Labia Majora Lift. for Whom? When? How? What Is Next?

Abstract

<h3>Study Objective</h3> The study aims to present our technique of wedge excision(lifting) labia majora,how the first important step in the sequence of rejuvenating procedures in this area. <h3>Design</h3> prospective cohort study since July 2018. <h3>Setting</h3> A wedge excision technique (fotos and video step by step). <h3>Patients or Participants</h3> The total number of the procedures was 127, including: 78 (65%) combined procedures with labia minora reduction; 51 (40%) combined procedures with skin lightening. A wedge excision technique with subsequent suturing was used (photos and video will be demonstrated) under intravenous or pudendal anesthesia. <h3>Interventions</h3> the aesthetic treatment of labia majora is as relevant and demanded as labia minora enhancement. Our patients notice tissue sagging, laxity, wrinkling and hyperpigmentation in this area and seek its improvement. These goals can be achieved in a number of ways, the most common of which are lipoplasty, treatments with HA fillers and laser-assisted rejuvenation. We believe that surgical treatment of labia majora is of great interest, and it opens opportunities for obtaining predictable aesthetic outcome and higher satisfaction with this procedure in general. <h3>Measurements and Main Results</h3> The mean duration of the procedure was 45 minutes. There were no serious complications. The recovery period lasted 2-3 weeks. Postoperatively, edema was observed in 32 % of cases. There were no cases of hematomas, bleeding, or purulent/septic complications. Antimycotic agents were used. During the next 1-3 months, additional correction with fillers was used in 20 cases (15%), which was indicative of high satisfaction with the procedure outcome among the majority of the patients and of proper strategy choice in each individual case. <h3>Conclusion</h3> Surgical labia majora lift is a promising technique, which gives long-lasting and, most importantly, predictable outcomes. Good aesthetic results can be obtained using this technique alone or in combination with other rejuvenating procedures. It provides high satisfaction along with low complication rates.