title: The Safety of Aesthetic Labiaplasty: A Plastic Surgery Experience.
abstract: BACKGROUND
  The demand for female aesthetic labiaplasty surgery continues to rapidly increase. Several questions have been raised regarding the safety and effectiveness of female aesthetic genital surgery.
  
  
  OBJECTIVE
  The purpose of this study is to review our experience with aesthetic labiaplasty and describe the type and frequency of complications that have been experienced.
  
  
  METHODS
  A retrospective chart review was performed on all patients who had primary aesthetic labia minora reduction surgery from August 2007 to April 2014. A chart review of the electronic medical record was performed to examine demographic, procedural, and outcome data.
  
  
  RESULTS
  In the study period, 113 patients underwent aesthetic labiaplasty. Of these, 29 patients (25.6%) had labiaplasty performed in combination with another procedure. A total of 15 patients (13.3%) reported transient symptoms, including swelling, bruising, and pain. There was one patient (0.8%) that experienced bleeding. Four patients (3.5%) required revision surgery. All revisions were performed to excise further tissue to address persistent redundancy or asymmetry. No major complications were reported.
  
  
  CONCLUSIONS
  In our experience, aesthetic surgery of the labia minora using an edge excision technique has a very low complication rate and provides satisfactory aesthetic outcomes for our patients. More studies examining the impact of labiaplasty on a woman's self-image and quality of life would add to our understanding of the motivations and expectations of women undergoing this aesthetic surgery. This information will allow us to help our patients make well-informed decisions when considering this aesthetic genital surgery.
  
  
  METHODS
  4 Risk.
authors.affiliation: Dr Lista is an Assistant Professor and Dr Ahmad is a Lecturer, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada. Mr Mistry is a Medical Student in the Faculty of Medicine, University of British Columbia, Vancouver, Canada. Ms Singh is a Medical Student in the School of Medicine at the Royal College of Surgeons in Ireland, Dublin.
authors.forename: Frank
authors.initials: F
authors.lastname: Lista
authors.affiliation: Dr Lista is an Assistant Professor and Dr Ahmad is a Lecturer, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada. Mr Mistry is a Medical Student in the Faculty of Medicine, University of British Columbia, Vancouver, Canada. Ms Singh is a Medical Student in the School of Medicine at the Royal College of Surgeons in Ireland, Dublin.
authors.forename: Bhavik D
authors.initials: BD
authors.lastname: Mistry
authors.affiliation: Dr Lista is an Assistant Professor and Dr Ahmad is a Lecturer, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada. Mr Mistry is a Medical Student in the Faculty of Medicine, University of British Columbia, Vancouver, Canada. Ms Singh is a Medical Student in the School of Medicine at the Royal College of Surgeons in Ireland, Dublin.
authors.forename: Yashoda
authors.initials: Y
authors.lastname: Singh
authors.affiliation: Dr Lista is an Assistant Professor and Dr Ahmad is a Lecturer, Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Canada. Mr Mistry is a Medical Student in the Faculty of Medicine, University of British Columbia, Vancouver, Canada. Ms Singh is a Medical Student in the School of Medicine at the Royal College of Surgeons in Ireland, Dublin.
authors.forename: Jamil
authors.initials: J
authors.lastname: Ahmad
mesh_terms: D000293:Adolescent; D000328:Adult; D003357:Cosmetic Techniques / Q000009:adverse effects; D004954:Esthetics; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects; D006801:Humans; D008875:Middle Aged; D061214:Patient Safety; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000601:surgery; D012060:Rejuvenation; D012086:Reoperation; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*; D055815:Young Adult