Deepithelized fasciocutaneous flap for labia majora augmentation during thigh lift

Deepithelized fasciocutaneous flap for labia majora augmentation during thigh lift Labioplasty currently entails, other than labia minora reduction, labia majora skin excisional contouring and fat grafting. To restore fullness in a postbariatric patient, a technique was developed for labia majora augmentation using an anteriorly based adipofascial flap raised from the dispensable inner thigh lift crescent. The labiocrural crease delineated the flap medial border while the extent of the thigh redundancy determined its lateral border. A pocket in the labium was created and the flap was inserted. The procedure succeeded on one side and failed on the other, due to postoperative squeezing evacuation of a hematoma retracted the unattached flap. This labium was refilled later with fat grafting. Both for flap-insertion and fat-grafted labia showed almost symmetrical volumes after 1 year. Anatomical studies are necessary to accurately identify the flap blood supply. A large series is required to support the procedure as being safe and reliable. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Deepithelized fasciocutaneous flap for labia majora augmentation during thigh lift

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Publisher
Springer-Verlag
Copyright
Copyright © 2010 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-010-0468-7
Publisher site
See Article on Publisher Site

Abstract

Labioplasty currently entails, other than labia minora reduction, labia majora skin excisional contouring and fat grafting. To restore fullness in a postbariatric patient, a technique was developed for labia majora augmentation using an anteriorly based adipofascial flap raised from the dispensable inner thigh lift crescent. The labiocrural crease delineated the flap medial border while the extent of the thigh redundancy determined its lateral border. A pocket in the labium was created and the flap was inserted. The procedure succeeded on one side and failed on the other, due to postoperative squeezing evacuation of a hematoma retracted the unattached flap. This labium was refilled later with fat grafting. Both for flap-insertion and fat-grafted labia showed almost symmetrical volumes after 1 year. Anatomical studies are necessary to accurately identify the flap blood supply. A large series is required to support the procedure as being safe and reliable.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Dec 1, 2010

References

  • Z-plasty reduction labiaplasty
    Goldstein, TA; Romanzi, L

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