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woman's torsoA quick glance through RealSelf questions and answers from real surgeons who perform labiaplasty shows an ongoing debate over which surgical technique to use. This is particularly the case when combining clitoral hood reduction with labiaplasty. Would wedge labiaplasty or trim labiaplasty deliver the best outcome?

The Differences in Trim vs. Wedge Labiaplasty

Although every surgeon uses his or her own particular surgical methods, there are two basic approaches for performing labiaplasty:

  • The trim method does just what you’d guess from the name: overly large labia are trimmed, removing the naturally darker outer edge.
  • The wedge method involves removing a triangle of skin from the middle portion of the labia, which leaves the natural edge untouched.

Because the wedge method is a newer technique, it’s often hailed as superior. With the natural edge remaining intact, proponents of the wedge labiaplasty say that the results look less surgical and that more sensation is preserved.

However, in my own practice, I find that many of my patients feel sensitive about the coloration of their labia. In fact, the idea of having a pinker, less irregular labial appearance is one of the primary reasons many women consider labiaplasty in the first place, which makes trim labiaplasty the better option for these ladies. When performed properly, trim labiaplasty can be combined just as effectively with clitoral hood reduction, without compromising sensation. In some instances of clitoral protrusion, the trim method performed in combination with a clitoral hood reduction can actually reduce the prominence of the clitoris.

The Best Labiaplasty Method

The truth is, the idea that one type of labiaplasty is “better” is one of the biggest misconceptions about labiaplasty that persists today. The best labiaplasty technique will always be the one that’s best-suited to both your anatomy and your personal cosmetic goals. Experienced plastic surgeons, like Dr. Placik, are able to counsel patients about the risks, alternatives, and benefits and guide you in the selection of appropriate procedure as well as being able to perform either the wedge and/or the trim techniques when necessary.

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