Topographic Labiaplasty: From Theory to Clinical Practice

Description

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. 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