Abstract

In recent years, the usefulness of PRP (Platelet Rich Plasma) for soft tissue healing has been published. In the gynecological area, it is used to stimulate vaginal and clitoral rejuvenation to recover its function globally, contributing to improving the patient's self-esteem, as well as improving the sexual experience. In the case of labiaplasty, it is indicated in labia minora hypertrophy. Another non-invasive gynecological aesthetic method is the use of Diode laser because it does not require incisions, it is ambulatory and has a fast recovery. At present there are few studies and literature on the matter. Hence, a clinical study was carried out with 28 patients to determine the effectiveness of the application of PRP in labiaplasty performed with Diodo laser, with patients between 20 and 46 years old, who attended consultations due to discomfort, pain in relationships and low self-esteem. 54% presented grade 3 hypertrophy of the labia minora and the remaining 46% grade 2 hypertrophy. After the application of the treatment, 86% did not present complications, only 14% manifested dehiscence. The recovery period was 5 weeks in 50% of the patients. Obtaining a degree of satisfaction in all patients between 9 to 10. PRP has been gaining relevance among gynecological aesthetic treatments, however, due to its recent use there are still few studies that deepen and corroborate its effectiveness. It is necessary to carry out studies in which the clinical evolution, healing and repair of vaginal tissues are evaluated.

Abstract

In recent years, the usefulness of PRP (Platelet Rich Plasma) for soft tissue healing has been published. In the gynecological area, it is used to stimulate vaginal and clitoral rejuvenation to recover its function globally, contributing to improving the patient's self-esteem, as well as improving the sexual experience. In the case of labiaplasty, it is indicated in labia minora hypertrophy. Another non-invasive gynecological aesthetic method is the use of Diode laser because it does not require incisions, it is ambulatory and has a fast recovery. At present there are few studies and literature on the matter. Hence, a clinical study was carried out with 28 patients to determine the effectiveness of the application of PRP in labiaplasty performed with Diodo laser, with patients between 20 and 46 years old, who attended consultations due to discomfort, pain in relationships and low self-esteem. 54% presented grade 3 hypertrophy of the labia minora and the remaining 46% grade 2 hypertrophy. After the application of the treatment, 86% did not present complications, only 14% manifested dehiscence. The recovery period was 5 weeks in 50% of the patients. Obtaining a degree of satisfaction in all patients between 9 to 10. PRP has been gaining relevance among gynecological aesthetic treatments, however, due to its recent use there are still few studies that deepen and corroborate its effectiveness. It is necessary to carry out studies in which the clinical evolution, healing and repair of vaginal tissues are evaluated.

Abstract

Objective: To evaluate the indications for labiaplasty with 30 watt, 980nm diode laser performed in the office in the period 2016-2017 and the results obtained in terms of postoperative pain scale, sexual satisfaction scale and associated complications. Methods: A retrospective, descriptive and analytical study of the results obtained from labiaplasties performed in the office by surgeons was carried out, with a sample of 23 patients, in the period between 2016 -2017 in Caracas, Venezuela. The Trim technique with a 30-Watt Laser Diode was used in a continuous mode with a 980 Nm fiber. The patients were classified according to reason for consultation, degree of hypertrophy according to González's classification and pain scale, index of sexual satisfaction and associated complications. Results: The age range prevailed in patients between 29 and 39 years, the reason why all the patients underwent surgery was primarily discomfort referred to as 'discomfort', one patient also referred functional disorders, specifically dyspareuria. 65.2% of the cases presented generalized hypertrophy, followed by central asymmetric in 34.7%. On the analogue scale of postoperative pain, only 8.6% reported pain II to III; there were no intraoperative complications and postoperative complications were absent in 82.6% of them, 8.6% presented labial dehiscence, 4.3% pruritus and 4.3% granuloma, all complications had secondary resolution and the post-procedure sexual satisfaction index 10 / 10 pts. 100%. Conclusion: after surgery the patients achieved symmetrical lips, with a good aesthetic appearance.

Abstract

Labia hypertrophy is a completely normal condition, six out of ten patients have labia minora hypertrophy, but not all are surgical, it is related to hormonal factors, trauma, and hereditary factors, however, a large percentage is of unknown cause. In the present case, the labia minora labiaplasty with diode laser applied to an adolescent is briefly described.

Abstract

La labioplastia es un procedimiento quirúrgico que se emplea para mejorar el aspecto funcional, estético y psicosocial de la vulva, cada día aumenta su demanda debido a los múltiples beneficios que conlleva. Han sido descritas diversas técnicas, con el objetivo de obtener mejores resultados, así como disminuir las complicaciones intra y postoperatorias. Objetivo: evaluar los beneficios del uso del Láser CO2 en las labioplastias. Método: se realizó un estudio observacional, longitudinal y retrospectivo en 50 pacientes quienes acudieron a consulta privada, en el periodo comprendido entre los años 2014-2016, con diagnóstico de hipertrofia de labios menores grado II - III según la clasificación de Motakef. Se les realizó labioplastia en consultorio con Láser CO2 y seguimiento a dos años, donde fue evaluada la evolución de las mismas y la presencia o no de complicaciones. Resultados: la edad promedio de solicitud de la intervención fue de 30 años, donde el 80% de las pacientes tenía entre 20 y 39 años. En el 86% de los casos el grado de hipertrofia de labios fue Grado III y el motivo de consulta más frecuente el Disconfort, con un 44 % de prevalencia. El 4% presentó complicaciones a causa del procedimiento. Conclusiones: La labioplastia con Láser CO2 es un procedimiento seguro, realizado por manos expertas con amplios conocimientos de la tecnología Láser, con una baja tasa de complicaciones y una alta tasa de satisfacción.