Original Article

Lift of female external genitalia after abdominoplasty: quantification and considerations about the surgical planning

  • MAURIZIO CAVALLINI
  • DANIELE BLANDINI
  • MARCO KLINGER
  • ANDREA LISA
  • RICCARDO GAZZOLA

Pelviperineology 2015;34(4):127-130

Background:

weight gain and loss cause mons pubis ptosis and labia majora enlargement. This deformity may cause sexual impairment, difficult personal hygiene and discomfort. Abdominoplasty inevitably causes a lift of anterior commissure and may be sufficient to treat this condition.

Aims:

In this study we evaluate the amount of the lift of the anterior commissure.

Methods:

we analyzed seven women that underwent abdominoplasty in the last year. We measured the sternal notch – anterior commissure distance and the ground – anterior commissure distance before and 6 months after the procedure. Wilcoxon test for related samples was employed to analyze the differences after the procedure.

Results:

The sternal notch – anterior commissure distance decreased after surgery of 2.8 cm (p 0.028) and the ground – anterior commissure distance increased after surgery of 2.8 cm (p 0.028). The patients were discharged 6 days post-operatively and healed uneventfully in three weeks.

Conclusion:

Abdominoplasty could effectively correct mons pubis enlargement and ptosis of mons pubis and labia majora. We believe that the surgeon should know exactly the amount of lift of pubis after this procedure. This issue is essential to predict the results after abdominoplasty and for planning of possible suspension of mons pubis if required.

Keywords: Abdominoplasty; Labia majora; Mons pubis; Anterior commissure; Lifting.