This study shows that the frequently encountered complications of reduction labioplasty such as partial wound separation and infection will respond to conservative therapy. None of our patients experienced any urinary symptoms, such as spraying, a complication reported by other authors.3 Although limited by a small cohort, our data may serve as a guideline for clinicians when treating complications of reduction labioplasty, and when educating patients both in the preoperative and the postoperative settings as to the natural course of potential complications. Based on our observations, we recommend central wedge reduction labioplasty as described by Alter4 as the method of choice because of better aesthetic outcome with absent hypopigmentation of the labia minora, and the lack of troublesome symptoms of pruritus that were only seen in women undergoing straight-line reduction (Table 2).
Daniel Murariu, M.D., M.P.H.
David J. Jackowe, M.D.
Alan A. Parsa, M.D.
F. Don Parsa, M.D.
John A. Burns School of Medicine
1. Goodman MP. Female cosmetic genital surgery. Obstet Gynecol.
2. Alter GJ. Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plast Reconstr Surg.
3. Ryan KJ, Barbieri RL, Berkowitz RS, Dunaif AE. Kistner's Gynecology & Women's Health
. 7th ed. St. Louis: Mosby;1999.
4. Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg.
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