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Oren M. Tepper, Alan Matarasso, Authors’ Response, Aesthetic Surgery Journal, Volume 31, Issue 8, November 2011, Page 988, https://doi.org/10.1177/1090820X11422229
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Extract
We would like to thank Dr. Christine Hamori for the comments regarding our article “Labioplasty: Anatomy, Etiology, and a New Surgical Approach” in the July 2011 issue of Aesthetic Surgery Journal (31:511-512). Dr. Hamori’s comments—specifically, her observation that “resection techniques that address the redundant minora centrally but not the persistent laxity between the anterior labial commissure and the labia minora give the patients the appearance of excess clitoral hood and cause a visual imbalance in the area”—underscore the importance of a versatile technique and validate our approach. In comparison to a standard wedge excision, the modified “star” technique provides the surgeon with another option that adds greater flexibility in removing additional tissue anteriorly, thus actually avoiding the anterior fullness that Dr. Harmori points out as undesirable to patients.
It should be noted that the illustration of the modified “star” technique published with our article was intended to show the general shape/markings of the technique. The relationship of the various limbs is rarely equidistant and symmetrical (as illustrated) but rather is adjusted according to the specific areas of labial excess. This enables the surgeon to tailor the incisions to the patient’s anatomy and is one of the important advantages with this technique. Dr. Hamori raises an important point about achieving satisfactory results when the patient is in a standing position, and this is an important factor in postoperative assessment. In light of her extensive insight, we encourage Dr. Hamori to contribute her experience to the literature.
