Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Authors

  • Maria José Azevedo de Brito MS,

    Corresponding author
    1. Graduate Program in Plastic Surgery, Federal University of São Paulo School of Medicine (UNIFESP-EPM), São Paulo, Brazil
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  • Fábio Xerfan Nahas MD, PhD,

    1. Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo, São Paulo, Brazil
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  • Rodolpho Alberto Bussolaro MD, PhD,

    1. Graduate Program in Plastic Surgery, Federal University of São Paulo School of Medicine (UNIFESP-EPM), São Paulo, Brazil
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  • Lia Mayumi Shinmyo MD,

    1. Graduate Program in Plastic Surgery, Federal University of São Paulo School of Medicine (UNIFESP-EPM), São Paulo, Brazil
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  • Marcus Vinicius Jardini Barbosa MD, PhD,

    1. Graduate Program in Plastic Surgery, Federal University of São Paulo School of Medicine (UNIFESP-EPM), São Paulo, Brazil
    2. Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo, São Paulo, Brazil
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  • Lydia Masako Ferreira MD, PhD

    1. Division of Plastic Surgery, Department of Surgery, Federal University of São Paulo, São Paulo, Brazil
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Maria José Azevedo de Brito, MS, Graduate Program in Plastic Surgery, Federal University of São Paulo School of Medicine (UNIFESP-EPM), Rua Napoleão de Barros 715, 4° andar, Vila Clementino, São Paulo 04024-002, Brazil. Tel: +55 (11) 5576 4065; Fax: +55 (11) 5571 6579; E-mail: mjbrito@infinitetrans.com

ABSTRACT

Introduction.  Changes in the pubic region resulting from abdominoplasty may have a psychosexual impact. Thus, it is important to study the influence of physical changes on the sexuality of patients after abdominoplasty.

Aim.  To evaluate the effects of the elevation of the mons pubis and consequent exposure of the clitoris in the vulvar commissure on the sexual functioning and sexual satisfaction of women who underwent abdominoplasty.

Methods.  Data were presented as mean ± standard deviation. Nineteen women with a mean age of 35 ± 7 years, mean body mass index of 23 ± 2 kg/m2 and who expressed a desire to undergo abdominoplasty were selected from consecutive patients attending the abdominal plastic surgery outpatient unit of a university hospital.

Main Outcome Measures.  Physical change (measured by the distance between the xiphoid process and vulvar commissure [xipho-vc]), sexual functioning, and sexual satisfaction (assessed with the Sexuality Assessment Scale), and body image (measured using the Body Shape Questionnaire [BSQ]) were evaluated preoperatively and 6 months after abdominoplasty.

Results.  There was a significant reduction (P = 0.0004; z = −3.53) in the xipho-vc distance 6 months after abdominoplasty compared with baseline (mean difference 3.63 ± 2.79 cm), corresponding to an elevation of the mons pubis and consequent exposure of the clitoris. All patients reported a significant improvement in sexual functioning and sexual satisfaction 6 months after abdominoplasty when compared with baseline (P = 0.0001; z = −3.83). BSQ scores indicated an improvement in the patients' concerns about body shape (P = 0.0003; z = −3.58).

Conclusion.  Our results suggest that physical change and the new position of the clitoris may have a positive impact on sexuality. de Brito MJA, Nahas FX, Bussolaro RA, Shinmyo LM, Barbosa MVJ, and Ferreira LM. Effects of abdominoplasty on female sexuality: A pilot study. J Sex Med 2012;9:918–926.

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