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<youtube>s9oyLlpc87s</youtube>
Marco A. Pelosi, III, {{MD}}, cosmetic gynecologist and cofounder of the International Society of Cosmetogynecology (ISCG), demonstrates a complex labia minora reduction labiaplasty extending to the level of the clitoral hood on the right side and a simple beveled labia minoraplasty on the left side. The patient requested a moderate labial profile and opted for a total local anesthesia field block.
The procedure begins with transillumination arterial mapping & targeted injections of local anesthesia supplemented with vasoconstrictors to achieve a bloodless surgical field, proceeds with targeted ligation of the main vessels, then follows with sculptural dissection. In this case, I chose a loop radioscalpel for depth control which I prefer over the laser or the cold scalpel for moderate profile endpoints.