This book provides the reader a fully descriptive approach of labia minora hypertrophy and clitoral hood elongation related to anatomical variants. The expert contributors present their reproducible and structured technique of Topographic Labiaplasty, that allows the surgeon to improve surgical results and avoid complications and poor aesthetic outcomes. It also enables surgeons to understand the huge anatomical variants related to labia minora hypertrophy and clitoral frenulum complex aiming a better result from the aesthetic and functional point of view.
The eighteen well written chapters include a brief historical research about the history of labiaplasty, classifications of labia minora hypertrophy, indications and contraindications for the surgery, anesthetic considerations, surgical instrumentation, reconstructive aspects, labiaplasty in teenagers and the sexological impact. The book also features surgical videos.
Topographic Labiaplasty - From Theory to Practice is addressed to consultants in gynecology, plastic surgery, urogynecology and those interested in female cosmetic genital surgery.
Author(s): Pablo Gonzalez-Isaza, Rafael Sánchez-Borrego
Publisher: Springer
Year: 2023
Language: English
Pages: 207
City: Cham
Foreword
Contents
Chapter 1: Introduction
Introduction
References
Chapter 2: Historical Aspects
History of Labiaplasty
References
Chapter 3: Topographical Anatomy
Introduction
Anatomical Zones Fig. 3.2a, b
Clitoral Hood Frenulum
Aberrant Insertion of the Frenulum of the Clitoris
Clitoral Hood and Its Anatomical Variants
References
Chapter 4: Classification of Labia Minora Hypertrophy
Introduction
References
Chapter 5: Labia Minora Labiaplasty: Surgical Techniques
Introduction
Surgical Techniques
Linear Resection Technique
Wedge Resection Technique
References
Chapter 6: Indications/Contraindications for Labiaplasty
Introduction
References
Chapter 7: Anesthetic Considerations for Labiaplasty
Introduction
Pre-anesthetic Assessment
Presurgical
Brief Description of the Most Commonly Used Anesthetic Techniques
References
Chapter 8: Surgical Instrumentation in Labiaplasty
References
Chapter 9: The Role of EBD Energy Sources in Performing Labiaplasty
References
Chapter 10: Complications, How to Predict and Avoid Them
Patient’s First Access to the Labiaplasty Office
At the Time of Consultation
Peri-surgical Aspects
Operating Room
Recovery
Type of Complications
Intraoperative
Immediate and Immediate Postoperative Period
Late Complications
Miscellaneous Cases of Complications
Annex 1: Points to Be Included Inside the Informed Consent
References
Chapter 11: Secondary Labiaminoraplasty
Introduction
Preoperative Evaluation
Classification of Labia Minora Defects
Abundant Labia Minora Following Labiareduction
Excessive Labia Minora Reduction
Surgical Correction (Figs. 11.1, 11.2, 11.3, 11.4, 11.5, 11.6, 11.7, 11.8, 11.9, 11.10, 11.11, 11.12, 11.13, 11.14, and 11.15)
Regenerative Treatments
Reconstruction of Labia Minora
References
Chapter 12: Labiaplasty in Adolescents
When to Perform Labiaplasty in Adolescents?
Physical Development
Cognitive and Moral Development
Emotional Development
How to Assess the Adolescent?
Selection of Technique
Complications
Conclusions
References
Chapter 13: What Comes After a Labiaplasty
Introduction
Prognostic Factors for Postoperative Sequelae
Age of Surgical Procedure
Smoking
Female Sexual Dysfunction
Body Dysmorphic Syndrome
Early Onset of Postoperative Sexual Activity
Evaluation
Early and Late Symptoms
Early Symptoms
Late Symptoms
Pregnancy and Labiaplasty
Conclusions
Annex: Validated Questionnaires to Assess Aesthetic and Functional Aspects Before and After Labiaplasty
Annex 1: COPS-L [11]
COPS-L for Women Seeking Labiaplasty
Annex 2: GAS [11]
Annex 3: FSFI: Validated Version in Colombia [13]
References
Chapter 14: Clinical Sexology and Cosmetic Gynecology: An Integral Work for the Benefit of the Patients
Intervention in Clinical Sexology
Psychoeducation
Anxiety Management
Conclusions
References
Further Reading
Chapter 15: Labia Majora Labiaplasty with Hyaluronic Acid
Introduction
Hyaluronic Acid
Atrophy of the Labia Majora of the Vulva
Selection of Hyaluronic Acid for Labia Majora Augmentation
Injection Technique
Anesthesia
Anatomy of the Labia Majora and Injection Technique
Posttreatment Effects
Complications
References
Chapter 16: Clitoropexy-Clitoroplasty
Introduction
Historical Data and Anatomical Considerations
Surgical Technique
Postoperative Care
Results
Complications
Summary
References
Chapter 17: Quality Training in Gyn-Aesthetics
Introduction
Functional Area
Training Guidelines
Understanding Genitourinary Pathophysiology
Understanding the Mechanisms of Action of Therapies Used
Surgical Training
Training in the Use of New Techniques and New Technologies
Where Are We Going? Should We Go?
Learn to Be “Critical” of Information
Controversies in Training
Certification Program
Summary
References
Chapter 18: Ethical-Legal Aspects
Introduction
Definition and Historical Notes
Branches of Ethics [3]
Bioethics
Plastic Surgery
Bioethics Surrounding a Cosmetic Procedure
Conclusion
References
Annexes
Informed Consent
Informed Consent for Medical Procedures
Aesthetic Gynecology
What Do Our Students Think About the Concept of Topographic Labiaplasty?
Compedium of Topographic Labiaplasty Images
Index
