Resumen

Objectives: Nowadays, there are lot of procedures for labiaplasty included non invasive, minimal invasive or invasive surgery. For non invasive, there are no downtime but not last long result. For the invasive surgery, there are extensive downtime or large surgical scar. Deliverly of RF/helium plasma to cut, coagulate and ablate soft tissue is minimally invasive for improve the appearance of lax or loose skin in the neck, body region, and also in vulvar area. This procedure give the same result as the surgery without the extensive downtime or large surgical scar. Introduction: Women today mostly seem to desire the youthful appearance of concealed labia minora and full, smooth labia majora. The main indications for labiaplasty are hypoplasia, loose skin, or both. The cause of Labia majora hypoplasia and/or laxity include changes mostly from physiologic causes such as aging and associated with menopause or changes during pregnancy or massive-weight-loss. Deflated labia due to loss of collagen, is cause of chronic vulvitis and vulvovaginal dryness, causing discomfort, pruritus, and intromission dyspareunia. Materials / method: The method of this procedure is perform in sterile operation room, Patient comfortably in the dorsal lithotomy position. Clean vulvar area with antiseptic solution. Prepare the wetting solution. Maker the line for treat. Pre tunneling with 1mm and 3 ml canular and then use handpiece for the actual tunneling. Activate the handpiece once the tunnels are created. Device setting : 60% power 1.5 He Flow. The total time of the procedure is 1 hour. Results: After finished the procedure, The doctor can see immediately result of skin tightening but the actual result should be evaluated after 2 weeks and result continue to improve up to 9 months and last long for years. The results from RF/Helium plasma is last longer and more effective in compare with noninvasive RF alone. The success in shrinking tissue and tightening the skin makes it to perform minimal invasive labiaplasties. Patient was advice about post treatment care : can return to work next day, return to exercise after 5 days, no sexual intercourse for 7 days. Conclusion: RF/Helium plasma is a minimally invasive approach to labiaplasty for improve the appearance of lax or loose skin in vulvar area. This procedure give the same result as the surgery without the extensive downtime or large surgical scar. The complication that may be occur are numbness, scarring at the incision site, bleeding, hematoma, superficial infection. It suitable for patient who need the effective and lasting result and don't want to do invasive surgery.