Revision Labiaplasty After Penile Inversion Vaginoplasty Using Costal Cartilage Allograft

BACKGROUND: Gender-affirming surgery leads to high satisfaction for patients; however, patients often require revision surgery. Revision labiaplasty is one of the most common surgeries following vaginoplasty. The labia minora commonly become incorporated into the labia majora and lose definition even after revision leading to patient dissatisfaction. DESCRIPTION OF TECHNIQUE: We propose a technique of incorporating cadaveric costal cartilage allograft into the revised labia minora to increase the definition. PATIENT AND METHODS: The procedure was demonstrated in a 38-year-old MTF patient who had previously undergone inversion vaginoplasty. The cartilage allograft was incorporated within the labia minora flaps during labiaplasty. RESULTS: The patient had lasting definition of her labia minora post-operatively at 6 weeks without adverse effects. CONCLUSION: We believe that this technique may be effective and safe in patients requesting more defined labia minora after vaginoplasty.