Carbon Dioxide with a New Pulse Profile and Shape: A Perfect Tool to Perform Labiaplasty for Functional and Cosmetic Purpose

Abstract

Objective: To describe the benefits and safety of using Carbon Dioxide Laser in multi-pulse modalities when performing labiaplasty and anatomical variants approach for functional and cosmetic indications.

Design: This is a prospective, descriptive case series study.

Setting: Private Practice Quirofano Calculaser Megacentro Pinares Pereira Colombia.

Population: One Hundred and twelve women seeking labia minora labiaplasty for functional and cosmetic reasons were enrolled in the study protocol from June 2013 to June 2016. Labia minora labioplasty and anatomical variants approach were performed with Carbon Dioxide laser Multi-pulse modalities DEKA M.EL.A Florence Italy.

Main outcome measures: Good Cosmetic results, functional and sexuality improvement.

Results: Dramatic changes in the VAS and VSQ were detected after the surgical procedure. All the participants reported a high degree of satisfaction, felt more confident with their partners during sexual encounters, and the procedure was well tolerated.

Conclusion: Laser Carbon Dioxide Laser with a new pulse profile and shape seems to be a safe and precise surgical tool to perform this type of procedures, optimal biophysical and bio stimulative laser-tissue interactions allow delicate vulvar tissues to shorten downtime.

Keywords: Carbon Dioxide Laser CO2; dermatologic cosmetic gynecologic surgery; labia minora hypertrophy; labial reduction; labiaplasty; nymphoplasty; vulvar surgery.

Figure 1

a) Labia minora hypertrophy II-A-A (Gonzalez Classification); b) Pre-surgery markings; c) Immediate post-surgery; Right side DP mode; Left side SP mode; d) 2-month post-surgery

Figure 2

Samples cut with different modes (3W, 80 Hz): SP, HP, DP, CW

Figure 3

Samples stained using Hematoxylin and Eosin. Left) DP cutting mode TRT 1.3 mm. Right) SP cutting mode TRT 1.1 mm