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120 Bipolar Radiofrequency Treatment of Labia Majora and Menora: A Minimally Invasive Solution to a Growing Surgical Problem

2019; Elsevier BV; Volume: 16; Issue: Supplement_3 Linguagem: Inglês

10.1016/j.jsxm.2019.03.558

1743-6109

Erez Dayan, Joseph Berman, Hector M. Ramirez, S. Thedorou,

Female Genital Mutilation/Cutting Issues

Female Cosmetic Genital Surgery (FGCS) encompasses elective procedures of the vulva and vagina that alter a patient’s anatomy for aesthetic and/or functional reasons. Plastic Surgeons are performing the highest number of genital cosmetic procedures today and according to the 2017 American Society for Aesthetic Plastic Surgery (ASAPS) annual survey, the number of labiaplasties has increased by 217% over the past five years. Potential complications of labiaplasty include dehiscence, hematoma, flap necrosis, narrowed introitus, pain, and asymmetry. Minimally invasive techniques such as radiofrequency have emerged as viable alternatives to traditional labiaplasty due to the avoidance of scarring and over-resection as well as reduced recovery time. In previous clinical studies, radiofrequency heat has been shown to stimulate proliferation of glycogen in vulvar and vaginal epithelium and induce submucosal neovascularization and new collagen formation. Tissue temperatures reaching 40-45C result in an inflammatory cascade that continues over a period of 3-4 months post treatment.