Topographic labiaplasty a new concept to improve aesthetic and functional results

Pablo González-Isaza1, Rafael Sánchez-Borrego2


Labia minora Hypertrophy is multifactorial but in general terms is a normal variation of anatomy. The demand for surgical treatment is increasing exponentially year after year. Labiaplasty is a surgical option which aims to improve functional and aesthetic concerns. Unfortunately, most of the surgeons lack of enough experience, in order to achieve good results in the preservation of anatomical functions and sexuality. Moreover, the number of secondary or revision labiaplasties is also increasing. There is a lack in literature, of a standardized system to identify anatomical variants and plan a surgical procedure according to the patient’s needs. Our group has developed a structured idea that divides the components of labia minora hypertrophy and its anatomical landmarks. We have named it “TOPOGRAPHIC LABIAPLASTY”, and has been applied on 45 patients from July 2017 to July 2020. GAS (Genital appearance scale), a validated tool used prospectively to our study group, demonstrated statistically significant changes.

Topographic labiaplasty, allows the surgeon to clearly identify all the anatomical variants and topographic landmarks involved in a labia minora hypertrophy. According to our group experience, we believe that this system will be a game changer among labiaplasty surgeons, in order to provide an adequate balance, regarding anatomy, function, and sexuality.


Labia minora hypertrophy, labiaplasty, techniques, ninphoplasty, labia minora reduction, laser labiaplasty, labia minora reduction

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