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Why Women Request Labiaplasty

Sorice, Sarah C. M.D.; Li, Alexander Y. B.S., M.S.; Canales, Francisco L. M.D.; Furnas, Heather J. M.D.

Plastic & Reconstructive Surgery: April 2017 - Volume 139 - Issue 4 - p 856–863
doi: 10.1097/PRS.0000000000003181
Cosmetic: Special Topic
Discussion
Press Release
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Background: In recent years, labiaplasty has jumped in popularity, despite opposition to the procedure. In 2007, the American College of Obstetricians and Gynecologists declared the recommendation of cosmetic vaginal procedures to be “untenable,” although in 2016 they allowed consideration of labiaplasty in adolescents if symptoms persist. The reasons for labiaplasty requests are not yet fully understood, and physician opposition limits patient access to surgical relief.

Methods: In this prospective study, 50 consecutive patients consulting about labiaplasty were given a questionnaire assessing 11 physical and appearance-related symptoms associated with elongated labia.

Results: The mean patient age was 33.5 years (range, 17 to 51 years). Fifty-eight percent of women had given birth, 52 percent noticed that their labia had become elongated as they got older, and 93 percent had bilateral elongation. When asked about physical symptoms, over half of patients experienced tugging during intercourse, found tight pants uncomfortable, experienced twisting of the labia, and noted labia visibility in yoga pants. Nearly half experienced pain during intercourse, and 40 percent said their labia could become exposed in bathing suits. Regarding appearance, almost all patients were self-conscious and over half felt less attractive to their partner, experienced restricted clothing choice, and noted a negative impact on self-esteem and intimacy. Nearly all patients experienced at least four symptoms.

Conclusions: Most patients requesting labiaplasty experience both physical and appearance-related symptoms. Understanding this patient perspective is crucial in assessing surgical outcomes. Furthermore, the better all physicians understand labia symptomatology, the better supported patients will be in seeking surgical relief.

Stanford and Santa Rosa, Calif.

From the Division of Plastic Surgery, Department of Surgery, Stanford University; and Plastic Surgery Associates of Santa Rosa.

Received for publication June 8, 2016; accepted September 20, 2016.

Presented at the American Society for Aesthetic Plastic Surgery Meeting, in Las Vegas, Nevada, April 4 through 6, 2016; and Plastic Surgery The Meeting: American Society of Plastic Surgeons Annual Meeting, in Los Angeles, California, September 23 through 27, 2016.

Disclosure: The authors declare no potential conflicts of interest with respect to the research, authorship, and publication of this article. The authors received no financial support for the research, authorship, and publication of this article.

A “Hot Topic Video” by Editor-in-Chief Rod J. Rohrich, M.D., accompanies this article. Go to PRSJournal.com and click on “Plastic Surgery Hot Topics” in the “Digital Media” tab to watch. On the iPad, tap on the Hot Topics icon.

Heather J. Furnas, M.D., 4625 Quigg Drive, Santa Rosa, Calif. 95409, drfurnas@enhanceyourimage.com

©2017American Society of Plastic Surgeons