Vaginal labiaplasty: defense of the simple "clip and snip" and a new classification system.

Vaginal labiaplasty has become a more frequently performed procedure as a result of the publicity and education possible with the Internet. Some of our patients have suffered in silence for years with large, protruding labia minora and the tissue above the clitoris that is disfiguring and uncomfortable and makes intercourse very difficult and painful. We propose four classes of labia protrusion based on size and location: Class 1 is normal, where the labia majora and minora are about equal.

Large-volume liposuction and prevention of type 2 diabetes: a preliminary report.

This report presents a preliminary study investigating the effects of large-volume liposuction on the parameters that determine type 2 diabetes. The study enrolled 31 patients with a body mass index (BMI) exceeding 30 kg/m(2) over a 1-year period. All the liposuction procedures were performed with the patient under local anesthesia using ketamine/valium sedation.

Further experience with permafacial implants for lip augmentation: a review of 100 implants.

Background: Although fillers and surgical lip lifts are effective ways of treating the perioral area, both have inherent downsides. Fillers lack permanence, and lip lifts do not address the issue of fullness.

Objectives: The authors present the results of a long-term follow-up study of Permafacial implants (SurgiSil LLC, Plano, Texas) for lip augmentation.

The art of custom silicone implants for difficult deformities.

Patients who present for unilateral correction of anatomical deformities require development of a mirror image prosthesis. Moulage casting techniques offer a viable option for accurate design from which a custom implant can be fashioned, allowing surgeons to place a device that is unique to each patient's needs. The authors discuss the advantages of working with an experienced artist to develop these castings and present two cases of successful implantation after moulage casting.