Comparison of Fat Transfer Combined with Plasma Energy and Only Fat Transfer Methods for Genital Rejuvenation

Savas Ozgur Aglamis; Eda Adeviye Sahin; Turan Sahin; Tekin Ekinci; Emre Kole; Elif Ozan Sahin; Hanifi Sahin; Erdoğan Aslan

doi:10.1007/s00266-024-04088-w

Comparison of Fat Transfer Combined with Plasma Energy and Only Fat Transfer Methods for Genital Rejuvenation

Aesthetic Plast Surg. 2024 May 10. doi: 10.1007/s00266-024-04088-w. Online ahead of print.

Authors

Savas Ozgur Aglamis¹, Eda Adeviye Sahin², Turan Sahin³, Tekin Ekinci², Emre Kole⁴, Elif Ozan Sahin⁵, Hanifi Sahin⁶, Erdoğan Aslan⁴

Affiliations

¹ Dr Ozgur Aglamis Private Obstetrics and Gynecology Clinic, Halaskargazi Cad. No: 38-66, Lotus Nisantasi Kat:4 Ofis:60, 34371, Sisli, Istanbul, Turkey. ozgurztb@gmail.com.
² Department of Obstetric and Gynecology, Malatya Education and Research Hospital, Malatya, Turkey.
³ Department of Obstetric and Gynecology, Private Sancaktepe Ilhan Varank Hospital, Istanbul, Turkey.
⁴ Department of Obstetric and Gynecology, School of Medicine, Alanya Alaaddin Keykubat University, Antalya, Turkey.
⁵ Department of Obstetric and Gynecology, Private Koru Ankara Hospital, Ankara, Turkey.
⁶ Department of Obstetric and Gynecology, Halic University, Istanbul, Turkey.

PMID: 38727844
DOI: 10.1007/s00266-024-04088-w

Abstract

Background: To compare the fat transfer combined with plasma energy and only fat transfer methods for genital rejuvenation and to investigate the efficacy enhancing properties of plasma energy.

Methods: Forty-six patients were equally divided into two groups according to the surgical method as the group A (n = 23) and the group B (n = 23). The patients in the group A received only fat transfer, while the patients in the group B received fat transfer combined with plasma energy. Both groups were scheduled for postoperative follow-up at 1, 3, 6, and 12 months. The lifting effect on the labia majora after the procedure was evaluated with photographs and patient satisfaction questionnaires including the female genital self-image scale (FGSIS).

Results: The mean age of all participants was 32.8 ± 5.1 years, and the mean body mass index (BMI) was 24.7 ± 3.4 kg/m². The mean preoperative FGSIS scores were similar between the groups (p = 0.542). The mean total FGSIS score was 18.8 ± 1.4 in the group A and 18.3 ± 1.5 in the group B in the preoperative period. However, the mean FGSIS scores at 1, 3, and 6 months were significantly higher in the group B than the group A (p = 0.032, p = 0.012, and p = 0.009, respectively). At 6 months of follow-up, the mean total FGSIS score was 20.7 ± 1.4 in the group A and 22.3 ± 1.5 in the group B, indicating a statistically significant difference (p = 0.028).

Conclusion: This novel technique is a more minimally invasive technique compared to other energy modalities with lower lateral and vertical energy dissipation than other conventional methods, and labia majora fat filling augmentation application can be performed with more permanent and longer-lasting outcomes than fat transfer only.

Level of evidence ii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Keywords: Genitalia; Plasma; Rejuvenation.