The Labiaplasty Techniques

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

  • 1) Aptitude for healing and its processes.
  • 2) Skin quality of the patient’s labia tissue.
  • 3) How much she endorses the surgeon to do.
  • 4) Her expectations and ability to communicate them.
  • 5) And the degree to which she is satisfied with the surgery.
  • 6) 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

  • Removes 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.
  • This 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

  • Does 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.
  • This 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:

  • First, 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.
  • And 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

 

  •  Second, de-epithelization is done on the medial mucosal side of the labia minora as shown in the figure.
  • Suture 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

 

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.

 The Labiaplasty Techniques

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. 

 The Labiaplasty Techniques

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.

  The Labiaplasty Techniques

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.

 The Labiaplasty Techniques

Before Modified Wedge Technique

The Labiaplasty Techniques

Two weeks after Modified Wedge Technique

or Modified Edge Excision Technique with Tip Necrosis

  The Labiaplasty Techniques

Four weeks after Modified Wedge Technique

or Modified Edge Excision Technique with complete Healing