Aesthet Surg J. 2022 Feb 28:sjac045. doi: 10.1093/asj/sjac045. Online ahead of print.
ABSTRACT
BACKGROUND: Labiaplasty is an increasingly popular procedure performed for both cosmetic and pathologic etiologies. Questions have been raised regarding the efficacy of the procedure, especially for cosmetic etiologies.
OBJECTIVES: To examine the complication profiles of labiaplasties for both cosmetic and pathologic etiologies.
METHODS: The 2005-2017 National Surgical Quality Improvement Program (NSQIP) database was analyzed using Current Procedural Terminology (CPT) codes for patients who underwent labiaplasties. Our cohort was further separated into cosmetic and pathologic groups based on International Classification of Diseases (ICD) codes. Information was collected on patient demographic characteristics, patient comorbidities, and operative variables. Outcomes of interest included surgical complications and delayed length of stay (DLOS). A univariate analysis and multivariate logistic regression were applied to determine statistically significant predictors of our outcomes of interest for both etiologies.
RESULTS: There were 640 patients in the cosmetic cohort and 1919 patients in the pathologic cohort. There were no significant differences in rates of surgical complications between the two groups, but there was a statistically significant increase in length of stay for the pathologic group. Univariate analysis revealed operative time and plastic surgeon specialty to be predictive of DLOS in the cosmetic cohort. No covariates were implicated with multivariate analysis for either surgical complications or DLOS in the cosmetic cohort.
CONCLUSIONS: Our findings suggest that cosmetic labiaplasty is a safe and efficacious procedure with low complication rates and no predictors of adverse outcomes.
PMID:35226721 | DOI:10.1093/asj/sjac045
