Posts Tagged study
A recent study…shows that male physicians and plastic surgeons are more inclined to recommend surgery to alter the physical appearance of an otherwise healthy vulva. Published in the Journal of Sexual Medicine, the study was conducted in the Netherlands with a set of 210 doctors who were shown photos four healthy vulvas, two pre-labiaplasty and two post, following about six months of healing. These vulvas belonged to two women, one age 35 and the other 40, who underwent cosmetic surgery to shrink the size of their labia minora (aka inner pussy lips) which they felt extended abnormally beyond their labia majora (aka outer pussy lips). 164 of these 210 doctors completed this survey, and most (90 percent) agreed that the smaller labia minora were closer to society’s ideal.
I have written a labiaplasty article for the Journal of Sexual Medicine. I have also served as an article reviewer for articles being considered for publication at the journal. I did not review this article. Even if I had I am not sure I would have recommended it for publication.
Needless to say there are quite a few misconceptions about labiaplasty surgery. Each labiaplasty surgeon has his (or her) own particular philosophy through which he offers the surgery. Mine has not been to judge women’s privates, but rather serve to make them more to the liking of their owners within reason. I am not running some kind of Playboy bikini contest. Local Orange County women do not drop their drawers to ask me whether they “need” their Labia reduced either. When the question is presented in this manner, very few do. Women have their reasons for considering labiaplasty surgery and some of these make pretty good sense.
This study seems to have looked at the impressions of a group of doctors regarding what was more acceptable by current societal standards in the way of the Labia. My contention is that these standards really do not matter. “Normal” labial lip size can still be large enough to cause pain in today’s small string underwear. So normalcy per se has little to do with the consideration of labiaplasty in many cases. In consultation, the patient and I try to figure out what bothers her and what I might do about it. I am not there to label. I am not there to judge. We are there to figure what (if anything) might be improved.
Studies like this one just muddy the waters and they are already pretty muddy. It is all a matter of philosophy anyway.
John Di Saia MD
NEW YORK (Reuters Health) – Liposuction that removes large amounts of body fat can be a safe option for managing obesity in select patients, a new study suggests.
The procedure is not right for all overweight adults, however.
Liposuction on overweight patients usually does not result in weight loss at least not long-lasting weight loss. There are occasional studies trying to promote this idea however. This one contradicts itself somewhat. Many board-certified plastic surgeons do not feel this is safe or advisable.
John Di Saia MD
Originally posted 2009-03-10 07:30:00.
Reader Laura’s Comment:
“A study was by Teri Hernandez and Robert Eckel of the University of Colorado says that fat removed during lipo returns to other parts of your body. That people who had fat removed from their hips, thighs and/or buttocks had the same amount of fat come back to other parts of their bodies. Have you found this to be true? Have any of your patients had an increase in arm, shoulder, or back fat after having lipo done on their hips, thighs or buttocks?
Also, Rudolph Leibel, an obesity researcher at New York’s Columbia University, said that liposuction surgically destroys the structure under the skin, which may be why the fat cells don’t regrow in the place from which they were removed. Have you found this to be true? After lipo are people unable to grow fat in the same areas again?”
This has been demonstrated clinically for years. It is amongst the reasons I wrote parts of my practice web site explaining that liposuction is not weight loss and is best suited for those in stable weight ranges. I have re-iterated that here at the blog when discussing the folly of a doctor’s guarantee of liposuction results.
Liposuction removes some of the fat cells in the areas in which it is employed. Part of the healing involves scarring and a reduced tendency to “refill fatty tissues” in the areas treated. People who gain and lose more than small amounts of weight frequently tend to gain weight again in different areas, but some can gain it back in the treated regions. These are tendencies well known to those of us who do this surgery.
With this in mind, I have been counseling my patients accordingly for over a decade. The key on having satisfied cosmetic surgery patients is developing a reasonable understanding and screening patients wisely.
Liposuction is a good procedure for the right patient, but like for any other cosmetic operation there are considerations for the patient beforehand.
John Di Saia MD