Majora reduction - Does the place of the scar depends only the technique of the surgeon?

Hello bicha,You are correct that the location of the scar will vary even with the same surgeon based on the patient's individual anatomy. The goal is to place the incision as medial (towards the minora) as possible without creating a gaping effect where the vaginal opening is more exposed.Based only on the photos you provided it appears that your labia minora are large and asymmetric so they would certainy protrude beyond your majora afterwards. I think you would benefit from a labia minora reduction at the time of your labia majora reduction to provide you with the most youthful and natural appearance. This could be performed under local anesthesia without having to go under general anesthesia. Best of luck,Oscar A. Aguirre, MDUrogynecologist & Cosmetic Vaginal Surgeon

Thank you for sharing your excellent question.  Scar placement varies on a number of factors that are both surgeon and patient dependent.  The former includes their surgical technique and preference, as well as the amount of tissue excised while the latter will affect scar quality and to some degree placement based on their starting anatomy.  Hope this helps.