Techniques for labia minora reduction: an algorithmic approach.
BACKGROUND
Aesthetic reduction of the labia minora has gained popularity, and a number of different techniques have been described. Each procedure has its own set of advantages and disadvantages. However, no algorithm has been defined for pairing the degree of deformity with the optimal surgical procedure.


METHODS
Patients were stratified into one of four groups based on labial size. The surgeon chose one of three reduction techniques based on the degree of labial hypertrophy and the patient's aesthetic preferences for labial edge color and contour. Three reduction techniques were used including the edge excision technique, the inferior wedge resection technique, and deepithelialization reduction labioplasty. The success of aesthetic reduction was evaluated, as was symptomatic relief.


RESULTS
The 12 procedures performed included five deepithelialization techniques, four edge excision techniques, and three inferior wedge resection techniques. As reported, 92% of the patients were "very satisfied" with their aesthetic and functional results. The complications were minimal, with three patients experiencing minor wound healing difficulties that resolved spontaneously. One patient who underwent the edge excision technique was "not satisfied" and complained of overreduction.


CONCLUSIONS
The authors found all three techniques for labia minora reduction to be useful in different clinical situations. A novel algorithm is described for matching the optimal surgical technique for each patient based on her degree of hypertrophy and aesthetic goals.
Ellsworth
Warren A
WA
Division of Plastic Surgery, Baylor College of Medicine, Clinical Care Center, 6701 Fannin, CC 610.00, Houston, TX 77030, USA. warrenellsworth@hotmail.com
Rizvi
Mort
M
Lypka
Michael
M
Gaon
Mark
M
Smith
Bruce
B
Cohen
Benjamin
B
Dinh
Tue
T
D000465:Algorithms; D003357:Cosmetic Techniques; D004954:Esthetics; D005260:Female; D006801:Humans; D006984:Hypertrophy; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014844:Vulva / Q000473:pathology* / Q000601:surgery*