Labiaplasty Houston Plastic Surgeon

Labiaplasty Procedure (Labia Reduction)

What Causes Labial Hypertrophy?

• Mechanical irritation by sexual intercourse
• Childbirth
• Lymphatic Stasis
• Chronic irritation from dermatitis or urinary incontinence
• Genetics

Disadvantage or Reasons Women Seek Reduction of their Labia

• Difficulty with hygiene (toilet paper sticking),
• Discomfort with clothing that is tight
• Pain with riding a bike
• Labia catching in zippers
• Painful intercourse
  

WEDGE Method:

• This labial reduction technique was first introduced by Dr. Alter, a Beverly Hills Plastic Surgeon in 1998.
• The wedge method preserves the natural edge of the labia.
• It does not disrupt or remove the delicate free margin of the labia minora
• It also tightens the entire length of the labia minora, including the portion next to the clitoris
• Can be carried forward on either side of the clitoris, tightening the clitoral hood
• More complex procedure, requiring more skill, to reduce the chance of too much tightening of the opening of the vagina or injury to the urethral opening.
• Modification with de-epithelialization may reduce nerve damage.

 
TRIM Method:

• This is a simpler method involving trimming the free margin of the labia minora.
• It has an advantage for a patient who does not like that pigmented tissue and wants it removed
• Removes tissue along the entire length of the labia minora, except for the area immediately next to the clitoris, which may produce an extra "tab" of tissue there
• One of the disadvantage is that it does not improve or tighten the clitoral hood.
• More likely to damage the nerve endings of the labia minora than other techniques
• May be more effective for very long and enlarged labia
• Simpler and less technically demanding procedure

There are several methods when it comes to performing a labiaplasty.  Each method have their own advantages and disadvantages, and thus the method used should be individualized.  I recommend asking your plastic surgeon regarding these techniques.








Emmanuel De La Cruz MD, PLLC
Houston Plastic Surgeon

References:
Hodgkinson DJ, Hait G. Aesthetic vaginal labioplasty. Plast Reconstr Surg. Sep 1984;74(3):414-6
Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. Mar 1998;40(3):287-90.
Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg. Jan 2000;105(1):419-22; discussion 423-4
Girling VR, Salisbury M, Ersek RA. Vaginal labioplasty. Plast Reconstr Surg. May 2005;115(6):1792-3. 
Goodman MP, Placik OJ, Benson RH 3rd, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. Apr 2010;7(4 Pt 1):1565-77

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Male Breast Reduction for Gynecomastia

According to the American Society of Plastic Surgeons, approximately 65%  of male breast disorders is secondary to gynecomastia. Majority of boys would develop some form of gynecomastia during puberty.  This normally subsides as boys get older approaching their twenties.  Gynecomastia may be secondary to heavy marijuana use or may be due to anabolic steroids usage by weightlifters.  Endocrine disorders/tumors, testicular tumors, and several prescription drugs (such as anti-depressants and blood pressure medications) may also cause gynecomastia.

Before & After Photos (1 day after surgery) of Gynecomastia Surgery/Male Breast Reduction performed by Emmanuel De La Cruz MD, PLLC

Humiliation, shame and insecurity are some of the psychological trauma that men with gynecomastia experience.  Gynecomastia can be embarassing that it can make men be reluctant from removing their shirts off at the beach.   It can also make men who are only a few pounds overweight to look heavier  than they really are. 

Fortunately, there are a few options of treating gynecomastia in adult men which can range from liposuction to surgical excision.  Gynecomastia in children may require a more thorough workup, such as a testicular exam and possibly an ultrasound, to rule out a testicular tumor.  I recommend consulting your local plastic surgeon about gynecomastia.  One of your Houston plastic surgeons will determine the best procedure to correct gynecomastia that would be appropriate to your body habitus and breast anatomy.

Emmanuel De La Cruz M.D. 
www.delacruzplasticsurgery.com/

P.S.

I recommend reading other articles on breast augmentation in this blog. 

Date of Update: 4-25-2013