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The labia majora has transitional histological feature-sensitive areas and complex anatomical structures, such as fascia, erectile tissue, and adipose components, connected to crural pelvic and perineal structures. Minimally invasive or surgical procedures must be correctly selected according to the complaint and anatomical characteristics.
Due to the lack of standardization, guidelines and nomenclature related to the aesthetic and functional concerns of labia majora, this book intends to propose an algorithmic approach to balance the anatomy, patient expectations and the overall aesthetic appearance of the vulva. It features a structured classification that will guide female cosmetic genital surgeons to decide which treatments are most appropriate for these conditions. It also enables doctors to understand that aesthetic and functional complaints of the labia majora do not have the same origin. The chapters cover labia majora anatomy, classifications, labiaplasty techniques and their indications and contraindications, anesthetic considerations for labiaplasty, surgical instrumentation, complications, how to predict and avoid them, sexological impact, and reconstructive aspects. It features a video of surgical techniques.
This volume is designed for gynecologists, plastic surgeons, urogynecologists and those interested in aesthetic and functional female genital.
List of contents
Introduction.- Historical Aspects.- Labia majora Anatomy.- Classifications of Labia Majora.- Anatomical Ultrasound correlation of labia majora, Ultrasound mapping.- Labia Majora Labiaplasty Techniques.- Indications/Contraindications for Labia Majora Labiaplasty.- Local Anesthesia considerations for labiaplasty.- Surgical Instrumentation for labia majora labiaplasty.- Role of EBD energy sources, for Labia Majora Aesthetic and functional concerns.- Complications, how to predict and avoid them Reconstructive aspects.- What comes after treatments for labia majora aesthetic and functional concerns.- Sexological impact.- Fat graft and PRP of the female genital area from theory to clinical practice.- The role of Bio materials Hyaluronic acid ant threads for labia majora enhancement.- Annexes.- Informed Consent.
About the author
Pablo Gonzalez-Isaza, MD, urogynecologist, is a private consultant board certified of advanced female pelvic surgery and minimally invasive surgery. He is president and founder of the Asociacion de Ginecologos Esteticos Colombianos (AGEOC) and pioneer of Female Cosmetic Genital Surgery in Colombia. Dr. Isaza is also an assistant professor and coordinator of the Postgraduate Course in Aesthetic and Functional Gynecology and Cosmetic Genital Surgery of Women at Institute of Continuing Education from Universidad de Barcelona. His areas of interest are labia minora hypertrophy and anatomical variants treatment, and he proposed a classification and written the first series of labia minora hypertrophy treatment with multi pulsed CO2 laser.
Dr. Isaza is author and coauthor of scientific articles and book chapters related to cosmetic and reconstructive gynecology. He has 15 years of experience and has trained more than 300 gynecologists and plastic surgeons around the world with the use of lasers in cosmetic gynecology.
Summary
The labia majora has transitional histological feature-sensitive areas and complex anatomical structures, such as fascia, erectile tissue, and adipose components, connected to crural pelvic and perineal structures. Minimally invasive or surgical procedures must be correctly selected according to the complaint and anatomical characteristics.
Due to the lack of standardization, guidelines and nomenclature related to the aesthetic and functional concerns of labia majora, this book intends to propose an algorithmic approach to balance the anatomy, patient expectations and the overall aesthetic appearance of the vulva. It features a structured classification that will guide female cosmetic genital surgeons to decide which treatments are most appropriate for these conditions. It also enables doctors to understand that aesthetic and functional complaints of the labia majora do not have the same origin. The chapters cover labia majora anatomy, classifications, labiaplasty techniques and their indications and contraindications, anesthetic considerations for labiaplasty, surgical instrumentation, complications, how to predict and avoid them, sexological impact, and reconstructive aspects. It features a video of surgical techniques.
This volume is designed for gynecologists, plastic surgeons, urogynecologists and those interested in aesthetic and functional female genital.
