Xiong Tingfeng, Zhang Jiang, Khan Aawrish, Cui Haiyan
Department of Plastic and Cosmetic Surgery, Tongji Hospital, School of Medicine, Tongji University, Shanghai, 200092, People's Republic of China.
Institute of Aesthetic Plastic Surgery and Medicine, Tongji University, Shanghai, 200092, People's Republic of China.
Aesthetic Plast Surg. 2025 May 27. doi: 10.1007/s00266-025-04935-4.
Hypertrophy of the labia minora is a common condition in female vulvar deformities. This study introduces a modified wedge-shaped labiaplasty-the double-L incision-excision method-based on the principles of Custom Flask Labiaplasty. The method aims to enhance both the aesthetic and functional outcomes in labia minora reduction surgery.
To evaluate clinical effect of double-L incision for labia minora reduction.
From October 2019 to June 2024, we performed labia minora reduction surgery on 18 cases of labia minora hypertrophy using a double-L incision-excision method. The surgical method involves drawing two L-shaped incision marks on the inner side of each labia minora. The L-shaped lines start at the edge of the labia minora and end near the base of the labia minora. The amount of tissue removed is determined by adjusting the angles of the two lines forming the "L." After full-thickness excision of the labia minora tissue between the double-L design, the wound edges on both sides are sutured in position.
For the 18 patients who received surgery, the incisions healed well without complications. None of the patients had obvious scars at the incision areas. In each case, the morphology of the labia minora was significantly improved, the appearance was natural, the edge did not change in color, and the effect was satisfactory.
The double-L incision-excision method for labia minora reduction surgery yields favorable postoperative results. It allows for more precise control over the size of the labia minora, with a smooth and natural appearance following surgery. This method is safe, effective, and ideal for labia minora plastic surgery.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
小阴唇肥大是女性外阴畸形的常见病症。本研究基于定制烧瓶法阴唇整形术的原理，介绍一种改良的楔形阴唇整形术——双L形切口切除法。该方法旨在提高小阴唇缩小手术的美学和功能效果。
评估双L形切口用于小阴唇缩小的临床效果。
2019年10月至2024年6月，我们采用双L形切口切除法对18例小阴唇肥大患者进行了小阴唇缩小手术。手术方法是在每个小阴唇内侧绘制两条L形切口标记。L形线从小阴唇边缘开始，在小阴唇基部附近结束。切除组织的量通过调整形成“L”的两条线的角度来确定。在双L形设计之间全层切除小阴唇组织后，将两侧的伤口边缘缝合到位。
接受手术的18例患者切口愈合良好，无并发症。所有患者切口部位均无明显瘢痕。每例患者小阴唇形态均明显改善，外观自然，边缘色泽无改变，效果满意。
双L形切口切除法行小阴唇缩小手术术后效果良好。它能更精确地控制小阴唇的大小，术后外观光滑自然。该方法安全、有效，是小阴唇整形手术的理想方法。
证据级别IV：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南 www.springer.com/00266 。
