Vitasna’s Technique (Modified Wedge Technique or Modified Edge Excision Technique)
Due to the wide variation of individual labia minora size and tissue, there is no ideal procedure required for labia minora reduction. There are many modifications a surgeon can do.
This is one of the many techniques I use most for the labia minora plasty. For me—this is the combination of the simple excision technique and the wedge technique.- This technique may be effective for thick, long and/or enlarged labia minora with double labial folds and excessive clitoral hood tissues.
- This procedure removes the corrugated, darker labial edge, preserving the inner labia minora tissues.
Vitasna’s Technique (Modified Wedge Technique
or Modified Edge Excision Technique)
This is the procedure that I do for the Modified Wedge Technique.
- First, de-epithelization is done on the lateral side of labia minora from the upper lateral of clitoral hood to the posterior commissure (B) —and then suturing A and B together without tension of closure.
- The distance between A and B depends on the anatomy of the patient.
Vitasna’s Technique (Modified Wedge Technique
or Modified Edge Excision Technique)
- Second, de-epithelization is done on the medial mucosal side of the labia minora as figure —and remove the excessive tissues, then suture the superior flap (A) together with the posterior commissure (B) without tension of closure— then suture along the entire length of the incision wound together.
Vitasna’s Technique (Modified Wedge Technique
or Modified Edge Excision Technique)
- The next step is to remove the corrugated darker labial edge and suture close.
- This technique predisposes patient for tip necrosis and may lead to fibrosis, scar, and labial distortion. Thus, the surgeon must assess and consider diabetic patients and smokers before choosing this technique.
Before Modified Wedge Technique
Two weeks after Modified Wedge Technique
or Modified Edge Excision Technique with Tip Necrosis
