Edge trim or wedge incision for Labiaplasty surgery?
Someone informed me there are two Labiaplasty techniques: edge trim and wedge incision. How do I know which one is better for me?
There are actually a range of labiaplasty techniques for labial reduction, of which the curved linear resection and central ‘v’ wedge resection are the most common. The curved linear resection is more informally referred to as an ‘edge trim’ and the wedge resection more commonly known as the ‘wedge excision.’ Either technique can be performed depending on the patient's unique anatomy, personal preference and the expertise and familiarity of the plastic surgeon with the two procedures. Some surgeons prefer one method over the other.
Most surgeons will have a detailed discussion with their patient to make a decision that is best for her based on her individual body anatomy and goals. Both trim techniques have their own specific strengths and disadvantages. The "edge trim" technique removes the leading edge of the labia minora or the inner labia, requiring an incision line which is made along the vertical edge of the labia.
This is generally the preferred technique among patients who do not like their current edge because it may be darkly pigmented, rough-feeling, thick or wrinkly. Following the edge trim, patients are left with a straight, uniform edge from the top of the labia to the bottom. The edge trim is generally preferred by most women and is the more straightforward of the two procedures and less likely to result in complications.
The "wedge excision" removes a triangular-shaped piece from each of the labia minora. An incision is made which runs horizontally from the inside to the outer part of the labia minora. This allows for the preservation of some of the pigmented, wrinkly labial skin and a more rounded appearance at certain points along the labial edge. However, if the sutured edges of the labia separate during healing, the patient may require revision surgery to correct the separation at a later point.
Both approaches are effective with almost imperceptible scarring once healing is complete, and a relatively quick recovery period if you adhere to post op guidelines. Labiaplasty in general is a very successful procedure in improving both the appearance of the vagina and any discomfort associated with overly large labia.
The edge trim and the wedge technique are the two most popular procedures to reduce the size of the labia minora. The goal of these surgical techniques is to reduce the labia minora so they do not protrude below the labia majora, or outer part of the vagina.
Women choose to undergo this procedure because they experience irritation or discomfort from overly large labia minora during activities such as cycling or sexual intercourse, or because they feel self-conscious about the size or appearance of their inner labia. Studies have shown that patients who have undergone labiaplasty surgery have a satisfaction rate of over 90 percent.
While both approaches can produce beautiful results, there are some fundamental differences between the techniques:
- Removes the margin of the inner labia, which can be advantageous for patients who do not like the edge of the labial tissue and want it removed.
- Removes tissue along the entire length of the labia minora except for the area next to the clitoris which can result in a little section of skin.
- Does not improve or tighten the area around the clitoris: a clitoral hood reduction may be required to reduce the skin over the clitoris if this.
- is important to the patient.
- Can be more effective in trimming and removing excess tissue from very long or enlarged labia.
- Is a simpler and less technically demanding approach.
- Can correct asymmetries between the left and right labia.
- Can tighten the skin around the clitoris without the need to make an incision around this delicate area.
- Removes a central wedge of the labia, joining the tissue on either side of the wedge and tightening the entire length of the labia.
- Does not remove the margin or edge of the labia minora.
- Is a more surgically complex procedure requiring more skill to avoid over-tightening or causing injury to the urethral opening.
To determine which procedure is the right one for you, I would advise you to consult with a board-certified plastic surgeon who specializes in labiaplasty procedures. An experienced surgeon can examine your vaginal anatomy and find out your goals and preferences and then make a recommendation regarding the technique that would be most appropriate for you. It is also important to recognize that some surgeons are more experienced in one technique than another.