Surgical Techniques in Reduction Labiaplasty: Current Advances and Considerations

Abstract

This narrative review explores the main surgical techniques for labiaplasty in the treatment of labial hypertrophy, focusing on their safety, efficacy, and recommendations according to the anatomical typology of the labia minora. Studies published between 2000 and 2023 were reviewed, selected according to predefined criteria, and reported clinical outcomes of reduction labiaplasty. Complications, patient satisfaction, and functional outcomes were analyzed based on available quantitative data. The most used techniques, such as wedge resection and longitudinal resection, showed complication rates below 5% and patient satisfaction levels exceeding 90%. However, a lack of standardization in the definition of hypertrophy and in the criteria for choosing the appropriate surgical technique was identified. Individualized surgical planning based on anatomical characteristics and patient expectations is crucial to optimize aesthetic and functional outcomes while minimizing complications.