Christine Hamori Cosmetic Surgery and Skin Spa - Duxbury

Thank you for your question. The general answer is yes, depending on your concerns, goals and labia minora anatomy. Following a wedge labiaplasty, if the patient is also bothered by pigmentation of the labial edge, those specific areas can then be superficially excised with a very conservative edge trim.
However, because there is so much variation in genital anatomy, it would be important to discuss your concerns and goals in detail with your surgeon to know if your specific goals can be achieved. I find that reviewing before and after photos with your surgeon of patients who have had labiaplasty (especially those of patients with similar anatomy) is very helpful in conveying your aesthetic preference.

Labia Minora asymmetry is normal and extremely common. Many women are not bothered this and that is great. However, there are some women with asymmetry that seek labiaplasty due to aesthetic (appearance) and/ or functional concerns (rubbing in clothing or while exercising etc.).
Genital anatomy is extremely variable, and in many situations a unilateral labiaplasty can be performed to reduce the excess tissue of the labia minora on the larger side to achieve better symmetry. If the woman is happy with the contralateral labia minora shape and size, then a unilateral labiaplasty can be performed. If they feel that the contralateral side is too large or dislikes the shape, a bilateral labiaplasty can often better address their concerns. It is important to understand however that it is not possible to achieve perfect symmetry- even in the best circumstances there will be some residual asymmetry.

Thank you for your question.
The most common labiaplasty techniques are the edge trim and wedge resection. There are advantages and disadvantages to each approach. It has never been shown that one approach is "better" than the others.
The edge excision removes a portion of the labia minora edge. The wedge technique removes a wedge of tissue from the most protuberant portion of the labia minora.
There is significant variability in genital anatomy and each patient has different concerns and goals. All of this is discussed in detail at the consultation and taken into account when creating the surgical plan. In some patients the edge trim may best address their concerns and in others the wedge is preferred. However, I do tend to favor the wedge in many patients as the scars are short and well concealed, and the natural labial edge is preserved. Despite the approach, the surgical plan should be designed to address the patient's concerns and result in aesthetic proportion and balance of the vulvar structures.
I think you should discuss your concerns with your surgeon. It may help for you to understand why they chose that approach for you. I find that reviewing before and after labiaplasty photos with your surgeon to show what your aesthetic preference is can be very helpful.

Thank you for your question.
A tummy tuck (abdominoplasty) is a procedure designed to remove excess loose skin (and lower abdominal wall fat if present) of the abdomen. If the abdominal wall muscles are weakened or separated in the midline (rectus diastasis), muscle repair (plication) may also be recommended. This is determined at the time of the consultation with your surgeon. The goal of the abdominoplasty procedure is to create a flatter and firmer abdominal contour. It is important to know that with an abdominoplasty procedure, there will be a scar in the lower abdomen, and most often a scar around the belly button.

Thank you for your question. It is very normal and very common to have changes in breast shape and size after having children, breastfeeding and/ or with weight loss.
A breast lift (also called a mastopexy) is designed to remove excess loose skin of the breast and raise the breast tissue and nipple position higher on the chest wall. During the procedure some of the breast tissue can either be removed (if a smaller breast size is desired), or can be advanced from the lower aspect of the breast to the upper aspect of the breast to give more fullness in this area (also called an auto augmentation). During the consultation with your surgeon, it would be important for you to express your specific goals which would then determine the optimal approach.