Clinical Application of Laser Marginal Excision in Labia Minora Hypertrophy Plastic Surgery
10.3969/j.issn.1009-6604.2024.05.007
- VernacularTitle:激光边缘切除法在小阴唇肥大整形中的临床应用
- Author:
Yinshu GUO
1
;
Lin LI
Author Information
1. 首都医科大学附属北京妇产医院妇科微创中心 北京妇幼保健院,北京 100006
- Keywords:
Labia minora hypertrophy;
Labiaplasty;
Marginal excision;
Laser
- From:
Chinese Journal of Minimally Invasive Surgery
2024;24(5):355-358
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of laser marginal excision in labia minora hypertrophy surgery.Methods From January 2022 to October2023,18 patients with bilateral labia minora hypertrophy,aged18-42 years old(average,28.5±6.6 years old),were enrolled in this study.All the patients experienced discomfort from friction of the labia minora in the external genitalia and pain and discomfort after exercise,while 12 patients with a history of sexual activity had no impact on sexual activity.Examination findings showed bilateral labia minora horizontal tissue redundancy hypertrophy,with rough and hypertrophic edges and dense pigmentation.The bilateral labia minora were beyond the level of labia majora when standing,measuring left width of 25-40 mm(average,31.7±5.4 mm)and right width of 25-40 mm(average,31.4±5.0 mm).Bilateral labia minora reduction and plastic surgery was performed by marginal excision.The incorporation was designed and lines were drawn in accordance with the principle of bilateral symmetry.The skin and mucosa were cut with a cold knife,the subcutaneous tissue was incised with CO2 laser with bleeding thoroughly stopped,and the 6-0 absorbable thread was used for tight suture.Results The operation time was 68-120 min(average,81.5±16.2 min),and the incision was healed without surgical complications.After 1-6 months of postoperative follow-ups(average,4.3±1.4 months),the symptoms of friction pain disappeared,and there was no effect on the postoperative sexual life in 12 patients with sexual history.At 1 month after surgery,the shape and color of the bilateral labia minora were symmetrical,with natural shape,soft edge tissue,and lighter color.None exceed the level of the labia majora when standing.The width of the left labia minora was measured to be10-15 mm(average,13.7±1.2 mm),and the right labia minora was measured to be 10-15 mm(average,13.5±1.4 mm).Conclusions After marginal resection for labia minora reduction and plastic surgery,clinical symptoms of the patient disappear.The reduction of the labia minora is effective with natural appearance.After simultaneously bilateral surgery,the shape of both sides is symmetrical.For patients with redundant and enlarged horizontal tissue of the labia minora,rough and thickened edges,and dense pigmentation,it is a feasible labia minora reconstruction method.
