{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T22:38:59Z","timestamp":1784587139012,"version":"3.55.0"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: The aim of this study was to prospectively assess the effects of labiaplasty on female sexual function, genital self-image, body dysmorphic symptoms, self-esteem, and life satisfaction, and to examine the sociodemographic and motivational profiles of women undergoing the procedure.  METHODS: A prospective single-center study was conducted between October 2024 and March 2025 on heterosexual, sexually active women undergoing labiaplasty. Women completed the Female Sexual Function Index, Female Genital Self-Image Scale, Rosenberg Self-Esteem Scale, Yale-Brown Obsessive Compulsive Scale modified for Body Dysmorphic Disorder, and Satisfaction With Life Scale before surgery and 3 months postoperatively.  RESULTS: The study included 42 women with a mean age of 39.7\u00b19.2 years. Postoperative assessments revealed significant improvements in genital self-image (p&lt;0.001, Cohen's d=0.66), sexual function (p&lt;0.001, d=0.67), and body dysmorphic symptoms (p=0.016, adjusted p=0.048, d=0.39). No significant changes were observed in self-esteem (p=0.857) or life satisfaction (p=0.071). A majority (69.0%) reported that others, predominantly family members, were the primary decision-makers in their relationships. Motivations included boosting self-confidence (22.0%), feeling \"normal\" (18.3%), and increasing sexual pleasure (11.9%), with participants endorsing multiple reasons (mean: 3.2\u00b11.4). Most women had considered surgery for more than 1 year (73.9%).  CONCLUSION: Labiaplasty significantly improves genital-specific outcomes but does not alter global psychological measures. The high prevalence of external influence on surgical decision-making highlights the need for comprehensive psychosocial assessment and patient-centered counseling prior to female genital cosmetic surgery.<\/jats:p>","DOI":"10.1590\/1806-9282.20251079","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T11:09:20Z","timestamp":1776683360000},"source":"Crossref","is-referenced-by-count":1,"title":["The effect of labiaplasty on sexual function, body dysmorphic symptoms, body \u0131mage, self-esteem, and life satisfaction"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-1081-2993","authenticated-orcid":false,"given":"Yeliz \u00c7e\u00e7en","family":"D\u00f6nmez","sequence":"first","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8099-8883","authenticated-orcid":false,"given":"Esra","family":"Keles","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey; University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-1010-6679","authenticated-orcid":false,"given":"Meziha","family":"Tasyurek","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5122-829X","authenticated-orcid":false,"given":"Sahra Sultan","family":"Kara","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0619-7111","authenticated-orcid":false,"given":"\u0130smail","family":"Ba\u011flar","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4722-0911","authenticated-orcid":false,"given":"Cansu","family":"Ergen\u00e7","sequence":"additional","affiliation":[{"name":"Ankara Yildirim Beyazit University,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"2686","DOI":"10.3390\/jcm14082686","article-title":"Motivational factors for labiaplasty: a systematic review of medical research","volume":"14","author":"Ortega-S\u00e1nchez I","year":"2025","journal-title":"J Clin Med"},{"issue":"7","key":"ref2","doi-asserted-by":"crossref","DOI":"10.1097\/GOX.0000000000003660","article-title":"The safe practice of female genital plastic surgery","volume":"9","author":"Furnas HJ","year":"2021","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"10","key":"ref3","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1093\/asj\/sjaa038","article-title":"Do genital cosmetic procedures \u0131mprove women's self-esteem? 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\u0131nvestigation of its psychometric properties [master's thesis]","author":"Karadeniz ZC","year":"2019"},{"issue":"3","key":"ref8","first-page":"393","article-title":"Kadin cinsel i\u015flev \u00f6l\u00e7egi'nin T\u00fcrk\u00e7eye uyarlamasi","volume":"25","author":"Aygin D","year":"2005","journal-title":"Turkiye Klinikleri J Med Sci"},{"key":"ref9","series-title":"Self-esteem in adolescents [master's thesis]","author":"Cuhadaroglu F","year":"1986"},{"issue":"59","key":"ref10","first-page":"1250","article-title":"Ya\u015fam doyumu \u00f6l\u00e7e\u011finin T\u00fcrk\u00e7e'ye uyarlanmas\u0131: ge\u00e7erlik ve g\u00fcvenirlik \u00e7al\u0131\u015fmas\u0131","volume":"15","author":"Da\u011fl\u0131 A","year":"2016","journal-title":"Elektron Sos Bilimler Derg"},{"key":"ref11","series-title":"Body image dissatisfaction, self-esteem and body image in plastic surgery patients","author":"Altan 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