Chronic irritation from dermatitis or urinary incontinence
Disadvantage or Reasons Women Seek Reduction of their Labia
Difficulty with hygiene (toilet paper sticking),
Discomfort with clothing that is tight
Pain with riding a bike
Labia catching in zippers
This labial reduction technique was first introduced by Dr. Alter, a Beverly Hills Plastic Surgeon in 1998.
The wedge method preserves the natural edge of the labia.
It does not disrupt or remove the delicate free margin of the labia minora
It also tightens the entire length of the labia minora, including the portion next to the clitoris
Can be carried forward on either side of the clitoris, tightening the clitoral hood
More complex procedure, requiring more skill, to reduce the chance of too much tightening of the opening of the vagina or injury to the urethral opening.
Modification with de-epithelialization may reduce nerve damage.
This is a simpler method involving trimming the free margin of the labia minora.
It has an advantage for a patient who does not like that pigmented tissue and wants it removed
Removes tissue along the entire length of the labia minora, except for the area immediately next to the clitoris, which may produce an extra "tab" of tissue there
One of the disadvantage is that it does not improve or tighten the clitoral hood.
More likely to damage the nerve endings of the labia minora than other techniques
May be more effective for very long and enlarged labia
Simpler and less technically demanding procedure
There are several methods when it comes to performing a labiaplasty. Each method have their own advantages and disadvantages, and thus the method used should be individualized. I recommend asking your plastic surgeon regarding these techniques.
Emmanuel De La Cruz MD, PLLC Houston Plastic Surgeon
References: Hodgkinson DJ, Hait G. Aesthetic vaginal labioplasty. Plast Reconstr Surg. Sep 1984;74(3):414-6 Alter GJ. A new technique for aesthetic labia minora reduction. Ann Plast Surg. Mar 1998;40(3):287-90. Choi HY, Kim KT. A new method for aesthetic reduction of labia minora (the deepithelialized reduction of labioplasty). Plast Reconstr Surg. Jan 2000;105(1):419-22; discussion 423-4 Girling VR, Salisbury M, Ersek RA. Vaginal labioplasty. Plast Reconstr Surg. May 2005;115(6):1792-3. Goodman MP, Placik OJ, Benson RH 3rd, Miklos JR, Moore RD, Jason RA, et al. A large multicenter outcome study of female genital plastic surgery. J Sex Med. Apr 2010;7(4 Pt 1):1565-77