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Objectives: Genital surgery is a rising field and plastic and reconstructive surgery in the last years. The attention to the female and male genital appearance is triggered thru different body hair trends and more access and acceptance to porn a nude photographs.1,2
There a various different techniques for labioplasty, but it seems, that there is not a big difference neither in complication, nor in esthetical outcome and patient satisfaction rate.3,4
Some colleagues advocate against direct excision, because this changes the labia menora border to a brighter and rose tone, we see this more as an advantage,

Introduction: in days of a high demand for vaginal and anal bleaching.

Materials / method: We present out experience with over 100 vaginal rejuvenation surgeries of different combinations. Labioplasties alone and in combination with clitoris hood lifting. This more traditional surgical techniques are combined with a rejuvenation of the sagging and wrinkled labia majora by autologous fat grafting. The fat is harvested by Water-Jet-assisted Liposuction and 10 -25 cc of manual slow centrifuged autologous fat grafts, enriched with 20% of platelet rich plasma (PRP). The fat graft is then microinjected into the labia majora.

Results: Labioplasty alone is just one part of female genital rejuvenation. In order to cover the labia menora and the clitoris completely and to rejuvenate the labia majora as well, more needs to be done. There are hyaluronic acids licensed for labia majora rejuvenation, but these fillers are denser and less natural than the bodies own fat graft. To target the wrinkles of labia majora with a labia majora lifting treats the sagging and the wrinkles, but leaves the labia menora and the clitoris more exposed and works against their - mostly desired - complete coverage.

Conclusion: The combination of labioplasty and rejuvenation of labia majora with fat grafting results in young and natural appearance of the outer female genitalia, in standing position the labia menora are completely covered and with open legs the labia majora appear young, fresh and full – just like desired by most women seeking vaginal rejuvenation. To complete vaginal rejuvenation the combination of a labioplasty with autologous fat grafting to the labia majoria or this fat grafting alone is an important combination and for the in fat grafting experienced plastic surgeon easy to achieve.

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这项工作没有任何直接或间接的资金支持。由作者自己承担责任。