Case Report: Labia Minora Reduction and a Retrospective Series of Cases With the Tovar Labiaplasty Technique: A Procedure to Minimize Hematoma Formation

Juan Manual Tovar Huamani; Adrián Gaspar; Marco Pelosi; Jane Ysabel Castañeda · The American Journal of Cosmetic Surgery (2026) · DOI: 10.1177/07488068251411772

Resumen

Purpose: This case study is to set out a safer labiaplasty technique to minimize hematoma formation, developed by the lead author and now used and taught throughout the world. Labiaplasty, or labia minora surgical reduction, is commonly performed to remove redundant tissue that protrudes outside the labia majora for the purpose of alleviating aesthetic and functional discomfort. It is commonly performed under local anesthesia in the office setting, and laser technology is frequently employed. Although the general incidence of post-labiaplasty hematomas is not high, it is undoubtedly one of the most complicated procedures, often with challenging complications. Methodology: This new technique, described here and involving ligation of the dominant central artery after dissection but before full excision, could make this procedure a safer alternative. This case report also includes a retrospective series study, all involving initial follow-up at 2 weeks and 1 month after discharge with extended follow-up evaluations conducted at 3 and 6 months, and a table summary of related past published studies. Major Findings and Conclusion: That the new technique is resulting in safer labioplsty.

Instituciones: Universidad Peruana de Ciencias Aplicadas; Universidad de San Martín de Porres