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.
Before Surgery for Simple Edge Excision Technique
Before Surgery for Simple Edge Excision Technique
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 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 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.
1) Aptitude for healing and its processes.
