Labia Majora Approach to Aesthetic and Functional Complaints. A Standardized Topographic Labia Majora Classification.

Functional and aesthetic aberrations of labia majora are poorly described in scientific literature, and there is a lack of standardization and algorithms for treatment. The labia majora differs from the labia minora in that it has transitional epithelium, fascia, erectile tissue, and adipose components connected to crural, pelvic, and perineal structures. Non-surgical treatments, such as radiofrequency and light-based therapy, must match the symptoms and target these unique structures to have an effect. Our aim is to propose an algorithmic approach to the anatomical variants of the labia majora that are most bothersome to women and describe a step-by-step process to improve vulvar appearance and function.