The application of trilobal method with integrated design for composite reduction labiaplasty
10.3760/cma.j.cn114453-20240731-00196
- VernacularTitle:一体化设计的三叶瓣法在小阴唇-阴蒂包皮复合整形术中的应用
- Author:
Yu ZHOU
1
;
Fengyong LI
1
;
Qiang LI
1
;
Yujiao CAO
1
;
Meichen LIU
1
;
Yilin LI
1
Author Information
1. 中国医学科学院北京协和医学院整形外科医院会阴整形与性别重塑科，北京 100144
- Publication Type:Journal Article
- Keywords:
Genitalia, female;
Labia minora;
Clitoral hood;
Composite hypertrophy;
Labiaplasty;
Integrated design;
Trilobal method
- From:
Chinese Journal of Plastic Surgery
2024;40(12):1263-1272
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The study aimed to investigate the clinical efficacy of integrated trilobal method for composite reduction labiaplasty.Methods:This study was a single-center, retrospective and observational study. The clinical data of patients diagnosed with hypertrophy of the labia minora and clitoral hood who underwent trilobal labiaplasty at the Plastic Surgery Hospital, Chinese Academy of Medical Sciences from April 2019 to January 2024 were retrospectively analyzed. In this technique, three flaps were designed at the junction of the clitoral hood and labia minora (M flap), as well as the medial (I flap) and lateral surfaces (E flap) of the labia minora. The goal was to preserve the clitoral-labial triangle while selecting and retaining tissues with optimal texture and color for reshaping the clitoral hood and labia minora. Patients were followed up 7-10 days and 3 months post-surgery, during which pre- and postoperative appearance comparisons, symptom improvement, complications and satisfaction questionnaires. At 3 months post-surgery, the patients completed the female genital self-image scale (FGSIS) score, which has a total score range of 7-28 points, with higher score indicating a more positive genital self-image. A total score of ≥21 points indicated satisfaction with the surgical outcome. SPSS 29.0 software was used to analyze the data. Age and operation time were reported as Mean ± SD. Preoperative and postoperative FGSIS scores were described as M ( Q1, Q3) and compared using the Wilcoxon Signed Rank test. Statistical significance was set at P<0.05. Results:A total of 556 patients were enrolled in this study, aged 18-53 years, with a mean age of (29.3±7.7) years. The primary concerns included poor aesthetic appearance, pain or discomfort, difficulty in cleaning, urinary deviation, and sexual discomfort. The procedure was performed smoothly with minimal bleeding. Small hematomas (≤2 cm 2) developed in the M flap in 8 cases within 24 hours post-procedure. Two patients returned to the hospital for hematoma removal, while 6 patients did not require additional treatment, which did not affect the healing of the incision. Postoperative wound dehiscence was observed in 2 cases at the junction of three flaps. However, the dehiscence was short (0.3-0.8 cm) and superficial, with no reports of secondary infection or poor wound healing. A total of 540 patients (97.12%) were followed up for 3 months, and no serious complications or deformities were reported. Six patients (1.11%) underwent a secondary repair surgery due to bilateral incomplete symmetry. The FGSIS score for the 540 patients was 26 (23, 27) points at 3 months post-operation, significantly higher than the preoperative score of 14 (9, 15) points before the operation ( Z=-20.38, P<0.001). Among these, 506 patients (93.70%) achieved FGSIS scores of ≥21 points, indicating satisfaction with both the cosmetic results and functional improvements. Conclusion:The trilobal method, featuring an integrated design for composite reduction labiaplasty, effectively removes redundant tissue in both the horizontal and vertical directions of the labia minora. Additionally, it addresses the lateral folds of the clitoral hood, resulting in fewer complications and high levels of postoperative functional and aesthetic satisfaction.
