Labiaplasty: Q&A
Ask a Question
Wedge Method Vs Trim Method for Labiaplasty?
I am 19 years old and have been dealing with the discomfort of having large labia since puberty. I am uncomfortable when I am exercising, and sometimes just sitting or walking around. I find it difficult to keep clean and am worried that it will pose a sexual problem in the near future when I get married and become intimate with my husband.
What are the pros and cons of having a labiaplasty using the "wedge method" vs "the trim method"? I am in the process of having consultations and was interested in hearing more pros and cons of the different methods. Also, I am a college student so I am in classes, should 6-7 days be enough recovery? I am looking into having this done over spring break. Thank you.
Tags:
28 Doctor Answers |
Asked by
peachtea
in Fairway, Kansas, USA
+1
Trim method for Labiaplasty for better results and healing
The trim method is definitely the more versatile technique that allows removal of however much excess labia is present and allows this to be done in continuity with any excess in the clitoral hood area. There is no tension on the suture line so healing is predictable and quick.
In New Jersey, leaving the "natural edge" is not what my patients want. They usually like the lighter color of the labia behind that edge. This is actually more natural and resembles someone who is born...
more
+4
Labiaplasty: wedge versus trim
There is no absolute guide to what is the correct method.
Sometimes it comes down to the surgeon's comfort level and experience with one technique over the other.
The primary advantage to the wedge is that its proponents like the shorter scar located across the labia rather than along its edge. It is claimed that it leaves more of the natural edge intact.
In my practice, it is the edge that bothers many of my patients; they do not like the thick, dark, rough surface and desire to have it...
more
+2
Labiaplasty techniques - wedge vs. trimming the edge
As you can see from the answers here, some surgeons prefer each technique, and it is certainly true that either technique can produce a good result and a satisfied patient. However, there are some important differences, and you are wise to look into the options.
I certainly agree that a surgeon's experience with each procedure is important. The "trimming" procedure is technically simpler, and less likely to cause complications and problems during surgery, as...
more
You might also like...
Real Stories
I have always hated my Vag due to my uneven labia minora. I found out about the surgery and...
+2
Wedge vs. trim for labioplasty
You've done your homework! I usually do a "hockey stick" wedge excision that allows me to remove a lot of the excess bulk but preserve the edge of the labia which is usually more pigmented and wrinkled than the center part of the labia. With a trim procedure, the natural edge is removed. Some ladies really want a smooth and less pigmented edge that a trim procedure leaves, but most of my patients want it to look as natural as possible.
It's...
more
+2
Trim vs. Laser vs. Wedge: A comparison of labiaplasty techniques [with graphic video]
[Graphic video below]
Depending on your anatomy and desired results, as well as the experience and preference of your surgeon, there are three different techniques that can be used.
The trim technique simply removes excess tissue by cutting away the edges of the labia minora. In general, this method is most useful when the goal of the procedure is to remove rough and/or discolored outer edges from the labia. This technique is also used when the labiaplasty is being performed in conjunction...
more
+2
I do a "Modified Wedge" in most cases
Hello,
I have been doing labiaplasty surgery for nearly ten years. I no longer do "trims" as patients have been more uncomfortable and seem more likely to end up with less attractive results. I stopped doing the trim about five years ago.
In most patients a Modified Wedge heals faster and looks more natural. My patients have been happy with the appearance and function the operation provides.
The answers for this of course depend upon your chosen surgeon's experience...
more
+1
Wedge versus Trim Labiaplasty
Dear Peachtea, Historically most labiaplasties were performed with the trim technique but this technique had a number of downsides to it including scarring, sensitivity issues, etc. The wedge technique was developed to move most of the incision and potential scar tissue to the inside and away from areas that can be irritated by clothing, exercise, etc. Of course, some patients still are better treated usuing the trim technique which is why you need to have a consultation...
more
+1
Wedge versus Trim
As the inventor, developer, and publisher of the wedge technique, I developed the technique because I consider it to be the superior method. The wedge technique leaves essentially invisible scars, maintains the normal labial edge, and has less incidence of chronic discomfort with a shorter recovery. The disadvantages are that some of the darker edge is maintained and the procedure is more technically challenging and usually more expensive. The advantage of the trim is that the labial...
more
+1
Different methods for labia minoraplasty (labiaplasty)
Labia minoraplasty (labiaplasty) are either performed using a 'wedge' or a 'trim' technique. Different surgeons have their preference and utilize whatever technique works best in their hands. Personally, I prefer the wedge technique for labia minoaplasty as it allows me to remove the central third or redundant prominence best while maintaining the scar 'hidden' from view and it allows to tighten the labia and provide a more aesthetic appearance. Extensions can be made to...
more
+1
The method of labioplasty most often depends on the women's anatomy.
There are many websites writing about the advantages and disadvantages of various techniques in the correction of labio minora. Both techniques, if done correctly and for the correct anatomic indications heal extremely well. I perform many labioplasties and use different techniques based on the needs of the patient. Sometimes fat grafting of the labia majora is necessary to enhance the rejuvenation of the area.
+1
Labiaplasty-wedge versus trim techniques
HI,
I have posted a Labiaplasty FAQ below with the answers to some of the most common questions
What is Labiaplasty?
Labiaplasty (Labioplasty) or Labia Minora Reduction is a surgical procedure that reduces and/or reshapes the labia minora - the skin surrounding the vaginal opening. In most women, the labia minora are seen only when the legs are separated. However in some women, large labia minora are visible when the legs are not apart, or are barely separated, causing...
more
+1
Labiaplasty: Wedge vs Trim method?
