Labia Majora

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Lina Triana - One of the best experts on this subject based on the ideXlab platform.

  • Labia Majora Resection
    Aesthetic Vaginal Plastic Surgery, 2019
    Co-Authors: Lina Triana
    Abstract:

    When there is just too much looseness on the Labia Majora skin only, filling will not be enough. Cutting the excess skin of the Labia Majora seems like a straightforward procedure, but we must never forget that the healing process in the mucosa, Labia minora, and clitoris hood structures is different than in the skin. The Labia Majora is covered by the skin, and this is why scars can be easily seen in this area specially in Latin skin patients or in females with hyperpigmentation of their genitalia.

  • Labia Majora Augmentation
    Aesthetic Vaginal Plastic Surgery, 2019
    Co-Authors: Lina Triana
    Abstract:

    We live in planet earth, and with time our planet’s gravity forces everything to drop down, and our genitalia are no exception. Labia Majora are supposed to be a fatty structure with a bulky appearance that with time and our natural aging process start to lose fatty tissue, get wrinkled, and feel and look empty. This is why many patients seek on some kind of Labia Majora enhancement.

  • Labia Majora Non-surgical Options: Lightening, Fillers, and Skin Tightening
    Aesthetic Vaginal Plastic Surgery, 2019
    Co-Authors: Lina Triana
    Abstract:

    Labia Majora enhancement can be done without surgery. There are different options to achieve it depending on what the patient wants and need. With age Labia Majora skin suffers aging signs such as decreased subcutaneous tissue and loose skin secondary to the constant pull down of earth’s gravity force. Options such as a surgical Labiaplasty with skin reduction of the Labia Majora are always an option when there is too much loose skin, but in cases where the patient does not accept a possible visible scar or there is just not too much loose skin, non-surgical options such as skin tightening non-surgical devices and fillers are good options. Also, our genital skin suffers constant friction secondary to the use of tight cloths and walking; hyperpigmentation is a problem that affects especially darker color patients; for them skin lightening treatments with lasers and depigmentation creams are good treatment options.

Gary J. Alter - One of the best experts on this subject based on the ideXlab platform.

Marino Cordellini - One of the best experts on this subject based on the ideXlab platform.

  • Labia Majora Labioplasty in HIV-related Vaginal Lipodystrophy: Technique Description and Literature Review
    Aesthetic Plastic Surgery, 2013
    Co-Authors: Luigi Maria Lapalorcia, Silvio Podda, Gianluca Campiglio, Marino Cordellini
    Abstract:

    Background We present a rare case involving severe hypertrophy of the Labia Majora. This 39-year-old married woman developed a clinically noticeable bilateral lipodystrophy of her Labia Majora following the administration of chronic antiretroviral therapy. Different combination drug regimens that included drugs like Crixivan®, Epivir®, and Zerit® were administered to the patient from 1998 to 2005. The patient is currently on a single drug regimen of Atripla® with the disease under control and no other comorbidities. The severity of the pubic protuberance created an appearance resembling male genitalia, even when covered by underwear. This anatomical abnormality obviously impaired her social life and forced her to avoid wearing tight pants, swimming garments, and tight clothes in general. She also avoided any sexual activity.

  • Labia Majora labioplasty in hiv related vaginal lipodystrophy technique description and literature review
    Aesthetic Plastic Surgery, 2013
    Co-Authors: Luigi Maria Lapalorcia, Silvio Podda, Gianluca Campiglio, Marino Cordellini
    Abstract:

    We present a rare case involving severe hypertrophy of the Labia Majora. This 39-year-old married woman developed a clinically noticeable bilateral lipodystrophy of her Labia Majora following the administration of chronic antiretroviral therapy. Different combination drug regimens that included drugs like Crixivan®, Epivir®, and Zerit® were administered to the patient from 1998 to 2005. The patient is currently on a single drug regimen of Atripla® with the disease under control and no other comorbidities. The severity of the pubic protuberance created an appearance resembling male genitalia, even when covered by underwear. This anatomical abnormality obviously impaired her social life and forced her to avoid wearing tight pants, swimming garments, and tight clothes in general. She also avoided any sexual activity. Her pubic hair was shaved. Crural creases and vulvar mucosa were marked in order not to be violated. The estimated amount of skin and fat to be removed was marked. Intraoperative tailor-tacking suturing was used to mark the extent of the resection of the Labia Majora. Sutures were left in place to verify the accurate tension of the remaining skin. The procedure was performed with the patient under general anesthesia. Labial skin resection was performed by sharp dissection. Electrocautery was then used to excise the lobulated fat accumulation. Two layers of 3/0 Vicryl® sutures were used in the lax subcutaneous tissue. 4/0 Vicryl® rapide was used on the skin to approximate wound edges. Suction drains were left in place for 48 h to reduce the dead space and to manage postoperative bleeding. The patient was instructed to keep ice and compression pads on the area for the first 24 h and to keep the area clean. This was followed by the application of antibiotic ointment two times a day on the wounds to avoid blood crust formation and to keep the skin soft. Stitches were removed on POD 14 after an overall uneventful postoperative course. The sensitivity of the Labia Majora’s interior aspect was preserved, even initially. With the legs slightly open, the Labia Majora just covered the entrance to the vagina. The clitoris and Labia minora became visible again, restoring a normal anatomical appearance. Moderate edema was observed for 4 weeks after surgery. The surgical technique used provided an excellent result according to the patient, who regained her self-confidence and started having a normal sexual life again. 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 .

