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Simultaneous Surgery of the Clitoral Hood–Labia Minora Complex with the Central Neurovascular Pedicle Retained

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Abstract

Background

Hypertrophy of the labia minora with clitoral hood redundancy always occurs simultaneously and should be considered in its entirety. This study investigated a new simultaneous procedure for the clitoral hood–labia minora complex (CLC) that retains the central neurovascular pedicle.

Methods

This retrospective observational study, conducted between January 2021 and August 2022, included 29 patients with labia minora hypertrophy and clitoral hood redundancy who underwent a surgery wherein procedures on the CLC were performed simultaneously. A divisional design to separate the medial and lateral labia minora and to remove the skin and subcutaneous tissue asymmetrically, while retaining the central neurovascular pedicle and the natural margin of labia minora, was employed. Postoperatively, all patients were followed up via the Internet or at the outpatient clinic. The follow-up included observing postoperative outcomes and any complications and completing the satisfaction questionnaires.

Results

All the patients who underwent surgery showed good wound healing without discomfort of thread friction. Postoperatively, the labia minora had a natural appearance and retained sexual sensitivity. The scarring on the surgical incision was not evident. Hematoma and evident bilateral asymmetry occurred in one patient each. The satisfaction rate within 14 days and after 3 months of surgery was 96.6% and 92.6%, respectively.

Conclusions

This method uses a hidden incision, to remove the hypertrophic tissue and retain the natural edge and shape of the labia minora. Qualitatively, the patients were highly satisfied. This method was safe, effective, and easy to implement.

Level of Evidence IV

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Funding

The authors have no financial interest to declare in relation to the content of this article.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China

    Bing Liu & Di Wang

  2. Department of General Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100144, China

    Senkai Li

  3. Department of Facial and Neck Cosmetic, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, NO. 33 Badachu Road, Shijingshan District, Beijing, 100144, China

    Wen Chen

Authors
  1. Bing Liu
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Correspondence to Wen Chen.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was a retrospective review of patients who underwent surgery after review in our outpatient clinic. All procedures in this study adhered to the ethical principles of the World Medical Association Declaration of Helsinki. This study was approved by the Ethics Committee of the Plastic Surgery Hospital of the CAMS.

Informed Consent

Informed consent was obtained from all participants included in the study. All data collected were made anonymous to preserve patient confidentiality. The collection of the data and the results of this study did not impact any aspect of patient management. Patient consent was obtained for the publishing of their medical photographs.

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Liu, B., Wang, D., Li, S. et al. Simultaneous Surgery of the Clitoral Hood–Labia Minora Complex with the Central Neurovascular Pedicle Retained. Aesth Plast Surg (2023). https://doi.org/10.1007/s00266-023-03750-z

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