PMC3945180_01
PMC3945180_02
PMC3945180_03
(a) The small needle pierced the labium minus from the inguinal surface (the posterior labium minus) to the vestibular surface (anterior) of the labium. This technique was used to determine the labial base levels, since the posterior base of the labia is higher than anterior labial base. A "helmet shape" marking is shown bilaterally. More tissue needs to be removed from the left labium. (b) The exact measurement of the labia is determined with a caliper.
ISRN.OBGYN2014-671068.001.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.001.jpg
fig1
Upon determining the size of labia minora volume being reduced, the base of the lower margin of incision was determined and outlining of the amount of the tissues being removed was marked in the shape of a "bicycle helmet" within the anterior labial surface; see Figures 1, 5, and 6. Also, in this process the arch of the new labium was determined; see Figure 1. The procedure was executed bilaterally in all the subjects; see Figures 1, 2, 3, and 4.
(a) Under the posterior surface of the labia minora, a wooden tongue depressor was placed to protect the labium majus from inadvertent injury and to provide stability for incisions. (b) Right labium minus was reduced in height and length. Suture line is well concealed.
ISRN.OBGYN2014-671068.002.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.002.jpg
fig2
The resection in the "bicycle helmet" shape was accomplished and excised, see Figures 2, 5(b), and 6(a). The procedure was executed bilaterally in all the subjects; see Figures 1, 2, 3, and 4.
(a) The uneven amount of tissue removed from the left and right labia minora to establish symmetry. (b) The extra length of the inferior flap of labium minus is held in the surgeon's right hand before trimming.
ISRN.OBGYN2014-671068.003.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.003.jpg
fig3
The procedure was executed bilaterally in all the subjects; see Figures 1, 2, 3, and 4.
(a) General view of the labia minora before Ostrzenski's fenestration labioplasty with inferior flap transposition. (b) Immediately after the operation. In the right upper part of the labium, the redundant labium minus's fold was resected and reconstructed.
ISRN.OBGYN2014-671068.004.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.004.jpg
fig4
The procedure was executed bilaterally in all the subjects; see Figures 1, 2, 3, and 4.
The courtesy of Ostrzenski's "wet" laboratory workshop photos of labium minus fenestration labioreduction (www.cosmetic-gyn.com) used with permission. (a) A bicycle helmet shape marking is depicted on the practicing material. (b) The process of excising the helmet shape.
ISRN.OBGYN2014-671068.005.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.005.jpg
fig5
Upon determining the size of labia minora volume being reduced, the base of the lower margin of incision was determined and outlining of the amount of the tissues being removed was marked in the shape of a "bicycle helmet" within the anterior labial surface; see Figures 1, 5, and 6. The resection in the "bicycle helmet" shape was accomplished and excised, see Figures 2, 5(b), and 6(a).
The courtesy of Ostrzenski's "wet" laboratory workshop of labium minus fenestration labioreduction (www.cosmetic-gyn.com) used with permission. (a) Bilaterally, bicycle-shape tissues were resected. The height and the length have been reduced. (b) The inferior flap is ready to be trimmed and connected with the opposite side in the midline.
ISRN.OBGYN2014-671068.006.jpg
PMC3945180_03_ISRN.OBGYN2014-671068.006.jpg
fig6
Upon determining the size of labia minora volume being reduced, the base of the lower margin of incision was determined and outlining of the amount of the tissues being removed was marked in the shape of a "bicycle helmet" within the anterior labial surface; see Figures 1, 5, and 6.