“Labiaplasty in Adolescents Under Local Anesthesia: A Retrospective Case Series”

Abstract

Objective:

To describe perioperative findings and self-reported outcomes in a retrospective series of adolescent patients undergoing labiaplasty.

Design:

Retrospective observational study of 30 adolescent labiaplasty cases performed between September 2020 and April 2025 at a private medical center. Patients were aged 14 to 17.8 years (mean = 15 years). All procedures were performed under local anesthesia and required dual informed consent (patient and guardian). During this period, approximately 1000 labiaplasties were performed at the same center in women over 18 years of age.

Methods:

All patients underwent linear/curvilinear edge-reduction labiaplasty using a combination of radiofrequency and diode laser. Closure was achieved with interrupted 5-0 Monocryl (subdermal) and 5-0 Vicryl Rapide (cutaneous) sutures. Clitoral hood reduction was performed in most cases. Postoperative management included topical estrogen, oral antibiotics, and strict hygiene measures. Follow-up visits were scheduled at 1 and 6 weeks postoperatively, with telemedicine follow-up for patients living outside the city.

Results:

Thirty patients were analyzed. One hematoma (6×5×5 cm) required drainage, and four minor wound dehiscence healed spontaneously. No infections or sensory changes were reported. Most patients reported subjective functional and aesthetic improvement and high self-reported satisfaction. Most returned to school within 48 hours, while sports and physical activities were restricted for 6 weeks. Postoperative outcomes were assessed using a non-validated, surgeon-designed, self-reported questionnaire.

Conclusions:

In this limited retrospective case series, adolescent labiaplasty under local anesthesia was associated with high self-reported satisfaction and a low rate of short-term complications. These findings should be interpreted cautiously given the study design, non-validated outcome measures, and limited follow-up.