Plastic & Reconstructive Surgery:
Hamori, Christein Annemarie M.D.
Cosmetic Surgery and Skin Spa; Plastic Surgery; 95 Tremont Street, Suite 28; Duxbury, Mass. 02332; firstname.lastname@example.org
It was with great interest that I read Dr. Alter’s article entitled “Aesthetic Labia Minora and Clitoral Hood Reduction Using Extended Central Wedge Technique” (Plast Reconstr Surg. 2008;122:1780–1789). My surprise was the category placement of cosmetic genital surgery in the Reconstructive section of the Journal. Nearly all of the 170 cases I have performed using Dr. Alter’s central wedge technique over the past 5 years were performed for purely cosmetic purposes. The patients simply preferred to have minimal or no labia minora show beyond the labia majora.
I feel that inclusion under the Reconstructive category may confuse readers not familiar with such fringe operations to feel they are necessary for some sort of acquired or congenital deformity. The women I see in my practice interested in labioplasty perceive themselves as abnormal. They are not; they are just dissimilar to the airbrushed ideals available to them on the Internet and in magazines. I feel it is our responsibility as plastic surgeons to educate these patients about normal female anatomy and function but not to deter safe cosmetic genital surgery as many gynecologists do.
Rather, we must learn from experts such as Dr. Alter how to safely and effectively perform these cosmetic procedures that are becoming increasingly popular in our bare-all, Web-based culture. The economic crisis may be upon us all, but I have seen a fourfold increase in labioplasty procedures over the past year. It would behoove us to consider labioplasty as part of cosmetic surgery in the twenty-first century.
Christein Annemarie Hamori, M.D.
Cosmetic Surgery and Skin Spa
95 Tremont Street, Suite 28
Duxbury, Mass. 02332
Letters to the Editor, discussing material recently published in the Journal, are welcome. They will have the best chance of acceptance if they are received within 8 weeks of an article’s publication. Letters to the Editor may be published with a response from the authors of the article being discussed. Discussions beyond the initial letter and response will not be published. Letters submitted pertaining to published Discussions of articles will not be printed. Letters to the Editor are not usually peer reviewed, but the Journal may invite replies from the authors of the original publication. All Letters are published at the discretion of the Editor.
Authors will be listed in the order in which they appear in the submission. Letters should be submitted electronically via PRS’ enkwell, at www.editorialmanager.com/prs/.
We reserve the right to edit Letters to meet requirements of space and format. Any financial interests relevant to the content of the correspondence must be disclosed. Submission of a Letter constitutes permission for the American Society of Plastic Surgeons and its licensees and asignees to publish it in the Journal and in any other form or medium.
The views, opinions, and conclusions expressed in the Letters to the Editor represent the personal opinions of the individual writers and not those of the publisher, the Editorial Board, or the sponsors of the Journal. Any stated views, opinions, and conclusions do not reflect the policy of any of the sponsoring organizations or of the institutions with which the writer is affiliated, and the publisher, the Editorial Board, and the sponsoring organizations assume no responsibility for the content of such correspondence.