Hypertrophy of the labia minora is a well-known and not so rare congenital malformation of the external genitalia. According to the most recent acquisitions, a patient with small labia whose length from the base of the implant to the free margin is greater than 2.5 cm is considered pathological and therefore abnormal. This malformation, in addition to generating important aesthetic and psychological problems, especially in the couple’s relationship, can sometimes also cause chronic local irritation, bacterial infections and recurrent mycoses.

In recent years, increasing attention has been paid to plastic surgeons to devise and develop conservative surgical techniques in compliance with the normal anatomy and physiology of this anatomical region. The most commonly used surgery lasts about 1 hour, it is simple, decisive and highly satisfying for patients. It can be performed under local anesthesia with sedation, under regional-peripheral anesthesia or under general anesthesia, and women do not have particular post-operative discomfort also in consideration of the fact that the small sutures applied must not even be removed. The day after surgery, the patient can resume work and can return to normal in about 3 weeks.

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Fig. 1 – Severe hypertrophy
of the labia minora
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Fig. 2 – Preoperative drawing
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Fig. 3 – Surgical removal
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Fig. 4 – Result

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