H I Maibach - One of the best experts on this subject based on the ideXlab platform.

  • Sodium lauryl suifate-induced irritant contact dermatitis in vulvar and forearm skin of premenopausal and postmenopausal women
    Journal of The American Academy of Dermatology, 1990
    Co-Authors: Peter Eisner, D Wilhelm, H I Maibach
    Abstract:

    Reactivity of the skin of the forearm and Labia Majora to three concentrations (2%,3%,5%) of sodium lauryl sulfate was studied in 20 healthy women, 10 premenopausal and 10 postmenopausal. Patches with the irritant were applied on day 0 for 24 hours. Skin changes were monitored by visual scoring and by the measurement of transepidermal water loss and capacitance as indicators of stratum corneum hydration on days 2,3,7, and 10. In forearm skin, irritant dermatitis developed in the majority of subjects as indicated by visual scoring and increase of transepidermal water loss. These changes were not significantly dependent on the concentration of sodium lauryl sulfate. In Labia Majora skin, irritant dermatitis developed in 50% of the women as determined by visual scoring; however, because of the pigmentation, visual scoring readings were less reliable in Labia Majora skin. Transepidermal water loss did not increase, but a significant and immediate decrease in capacitance was noted in Labia Majora skin. In forearm skin, postmenopausal women reacted less frequently and more slowly to sodium lauryl sulfate than premenopausal women whereas no age-related differences were observed in reaction of the vulvar skin. It is concluded that Labia Majora skin is not more reactive to sodium lauryl sulfate than forearm skin and that capacitance is more sensitive than transepidermal water loss in monitoring vulvar irritant dermatitis. Age-related differences in irritant reaction are apparent in the forearm, but not the vulva.

  • Sodium lauryl sulfate-induced irritant contact dermatitis in vulvar and forearm skin of premenopausal and postmenopausal women.
    Journal of the American Academy of Dermatology, 1990
    Co-Authors: P Elsner, D Wilhelm, H I Maibach
    Abstract:

    Reactivity of the skin of the forearm and Labia Majora to three concentrations (2%, 3%, 5%) of sodium lauryl sulfate was studied in 20 healthy women, 10 premenopausal and 10 postmenopausal. Patches with the irritant were applied on day 0 for 24 hours. Skin changes were monitored by visual scoring and by the measurement of transepidermal water loss and capacitance as indicators of stratum corneum hydration on days 2, 3, 7, and 10. In forearm skin, irritant dermatitis developed in the majority of subjects as indicated by visual scoring and increase of transepidermal water loss. These changes were not significantly dependent on the concentration of sodium lauryl sulfate. In Labia Majora skin, irritant dermatitis developed in 50% of the women as determined by visual scoring; however, because of the pigmentation, visual scoring readings were less reliable in Labia Majora skin. Transepidermal water loss did not increase, but a significant and immediate decrease in capacitance was noted in Labia Majora skin. In forearm skin, postmenopausal women reacted less frequently and more slowly to sodium lauryl sulfate than premenopausal women whereas no age-related differences were observed in reaction of the vulvar skin. It is concluded that Labia Majora skin is not more reactive to sodium lauryl sulfate than forearm skin and that capacitance is more sensitive than transepidermal water loss in monitoring vulvar irritant dermatitis. Age-related differences in irritant reaction are apparent in the forearm, but not the vulva.

Shah Jumaat Mohd Yussof - One of the best experts on this subject based on the ideXlab platform.

  • antiretroviral treatment associated Labia Majora lipohypertrophy a rare case and plastic surgical treatment options akmal hisham et al
    2017
    Co-Authors: Akmal Hisham, Devananthan Ilenghoven, Wan Syazli Wan Ahmad Kamal, Salina Ibrahim, Shah Jumaat Mohd Yussof
    Abstract:

    The emergence of highly active antiretroviral therapy (HAART) has revolutionized the prognosis of HIV-infected patients. However, the extended use of HAART is associated with a disfiguring complication termed lipodystrophy, a disorder of body fat maldistribution causing peripheral fat loss (lipoatrophy) and central fat accumulation (lipohypertrophy). Lipoatrophy commonly affects the face, legs, buttocks and arm, whilst lipohypertrophy frequently favours the abdomen, breast and dorsocervical region. To our knowledge, we present only the second documented case in the literature of a Labia Majora lipohypertrophy in a HIV-positive patient receiving long-term HAART. The severity of Labial abnormality caused significant physical and functional morbidities. Labiaplasty with dermolipectomy of the Labia Majora and excisional lipectomy of the mons pubis was successfully performed. At a 6-month follow-up, patient had no recurrence with resolution of symptoms and resumption of normal activities of daily living (ADL).