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Labiaplasty - Painful Edges, is Trim Method Best for Me?

asked 7 months ago by AmandaR in Austin, TX
Latest answer by John P. Di Saia, MD
Question viewed 183 times
Tags: discomfort, options, pain

I will be getting labiaplasty and don't know which method to choose. While other women want to preserve sensation in their labia minora, all I feel is pain when they are touched. The edges have been crushed by years of horse riding. One surgeon wants to cut out a section in the middle, which preserves the natural edge. She thinks the painful edge will stop being painful once it's protected by the labia majora again. I'm doubtful. Has anyone had this experience? Any advice?

7 answers to Labiaplasty - Painful Edges, is Trim Method Best for Me?

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Labiaplasty options

Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Also, it's not how much tissue is removed but how much is left remaining... more
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Trim surgery is more painful in general

Hello, My current technique is a modified wedge in over 95% of patients. They just work better for most problems. They also heal with less pain overall. You need your surgeon to describe the Pros & Cons to you as you decide how to proceed. The choice of technique is in part a decision based on your shape and size. Best Regards, John Di Saia MD see video
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Labiaplasty method

As discussed by the other surgeons, there are two main choices regarding surgical technique in labiaplasty. If you are comfortable with your surgeon and the explanation you have received, I would advise you to follow that recommendation. You will likely benefit from either technique performed well. Of course, any time you are operating to alleviate pain, there are no guarantees that the pain will be completely alleviated or at all. However, in your case and cases... more
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Labiaplasty

Painful labia minora is the reason I started preforming this operation about 10 years ago. Most commonly women experience pain because the labia minor extend out past the labia majora. The most common complaints I get is pain from riding a bike, spinning classes, horse back riding or intercourse. I do both techniques, the wedge resection and just trimming of the egdes. Most commonly I do the wedge because it gives the most natural result and sensation remains intact.... more
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Labiaplasty

There are several techniques to perform labiaplasty to reduce redundant labia minora. It is best to be assesses and discuss your options with your surgeon.
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Type of Labia Minora Redcuction

Thank you for the question. Labia minora reduction surgery as a very high patient satisfaction rate. In your situation, given the symptoms you describe, I think you will benefit from either technique of labia minora reduction surgery. As long as the labia minora no longer protrudes past the labia majora your problems associate with the labia minora should be significantly improved. Please make sure you are working with a well board-certified plastic... more
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Painful Labia Minora after Labiaplasty...

Thanks for your question, AmandaR... I tend to agree with your surgeon's opinion regarding a wedge method labiaplasty possibly improving your pain symptoms by virtually "removing them from harm's way" while engaging in horse riding or other activities. Patients I have treated with a similar problem have noticed improvement following wedge method labiaplasty, although this is certainly not a guarantee. I just don't feel that a trim labiaplasty would offer an... more

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