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Elkhatib Extended running W-plasty

Table 1: Patient profile
Age
No. (years) Clinical findings Procedure Complications Follow-up Outcome
(months)
1 27 Unilateral hypertrophied labia minora and Extended W-plasty None 30 Very satisfied
hypertrophied clitoral hood
2 30 Bilateral hypertrophied labia minora and Bilateral extended None 29 Very satisfied
hypertrophied clitoral hood W-plasty
3 35 Bilateral hypertrophied labia minora and Bilateral extended Small hematoma 22 Very satisfied
hypertrophied clitoral hood W-plasty
4 38 Unilateral hypertrophied labia minora and Extended W-plasty None 13 Very satisfied
hypertrophied clitoral hood
5 41 Bilateral hypertrophied labia minora and Bilateral extended Wound dehiscence 31 Very satisfied
hypertrophied clitoral hood W-plasty of 1-2 cm
6 22 Bilateral hypertrophied labia minora and Bilateral extended None 14 Very satisfied
hypertrophied clitoral hood W-plasty
7 29 Unilateral hypertrophied labia minora and Extended W-plasty None 36 Very satisfied
hypertrophied clitoral hood
8 40 Bilateral hypertrophied labia minora and Bilateral extended None 13 Very satisfied
hypertrophied clitoral hood W-plasty
9 36 Unilateral hypertrophied labia minora and Extended W-plasty None 12 Very satisfied
hypertrophied clitoral hood
10 30 Bilateral hypertrophied labia minora and Bilateral extended None 15 Very satisfied
hypertrophied clitoral hood W-plasty
11 33 Bilateral hypertrophied labia minora and Bilateral extended None 12 Very satisfied
hypertrophied clitoral hood W-plasty
12 22 Bilateral hypertrophied labia minora and Bilateral extended None 12 Very satisfied
hypertrophied clitoral hood W-plasty
13 29 Unilateral hypertrophied labia minora and Extended W-plasty None 27 Very satisfied
hypertrophied clitoral hood
14 25 Bilateral hypertrophied lasbia minora and Bilateral extended None 12 Very satisfied
hypertrophied clitoral hood W-plasty
15 26 Bilateral hypertrophied labia minora and Bilateral extended Small hematoma 29 Very satisfied
hypertrophied clitoral hood W-plasty
16 30 Bilateral hypertrophied labia minora and Bilateral extended None 22 Very satisfied
hypertrophied clitoral hood W-plasty
17 29 Bilateral hypertrophied labia minora and Bilateral extended None 12 Very satisfied
hypertrophied clitoral hood W-plasty
18 33 Bilateral hypertrophied labia minora and Bilateral extended None 14 Very satisfied
hypertrophied clitoral hood W-plasty
19 44 Unilateral hypertrophied labia minora and Extended W-plasty None 33 Very satisfied
clitoral hood
20 48 Bilateral hypertrophied labia minora and Bilateral extended None 31 Very satisfied
hypertrophied clitoral hood W-plasty
21 40 Bilateral hypertrophied labia minora and Bilateral extended None 12 Very satisfied
hypertrophied clitoral hood W-plasty
22 30 Bilateral hypertrophied labia minora and Bilateral extended None 21 Very satisfied
hypertrophied clitoral hood W-plasty
23 29 Unilateral hypertrophied labia minora and Extended W-plasty None 12 Very satisfied
hypertrophied clitoral hood
Small hematoma is defined as less than 2 cm. LM: labia minora; CH: clitoral hood
level surface to the scar. erectile abilities of the labia. One disadvantage of
de-epithelialization is that the width of the individual
In the current study, the most common reason for labia can increase if a large area of labial tissue is
seeking reduction of the labia minora (13 out of 20 de-epithelialized. Although de-epithelialization by
patients) was dissatisfaction with the appearance of laser treatment has been reported, [15] it presents the
the labial and clitoral hood. Hong et al. [13] reported potential for the occurrence of epidermal inclusion
the use of both the central wedge resection and cysts. Closure of the opposing W-shaped incisions
asymmetric Z-plasty techniques in order to avoid the results in a tensionless zigzag suture line running
linear scar. De-epithelialization of the skin [14] of the obliquely across the edge of the labium.
central region of the medial and lateral aspects of
each labia minora reduces the excess vertical tissue, In this study, the running W-shaped resection
while preserving natural rugosity and the sensory and technique avoids many potential problems which
362 Plastic and Aesthetic Research ¦ Volume 3 ¦ November 22, 2016