In my opinion, the trim method is the only good method when performing labiaplasty. The trim method gives great results that are reproducible every time. There are minimal complications and most importantly the brown, thin, scalloped edge is removed using this technique leaving a thicker, pink, labial edge which appears more youthful. The wedge technique does not remove the labial edge, thererfore; it does not remove the main problem. The wedge technique also has a higher complication rate...
more
+1
Wedge is Best
For a labiaplasty of the inside lips (labia minora) I prefer the wedge technique. Sometimes the outer lips (labia majora) need to be reduced. I prefer the elliptical trim technique for this area. I find the scar is better with the wedge technique for the minora. Good Luck!
+1
Labiaplasty Techniques
Labiaplasty has become a very popular plastic surgery procedure over the past 5 years. In my practice, it is considered one of the essential elements in a Mommy Makeover. The trim technique has been around forever while the wedge technique has been popularized over the last decade. I have used both techniques and find that both I and my patients are happiest with the wedge technique. In this technique, one can both get rid of excess labia and also tighten the vaginal...
more
Honolulu Plastic Surgeon
+1
Labiaplasty techniques
There is no one right way to do a labiaplasty in my opinion, and the procedure does need to be tailored a bit for each patient. In my practice I prefer the wedge technique as it seems to give me more flexibility and provide more consistent results, but this is really up to the preference of the surgeon and what they think you need based on your anatomy. In terms of recovery, I think it's wise to take some time off from your normal activities to let everything heal properly,...
more
+1
Different Methods for Labia Reduction
I have performed many labia reduction procedures and have used both the trim and the wedge method. I discuss with the patient what their goals are and the difference between the two techniques and the results they will achieve. The trim method may be a more simple operation but some patients are not happy with the resulting scar. I think the most important thing for you to do is to find a surgeon who has lots of experience with this procedure, talk to other patients who...
more
+1
Method of Labiaplasty
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
+1
Wedge labiaplasty vs. trim labiaplasty
I had performed many trim labiaplasties in my first 15 years of practice in my clinic in Montreal. Labiaplasty results with this technique are good and patients were generally pleased. However, this technique clearly results in a less than natural looking edge of the labia minora. In the past few years, I have mainly used the wedge technique and find that the results are far more natural looking. The wedge technique is a little more difficult and time consuming but, in my...
more
+1
Different techniques for labiaplasty
There are a number of different techniques for performing a labiaplasty. As you are aware, a labiaplasty helps correct the excess skin of the labia minora. Most patients in our Jacksonville practice opt for the trim technnique as this helps address not only the stretched excess, but the darkened folds of the labia minora. Some women do not have darkened folds or do not desire for them to completely be removed so the wedge technique maybe appropriate.
+1
Wedge versus trim labiaplasty
The wedge labiaplasty is designed to remove labial tissue while preserving the darker colored skin at the edge of the labia. In my experience it has a higher incidence of wound separation than the "trim" labiaplasty. This is important because if there is a wound complication from the Wedge technique, it is much harder to fix than from the "trim" labiaplasty, and the result can look a lot worse. The trim labiaplasty is definitely a safer technique which yields...
more
+1
Wedge vs. Trim for Labiaplasty
As you can see from the answers, there is not one clear choice. The choice of technique depends on a few variables; your anatomy, where to place the scar, how much tension can be expected across the wound, etc. Best to sit down and discuss all of this with your surgeon. Together you can come up with a plan to suit your needs.
+1
Wedge vs Trim techniques for Labiaplasty
From your description it seems that you may be the right candidate for the labiaplasty. I have tried both methods of trimming and wedge excision. The wedge technique workd for smaller versions of the labial enlargement but has a higher chance of problems with healing and possible wound breaksdown. On the other hand, the edge of the labia is preserved and the darker color remaings unchanged.
The trimming technique has virtually no chance of wound healing problems. Aslo, since the...
more
+1
Refinements in labia reduction
Dear Peach,
All scars contract. Straight scars can contract and cause problems, especially in as delicate a location as the vulva, where stretching of the tissue at a later date may be required. This is why we in plastic surgery use what are called double opposing skin flaps when we seperate childrens finger's when they are fused together at birth. Thus, I published the technique many years ago, in which a Z shaped scar is better than a straight scar of the...
more
+1
Labiaplasty techniques
Peachtea,
Labiaplasty can be performed using the 'wedge' technique or the 'trim' technique. We perform 90% of our labiaplasties using the trim technique and reserve the wedge technique for very specific cases based on the shape of the labia.
The benefit of the wedge technique is that the scar orientation doesn't run along the length of the labia. However the down side, in our experience, is that frequently the shape of the excess labia is such that a wedge technique will...
more
+1
Many ways to solve a problem
So there are many ways to solve this problem, and there are pros and cons to both the trim and wedge technique--but nothing that has been studied to a scientific level. There are expert opinions in favor of both techniques. I personally utilize the trim method most of the time -- it creates a more natural appearing free edge and preserves erogenous sensation.
+1
Labiaplasty techniques and surgery
Wedge vs. Trim labiaplasty are all modifications of the same technique. The difference lies in where the scar is placed and whether there is preservation of the leading edge of the labia minora. Both are acceptable procedures.
+1
Labiaplasty
There is a place for both techniques and I use them when they are indicated. The real question is where there is excess tissue and how to reduce and shape the area efficiently with the least scaring. I find that I do a edge excision and hood reduction the most often. The wedge is best for upper excess when the remaining edge is normal in appearance and color. You really need to be evaluated by a surgeon experienced in both techniques and decide with him as to what is best for you. This...
more
+1
Modified wedge with Z plasty preferable for labiaplasty
Trim method will remove the natural anterior border of the labia. A modified wedge with Z plasty is preferable as it preserves the natural appearance.
Baltimore Plastic Surgeon
Comments (0)