Labia minora reconstruction using clitoral hood flaps, wedge excisions, and XXXX .

@entity1 @entity2318 @entity1442
BACKGROUND: Labia minora reduction (labioplasty, labiaplasty) is the most common female genital aesthetic procedure. The majority of labia reductions are performed by trimming the labial edges. Many of these @entity1 present with (1) asymmetry; (2) scalloping of the labial edges with wide, occasionally painful @entity2318 ; and (3) abrupt termination and distortion of the clitoral hood at its normal junctions with the clitoral frenula and the upper labium. Reconstruction can usually be performed with wedge excisions, labial YV advancement, and touch-up trimming. Reconstruction of a labial amputation, however, required the development of a new clitoral hood flap. METHODS: Twenty-four clitoral hood flaps were performed on 17 @entity1 from June of 2006 through May of 2010. An island clitoral hood flap randomly based on the dartos fascia of the lower clitoral hood and medial labium majus is transposed to the ipsilateral labial defect to reconstruct a labium. Of the 10 @entity1 with unilateral flaps, nine of the @entity1 had previous bilateral labial reductions. Reconstruction of the opposite side in these nine @entity1 was performed using one or a combination of the following: wedge excisions, @entity1442 , or controlled touch-up trimming. RESULTS: All 24 flaps survived, with four minor complications. Five @entity1 underwent revision of a total of seven flaps, but only two were for complications. As experience increased, revisions for aesthetic improvement became less common. CONCLUSION: Reconstruction of labia minora defects secondary to trimming labia reductions is very successful using a combination of clitoral hood flaps, wedge excisions, and YV advancements.
