Tingfeng Xiong, Jiang Zhang, Aawrish Khan, Haiyan Cui
{"title":"Double-L Incision-Excision Method for Labia Minora Reduction: A New Perspective on Custom Flask Labiaplasty.","authors":"Tingfeng Xiong, Jiang Zhang, Aawrish Khan, Haiyan Cui","doi":"10.1007/s00266-025-04935-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Hypertrophy of the labia minora is a common condition in female vulvar deformities. This study introduces a modified wedge-shaped labiaplasty-the double-L incision-excision method-based on the principles of Custom Flask Labiaplasty. The method aims to enhance both the aesthetic and functional outcomes in labia minora reduction surgery.</p><p><strong>Objectives: </strong>To evaluate clinical effect of double-L incision for labia minora reduction.</p><p><strong>Methods: </strong>From October 2019 to June 2024, we performed labia minora reduction surgery on 18 cases of labia minora hypertrophy using a double-L incision-excision method. The surgical method involves drawing two L-shaped incision marks on the inner side of each labia minora. The L-shaped lines start at the edge of the labia minora and end near the base of the labia minora. The amount of tissue removed is determined by adjusting the angles of the two lines forming the \"L.\" After full-thickness excision of the labia minora tissue between the double-L design, the wound edges on both sides are sutured in position.</p><p><strong>Results: </strong>For the 18 patients who received surgery, the incisions healed well without complications. None of the patients had obvious scars at the incision areas. In each case, the morphology of the labia minora was significantly improved, the appearance was natural, the edge did not change in color, and the effect was satisfactory.</p><p><strong>Conclusion: </strong>The double-L incision-excision method for labia minora reduction surgery yields favorable postoperative results. It allows for more precise control over the size of the labia minora, with a smooth and natural appearance following surgery. This method is safe, effective, and ideal for labia minora plastic surgery.</p><p><strong>Level of evidence iv: </strong>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .</p>","PeriodicalId":7609,"journal":{"name":"Aesthetic Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aesthetic Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00266-025-04935-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Hypertrophy of the labia minora is a common condition in female vulvar deformities. This study introduces a modified wedge-shaped labiaplasty-the double-L incision-excision method-based on the principles of Custom Flask Labiaplasty. The method aims to enhance both the aesthetic and functional outcomes in labia minora reduction surgery.
Objectives: To evaluate clinical effect of double-L incision for labia minora reduction.
Methods: From October 2019 to June 2024, we performed labia minora reduction surgery on 18 cases of labia minora hypertrophy using a double-L incision-excision method. The surgical method involves drawing two L-shaped incision marks on the inner side of each labia minora. The L-shaped lines start at the edge of the labia minora and end near the base of the labia minora. The amount of tissue removed is determined by adjusting the angles of the two lines forming the "L." After full-thickness excision of the labia minora tissue between the double-L design, the wound edges on both sides are sutured in position.
Results: For the 18 patients who received surgery, the incisions healed well without complications. None of the patients had obvious scars at the incision areas. In each case, the morphology of the labia minora was significantly improved, the appearance was natural, the edge did not change in color, and the effect was satisfactory.
Conclusion: The double-L incision-excision method for labia minora reduction surgery yields favorable postoperative results. It allows for more precise control over the size of the labia minora, with a smooth and natural appearance following surgery. This method is safe, effective, and ideal for labia minora plastic surgery.
Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
期刊介绍：
Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP).
Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships.
Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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