Research Progress of Applied Anatomy of Labia Minora in Plastic Surgery
Abstract
Cosmetic labiaplasty is focusing on the deliberate alteration of external genitalia without medical reasons. It highlights the growing understanding of diverse genital anatomy, suggesting that the labia minora innervation contributes to sexual arousal and pleasure. The measurement of female vulva structure is crucial for aesthetic standards and surgical planning. Past research gathered labia minora measurements from various countries, races, and age groups. As women’s expectations for vulva appearance increase, the demand for labia minora plastic surgery rises, emphasizing the importance of safety and effectiveness. To enhance surgical planning, this article addresses the histology, anatomy, data measurement, aesthetics, blood supply, and nerve innervation of the labia minora, considering both its morphological beauty and functional requirements.
Keywords: Labia minora; Anatomy; Measurement; Blood and nerve supply; Plastic surgery
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The Aesthetic Society. The Aesthetic Plastic Surgery National Databank Statistics 2021. Available at https://wwwtheaestheticsocietyorg/media/procedural-statistics, (Accessed July 26, 2023).
Furnas HJ, Graw GJ, Cho MJ, Othman S, Graw B, et al. Safety in Female Genital Plastic Surgery. Plastic and Reconstructive Surgery, (2020); 146(4): 451e-463e.
Sharp G, Maynard P, Hudaib AR, Hamori CA, Oates J, et al. Do Genital Cosmetic Procedures Improve Women's Self-Esteem? A Systematic Review and Meta-Analysis. Aesthetic Surgery Journal, (2020); 40(10): 1143-1151.
Sorice-Virk S, Li AY, Canales FL, Furnas HJ. Comparison of Patient Symptomatology before and after Labiaplasty. Plastic and Reconstructive Surgery, (2020); 146(3): 526-536.
Turini T, Weck Roxo AC, Serra-Guimarães F, Abreu ML, de Castro CC, et al. The Impact of Labiaplasty on Sexuality. Plastic and Reconstructive Surgery, (2018); 141(1): 87-92.
Hamori CA. Aesthetic surgery of the female genitalia: labiaplasty and beyond. Plastic and Reconstructive Surgery, (2014); 134(4): 661-673.
Lista F, Mistry BD, Singh Y, Ahmad J. The Safety of Aesthetic Labiaplasty: A Plastic Surgery Experience. Aesthetic Surgery Journal, (2015); 35(6): 689-695.
Placik OJ, Devgan LL. Female Genital and Vaginal Plastic Surgery: An Overview. Plastic and Reconstructive Surgery, (2019); 144(2): 284e-297e.
Dogan O, Yassa M. Major Motivators and Sociodemographic Features of Women Undergoing Labiaplasty. Aesthetic Surgery Journal, (2019); 39(12): Np517-np527.
Earp BD, Steinfeld R. Genital Autonomy and Sexual Well-being. Current Sexual Health Reports, (2018); 107-17.
Bucknor A, Chen AD, Egeler S, Bletsis P, Johnson AR, et al. Labiaplasty: Indications and Predictors of Postoperative Sequelae in 451 Consecutive Cases. Aesthet Surg J, (2018); 38(6): 644-653.
Cohen Sacher B. The Normal Vulva, Vulvar Examination, and Evaluation Tools. Clinical Obstetrics and Gynecology, (2015); 58(3): 442-452.
Yeung J, Pauls RN. Anatomy of the Vulva and the Female Sexual Response. Obstetrics and Gynecology Clinics of North America, (2016); 43(1): 27-44.
Puppo V. Embryology and anatomy of the vulva: the female orgasm and women's sexual health. European Jounal of Obstetrics and Gynecology Reproductive Biology, (2011); 154(1): 3-8.
Schober J, Cooney T, Pfaff D, Mayoglou L, Martin-Alguacil N. Innervation of the labia minora of prepubertal girls. Jounal Pediatric and Adolescent Gynecology, (2010); 23(6): 352-357.
Martín-Alguacil N, Aardsma N, Litvin Y, Mayoglou L, Dupré C, et al. Immunocytochemical characterization of pacinian-like corpuscles in the labia minora of prepubertal girls. Journal of Pediatric and Adolescent Gynecology, (2011); 24(6): 353-358.
Martin-Alguacil N, Pfaff DW, Kow LM, Schober JM. Oestrogen receptors and their relation to neural receptive tissue of the labia minora. BJU International, (2008); 101(11): 1401-1406.
Widschwendter A, Riedl D, Freidhager K, Abdel Azim S, Jerabek-Klestil S, et al. Perception of Labial Size and Objective Measurements-Is There a Correlation? A Cross-Sectional Study in a Cohort Not Seeking Labiaplasty. Journal of Sexual Medicine, (2020); 17(3): 461-469.
Brodie K, Alaniz V, Buyers E, Caldwell B, Grantham E, et al. A Study of Adolescent Female Genitalia: What is Normal? Journal of Pediatric and Adolescent Gynecology, (2019); 32(1): 27-31.
Kreklau A, Vâz I, Oehme F, Strub F, Brechbühl R, et al. Measurements of a 'normal vulva' in women aged 15-84: a cross-sectional prospective single-centre study. Bjog An International Journal of Obstetrics and gynaecology, (2018); 125(13): 1656-1661.
Lykkebo AW, Drue HC, Lam JUH, Guldberg R. The Size of Labia Minora and Perception of Genital Appearance: A Cross-Sectional Study. Journal of Lower Genital Tract Disease, (2017); 21(3): 198-203.
Krissi H, Ben-Shitrit G, Aviram A, Weintraub AY, From A, et al. Anatomical diversity of the female external genitalia and its association to sexual function. European Journal of Obstetrics & Gynecology and Reproductive Biology, (2016); 19644-47.
Cao Yujiao, Li Qiang, Zhou Chuande, Li Fengyong, Li Senkai, et al. A preliminary study on the measurement of external genitalia in women undergoing gynecological cosmetic surgery in China. Chinese Journal of Clinical Obstetrics and Gynecology, (2015); 16 (4): 333-336. 曹玉娇, 李强, 周传德, 李峰永, 李森恺, et al. 针对我国妇科美容手术女性外阴测量的初步研究. 中国妇产科临床杂志, (2015); 16(4): 333-336.
Crouch NS, Deans R, Michala L, Liao LM, Creighton SM. Clinical characteristics of well women seeking labial reduction surgery: a prospective study. Bjog, (2011); 118(12): 1507-1510.
Basaran M, Kosif R, Bayar U, Civelek B. Characteristics of external genitalia in pre- and postmenopausal women. Climacteric : the journal of the International Menopause Society, (2008); 11416-421.
Wei Shuyi Basic and clinical research related to female breast and vulva rejuvenation: (2018) Peking Union Medical College. 魏蜀一 (2018). 魏蜀一 (2018) 女性乳房与外阴年轻化的相关基础与临床研究: 北京协和医学院.
Motakef S, Rodriguez-Feliz J, Chung MT, Ingargiola MJ, Wong VW, et al. Vaginal labiaplasty: current practices and a simplified classification system for labial protrusion. Plastic and Reconstructive Surgery, (2015); 135(3): 774-788.
Smarrito S. Classification of Labia Minora Hypertrophy: a retrospective study of 100 patient cases. Journal of Plastic, Reconstructive and Aesthetic Surgery Open, (2017); 13.
Qiang S, Li FY, Zhou Y, Li Q. Golden Section in Vulva. Plastic and Reconstructive Surgery Global Open, (2020); 8(5): e2844.
Frojo G, Kareh AM, Probst KX, Rector JD, Plikaitis CM, et al. Defining Ideal External Female Genital Anatomy via Crowdsourcing Analysis. Aesthetic Surgery Journal, (2022); 42(5): 505-515.
Female Reproductive Surgery Branch of China Plastic Surgery Association Expert consensus on plastic surgery of Labia minora (2020 version). Chinese Journal of Practical Gynecology and Obstetrics, (2020); 36 (10): 968-970. 中国整形美容协会女性生殖整复分会. 小阴唇整形术专家共识(2020年版). 中国实用妇科与产科杂志, (2020); 36(10): 968-970.
Yang E, Hengshu Z. Individualized Surgical Treatment of Different Types of Labia Minora Hypertrophy. Aesthetic Plastic Surgery, (2020); 44(2): 579-585.
Salmon M Artères de la peau. Chapter: Book Name. 1936 of publication; Masson et cie Paris.
Hwang WY, Chang TS, Sun P, Chung TH. Vaginal reconstruction using labia minora flaps in congenital total absence. Annals of Plastic Surgery, (1985); 15(6): 534-537.
Georgiou CA, Benatar M, Dumas P, Chignon-Sicard B, Balaguer T, et al. A Cadaveric Study of the Arterial Blood Supply of the Labia Minora. Plastic and Reconstructive Surgery, (2015); 136(1): 167-178.
Kaya AE, Dogan O, Yassa M, Basbug A, Çalışkan E. A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination. Geburtshilfe und Frauenheilkdunde, (2018); 78(8): 775-784.
Placik OJ, Arkins JP. A Prospective Evaluation of Female External Genitalia Sensitivity to Pressure following Labia Minora Reduction and Clitoral Hood Reduction. Plastic and Reconstructive Surgery, (2015); 136(4): 442e-452e.
Pauls RN. Anatomy of the clitoris and the female sexual response. Clinical Anatomy, (2015); 28(3): 376-384.
Malinovský L, Sommerová J, Martincík J. Quantitative evaluation of sensory nerve endings in hypertrophy of labia minora pudendi in women. Acta Anatomica (Basel), (1975); 92(1): 129-144.
Ginger VA, Cold CJ, Yang CC. Structure and innervation of the labia minora: more than minor skin folds. Female Pelvic Medicine and Reconstructive Surgery, (2011); 17(4): 180-183.
Kelishadi SS, Omar R, Herring N, Tutela JP, Chowdhry S, et al. The Safe Labiaplasty: A Study of Nerve Density in Labia Minora and Its Implications. Aesthetic Surgery Journal, (2016); 36(6): 705-709.
Cao Y, Li F, Li S, Zhou Y, Li Q. A preliminary observational study on the vascular, nerve, and lymphatic anatomy and histology of the labia minora from cadaveric and surgical samples. International Urogynecology Journal, (2021); 32(5): 1169-1176.
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