Di Lorenzo S, Corradino B, Cillino M, Hubova M, Cordova A
Acta Chir Plast. 2017 Fall;59(2):60-64.
Labia minora hypertrophy is a congenital or acquired condition in which both labia minora (or more rarely only one) protrude beyond the edge of the labia majora. The authors present a surgical technique of volumetric reduction of hypertrophic labia minora, associated with lipofilling of the labia majora.
Between 2005 and 2014, 27 patients underwent surgical reduction of labia minora, as described by Altier and Rouzier. The indications for surgical treatment varied and were as follows: interference with sexual intercourse; poor hygiene; difficulty wearing tight-fitting pants; difficulty while performing sporting activities such as cycling; aesthetic complaints. The surgical resection was associated with fat graft injection in labia majora in order to protect and cover the labia minora. The mean follow up was 1 year.
The labia majora, increased in volume and firmness, cover and protect the labia minora slightly hypertrophic or surgically reduced. All patients reported an improvement in comfort, aesthetic appearance, when wearing close-fitting clothes and an improvement in their sexuality. In one case we recorded a "recurrence", with an increase of dimensions in width of labia minora, still lower than the preoperative situation but greater than the immediate postop.
The reduction of labia minora hypertrophy with conservative techniques allows achieving excellent results in terms of aesthetics and functionality. The simple lipofilling of labia majora allows preserving and protecting the labia minora through a volumetric increase of the labia majora.
小阴唇肥大是一种先天性或后天性疾病，表现为双侧小阴唇（或较少见的仅一侧）突出于大阴唇边缘之外。作者介绍了一种对肥大的小阴唇进行容积性缩小的手术技术，并结合大阴唇脂肪填充。
2005年至2014年期间，27例患者接受了如阿尔蒂埃和鲁齐耶所描述的小阴唇手术缩小术。手术治疗的适应证各不相同，如下：性交受影响；卫生状况差；穿紧身裤困难；进行骑自行车等体育活动时有困难；美观方面的抱怨。手术切除同时在大阴唇进行脂肪移植注射，以保护和覆盖小阴唇。平均随访时间为1年。
大阴唇的体积和硬度增加，覆盖并保护了轻度肥大或经手术缩小的小阴唇。所有患者均表示舒适度、美观度有所改善，穿紧身衣服时情况改善，性生活也有所改善。有1例出现“复发”，小阴唇宽度增加，虽仍低于术前情况，但大于术后即刻情况。
采用保守技术缩小小阴唇肥大在美学和功能方面均能取得优异效果。单纯的大阴唇脂肪填充可通过增加大阴唇的容积来保存和保护小阴唇。
