Background and objective.

Correct diagnosis of the external aesthetic female genital alterations, besides planning and achieve simultaneous surgical techniques, are essential to reach the best results.

The aim of this study was to present our experience in aesthetic female genitalia surgery, performing more than one procedure during the same surgical time to simultaneously treat different aesthetic genitalia disorders. Our secondary goal was to analyze in the literature the advantages and disadvantages of the different surgical techniques in labia minora reduction in comparison with our current technique.

Methods.

Genital rejuvenation surgeries were performed in 213 patients for aesthetic and functional reasons, from April 2010 to April 2021. Of this total number of patients, 114 (54%) had mons pubis reduction by liposuction and skin resection, as the unique surgery or in combination with abdominoplasty or abdominal liposuction, and in 99 patients (46%) labia minora wedge reduction were performed, alone or in combination with other procedures of the genital region, such as clitoral hood reduction, labia majora reduction, or labia majora augmentation. The mean age was 43-years-old (range, 14 - 67).

Results.

The combination of surgical techniques showed a high level of satisfaction (95%) at 3 months follow-up. Complications were bilateral hematoma (0.5%), wound dehiscence and/or fistula (1.4%), postsurgical pain (2.8%), insufficient resection of the length of the labia (0.5%) and the color discrepancy between the flaps (0.5%). No patient presented infection, dyspareunia or pathological scars.

Conclusions.

The correct diagnosis, considering all aesthetic aspects of the external genitalia, is essential to develop an appropriate surgical plan and carry out a simultaneous surgical approach and obtain the desired aesthetic result. The central wedge resection is our choice technique for the labia minora resection since it has a low rate of complications.

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