 90.4 percent of patients had a congenital labia minora hypertrophy. Five complications occurred in 21 patients (23.8 percent). Wound-healing problems were observed more frequently. The cosmetic result was considered to be good or very good in 85.7 percent of patients, and 95.2 percent were very satisfied with the procedure. All complications except one were observed immediately after the procedure.
  
  
  CONCLUSIONS
  The results of this study demonstrate that inferior wedge resection and superior pedicle flap reconstruction is a simple and consistent technique and deserves a place among the main procedures available. The complications observed were not unexpected and did not extend hospital stay or interfere with the normal postoperative period. The success of the procedure depends on patient selection, careful preoperative planning, and adequate intraoperative management.
authors.affiliation: São Paulo, Brazil From the Division of Plastic Surgery, University of São Paulo School of Medicine.
authors.forename: Alexandre Mendonça
authors.initials: AM
authors.lastname: Munhoz
authors.forename: José Roberto
authors.initials: JR
authors.lastname: Filassi
authors.forename: Marcos Desidério
authors.initials: MD
authors.lastname: Ricci
authors.forename: Claudia
authors.initials: C
authors.lastname: Aldrighi
authors.forename: Leila Domingues
authors.initials: LD
authors.lastname: Correia
authors.forename: José Mendes
authors.initials: JM
authors.lastname: Aldrighi
authors.forename: Marcus Castro
authors.initials: MC
authors.lastname: Ferreira
mesh_terms: D000328:Adult; D002921:Cicatrix / Q000453:epidemiology / Q000209:etiology; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006984:Hypertrophy; D007902:Length of Stay; D008875:Middle Aged; D010145:Paget Disease, Extramammary / Q000601:surgery; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013529:Surgical Wound Dehiscence / Q000453:epidemiology; D016896:Treatment Outcome; D014844:Vulva / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D014846:Vulvar Neoplasms / Q000601:surgery