The Labiaplasty Techniques

The result of labiaplasty surgery depends upon many things beyond the surgical technique:

  • bullet_tick1) Aptitude for healing and its processes.
  • bullet_tick2) Skin quality of the patient’s labia tissue.
  • bullet_tick3) How much she endorses the surgeon to do.
  • bullet_tick4) Her expectations and ability to communicate them.
  • bullet_tick5) And the degree to which she is satisfied with the surgery.
  • bullet_tick6) What the patient’s normal anatomical structure is at the start.

 

Difference between the Simple Edge Excision Technique, Wedge Technique, and Modified Wedge Technique or Modified Edge Excision Technique of Labia Minora Plasty procedure:

Simple Edge Excision Technique

  • bullet_tickRemoves the delicate margin of the labia minora which is an advantage for patients who want the pigmented tissues removed. This procedure is effective for very long and enlarged labia minora and no excessive clitoral hood tissue.
  • bullet_tickThis technique is less likely to cause complications. Excessive reduction may cause chronic pain during sexual intercourse.

 

 The Labiaplasty Techniques

Before Surgery for Simple Edge Excision Technique

The Labiaplasty Techniques

Before Surgery for Simple Edge Excision Technique

 The Labiaplasty Techniques

 After Surgery for Simple Edge Excision Technique

 

Wedge Technique

  • bullet_tickDoes not remove the free margin of the labia minora. It preserves the natural texture and color of the labia and avoids obvious sutures on the labial edge.
  • bullet_tickThis technique predisposes patient for tip necrosis and may lead to fibrosis, scarring, and labial distortion. Thus, the surgeon must assess and consider diabetic patients and smokers before choosing this technique.

 

 

 The Labiaplasty Techniques

The Wedge Technique

 

 

This is how I do the Wedge Technique:

  • bullet_tickFirst, de-epithelization is done on the lateral labia minora –then suture the Superior flap, point (A) together with the Posterior  commissure point (B) without tension of closure preventing tip necrosis, fibrosis, scar, and labial distortion.
  • bullet_tickAnd then suture CA and CB together. The distance between A and B depends on the anatomy of the patient.

 

 

The Labiaplasty Techniques

 The wedge Technique

 

  • bullet_tick Second, de-epithelization is done on the medial mucosal side of the labia minora as shown in the figure.
  • bullet_tickSuture point A and B point together with a single suture— then suture along the entire length of the incision wound together. The distance between A and B depends on the anatomy of the patient.

 

 

 The Labiaplasty Techniques

Before Wedge Technique Surgery

The Labiaplasty Techniques

After Wedge Technique Surgery

 

 

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