Which stitching method gives flat look for labiaplasty?

Hello there,
I personally use a buried, running, faster-dissolving suture for the top layer to give the leading edge a smoother appearance. I typically do not place sutures above the skin, as I feel that patients frequently swell around these, putting patients more at risk of a bumpy or 'scalloped' edge.
Hope that helps!
Sincerely,Jennifer Adams MD, FRCSC

Any technique of stitching gives excellent results when done properly. Similarly, any technique of stitching gives poor results when done improperly. It's about skill, not method. Whatever you have read is likely the experience of a patient who was treated by an excellent method of suturing that was done without skill.

Hi hello, if the stitches are sutured subcutaneously and aesthetically , there will be no such problem. Right technique and Experience is everything.
Dr. Mehmet Bekir SENGenital Aesthetic Expert

Thank you for your question about the stitching method for labiaplasty that yields a flat look. The flat appearance may be more due to your individual tissue characteristics. Deep sutures can create projections and can be used to correct the flat look. If you're unsatisfied, a fat transfer to the labia could also help. I hope this information helps and best of luck with your decision.
Sincerely, Dr. Katzen

Hello,
Thank you for the question.
Stitching method is important during labiaplasty procedure and can affect the final inner lip contour, whether its smooth/flat or more irregular.
It is typically use interrupted stitches rather than continuous running for best results.
I would discuss your questions and concerns with a qualified Plastic Surgeon specializing in Labiaplasty procedure.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Thank you for your questionThere are various methods of labiaplasty and optimal suture methods vary. I never use continuous sutures for labiaplasty and therefore don't get zig zag appearance. In the natural edge method, suture lines are generally hidden and using simple intermittent sutures leaves smooth flat hidden edges.For more info on labiaplasty techniques see the video below

For labia minora repairing ,Continous sutures don’t make the lines zig zaggy. İt is the best method for labiaplasty

Hi Xena,You guessed right, suturing technique / method should be your prime focus for this issue. Since inner labias have thinner epithelium, continuous suturing may damage the edges and interrupt vascular supply. This may lead a ziggy zaggy final look.Subcutaneous suturing is the best technique for your demand.But keep in mind, every single patient has her own needs and biological factors. For the best results, it is important to examine the patient first and determine the ideal technique for her needs.
Best regards.

I agree with Dr. Pelosi. It is not the "instrument; it's the hand holding the instrument! Experience, experience, experience..! But, I will be more specific regarding "wavy lines." "Wavy lines," which distort an otherwise handsome result, occur only with so-called "trim," aka "linear" labiaplasties. The truly elegant labiaplasties, maintaining "individuality" and producing lovely "flow" from hood to the vaginal opening most always come from "wedge" procedures. Personally, I have won several "Best Of" awards at International meetings: all have come with Wedge modifications. Yes, ~ 50% of my ~ 900 labiaplasties are performed by "trim." Trims are easy to perform, and if done properly can give fine (but uniform, "straight up & down") results, but they are also easy to mess up. Wedges are masters-level procedures; you won't find many beginners utilizing wedge techniques. (Want to find the BEST surgeon? Look for someone who performs both wedges and linear, so that they can choose the best technique for you personally, rather than the only one they're proficient at.) One of the way trims (trim is same as linear...) can be messed up is a wavy incision line, either because the surgeon wasn't careful enough cutting, or they used the wrong closure technique. Personally, I prefer a long-jawed Keye or Metzenbaum or curved Iris scissors for a single straight incision line (can also do with a cold cutting fine wire RF or laser touch fiber.) For closure, the most important is to either use fine monofiliment 2-layer sub-cutaneous and sub-cuticular suture line; if using through & through sutures they must either be rapidly dissolving (like Vicryl Rapide or plain catgut, not tied too tight or, if using longer-duration sutures, removing skin sutures in ~ 10-14 days. But again, skill & experience counts. Look for a surgeon who can PROVE to you that (s)he has taken a bone fide training course and has 10+ before and after photos on their site, or if no formal training can show you at least 30+ good-outcome photos. If the photos aren't there, this surgeon does not have the experience (unless they took a good course, like mine, Red Alinsod's, Marco Pelosi's, Alex Bader's, Dawid Serafin's. Amr Selfaldin's, etc.) Best wishes!

Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA