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Published on 13 Jan 2013 | over 3 years ago

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Presented at the American Academy of Cosmetic Surgery 29th Annual Scientific Meeting at Caesar's Palace Resort, Las Vegas, Nevada. January 18, 2013. Full-length DVD & more at www.iscgmedia.com . Also check out www.lvr-nj.com and www.youtube.com/user/mpelosi3 and www.sexesthetics.com .

Marco A. Pelosi, III, MD, cosmetic gynecologist and cofounder of the International Society of Cosmetogynecology (ISCG), outlines the steps for effective assessment and aesthetic management of the labia majora. The labia majora are a component of the pubic triangle cosmetic unit which also includes the mons pubis and frequently the clitoral hood and labia minora. Frequent cosmetic complaints that the labia majora appear too large, too flat, too wrinkled, or asymmetric can be addressed by a variety of techniques either alone or in combination.

Cosmetic procedures for labia majora labiaplasty (labia majoraplasty) include autologous fat transfer (AFT) fat injections, strategic fusiform skin resections, and perineoplasty (perineorrhaphy). Perineoplasty targets the posterior aspect of the labia majora and improves the general tone of the labia majora by restoring tightness at the level of the bulbocavernosus muscles. This also serves to improve the results of autologous fat transfer by providing a sturdy foundation from which to achieve fullness and enhanced structure. Similar to other cosmetic procedures of the vulva, the recovery is very mild. Many labia majoraplasty patients fly in for the procedure and fly home on the next day. Complete healing time is approximately six weeks.

Other more extensive procedures that may contribute to the contours of the labia majora include thighplasty (inner thigh lift) and abdominoplasty (tummy tuck). These are sometimes combined with labia majoraplasty, but generally have a longer recovery.

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