Labiaplasty and cosmetic vulvar vaginal procedures for natal women
Female genital plastic surgery, a relatively new entry in the field of cosmetic and plastic surgery offers sexual and functional enhancement along with cosmetic improvement for women. Are the procedures labial plasty and clitoral hood reduction delivering the promise. Michael Goodson and colleagues report in a large mutlticenter outcome study of female genital surgery in the Journal of Sexual Medicine, 2101; volume 7, page 1565-1577. 258 women and 341 separate procedures were reviewed. including 104 labiaplasties, 24 clitoral hood reductions, and 49 combined procedures.The reasons women give for surgery are 53% to look better, and 32.7% to enhance self esteem, 31% to feel more normal, and 75.7% have discomfort with sex, clothes, or sports, especially chaffing. Overall satisfaction rates are 97.2% with labiaplasty and 91.2 with labiaplasty when combined with clitoral hood reduction and vaginal tightening (anterior or posterior repair).
The satisfaction rate with linear resection is 96.4% and with modified wedge 95.l7% were nearly identical. Enhancement of sexual function only was in the range of 64.7% and 35.7% of their consorts. However, enhanced sexual function was for many patients not the primary reason for having the procedure.
Photos of some of our labiaplasty patients and results can be seen at http://srsmiami.com/photography-f2f.html
Harold M. Reed, M.D.
Reed Centre for Cosmetic Genital Surgery
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