title: Genital beautification: a concept that offers more than reduction of the labia minora.
abstract: BACKGROUND
  The interest and demand for female genital rejuvenation surgery are steadily increasing. This report presents a concept of genital beautification consisting of labia minora reduction, labia majora augmentation by autologous fat transplantation, labial brightening by laser, mons pubis reduction by liposuction, and vaginal tightening if desired.
  
  
  METHODS
  Genital beautification was performed for 124 patients between May 2009 and January 2012 and followed up for 1 year to obtain data about satisfaction with the surgery.
  
  
  RESULTS
  Of the 124 female patients included in the study, 118 (95.2 %) were happy and 4 (3.2 %) were very happy with their postoperative appearance. In terms of postoperative functionality, 84 patients (67.7 %) were happy and 40 (32.3 %) were very happy. Only 2 patients (1.6 %) were not satisfied with the aesthetic result of their genital beautification procedures, and 10 patients (8.1 %) experienced wound dehiscence.
  
  
  CONCLUSIONS
  The described technique of genital beautification combines different aesthetic female genital surgery techniques. Like other aesthetic surgeries, these procedures are designed for the subjective improvement of the appearance and feelings of the patients. The effects of the operation are functional and psychological. They offer the opportunity for sexual stimulation and satisfaction. The complication rate is low. Superior aesthetic results and patient satisfaction can be achieved by applying this technique.
  
  
  METHODS
  This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
authors.affiliation: Estetik International BYOMED Tıp Merkezi, Saniye Ermutlu Sok, No. 3, Kozyatağı/Istanbul, Turkey, estetik@estetikinternational.com.
authors.forename: Bülent
authors.initials: B
authors.lastname: Cihantimur
authors.forename: Christian
authors.initials: C
authors.lastname: Herold
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000328:Adult; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005836:Genitalia, Female / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D012189:Retrospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D013518:Surgery, Plastic / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery; D014844:Vulva / Q000601:surgery