Hello doctors, I am thinking about having labiaplsty, wedge technique (maybe also hood reduction). My main concern is nerves damage ). I feel that a lot of the sensation I have in the labias are on the upper line (markes in red). Is there a way to keep these parts and not damaging the nerves? Thanks a lot
December 2, 2022
Answer: Nerve damage with wedge technique Thank you for your questionYour photos show the bulk of excess tissue is prepuce. There are two pair of inner labia. A lower pair that inserts into the clitoris and an upper pair called prepuce which forms the hood(the skin directly over the clitoris) and which can attach into and often overwhelm the lower pair. In your photo you can see the inner curve of tissue attaching to the clitoris and a large bulk of tissue above which is the prepuce and optimally should be removed leaving a "bridge of the nose" appearance above. That removal is needed prior to treatment of the lower pair. If you are looking to avoid nerve damage I would not avoid a central wedge as that creates a central scar which has higher risk of problems. The trim or natural edge , in my opinion, would be more effective. In any case, your surgery is not simple if it is done correctly. You need a surgeon with advanced skills to do it correctly and avoid complications. Do your homework. Investigate reviews, before and after photos and compare surgeons.The video below should be helpful.
Helpful
December 2, 2022
Answer: Nerve damage with wedge technique Thank you for your questionYour photos show the bulk of excess tissue is prepuce. There are two pair of inner labia. A lower pair that inserts into the clitoris and an upper pair called prepuce which forms the hood(the skin directly over the clitoris) and which can attach into and often overwhelm the lower pair. In your photo you can see the inner curve of tissue attaching to the clitoris and a large bulk of tissue above which is the prepuce and optimally should be removed leaving a "bridge of the nose" appearance above. That removal is needed prior to treatment of the lower pair. If you are looking to avoid nerve damage I would not avoid a central wedge as that creates a central scar which has higher risk of problems. The trim or natural edge , in my opinion, would be more effective. In any case, your surgery is not simple if it is done correctly. You need a surgeon with advanced skills to do it correctly and avoid complications. Do your homework. Investigate reviews, before and after photos and compare surgeons.The video below should be helpful.
Helpful
November 27, 2022
Answer: Concerned about possible nerve damage afer a wedge resection labiaplasty; Can loss of sensation possibly be avoided? HI ninny11, I think that if you have an experienced labiaplasty surgeon, sensory nerve loss can be avoided. You have a good amount of tissue around the clitoral area and if your surgeon understands the anatomy, the nerves to the clitoris and the frenulae should be preserved. As with all surgeries and medical care in general, you need to search for an experienced surgeon, read the reviews and visit with a few so that you can make an informed decision. Hope this helps a bit. Good Luck! Best, Dr. Christine Rodgers
Helpful
November 27, 2022
Answer: Concerned about possible nerve damage afer a wedge resection labiaplasty; Can loss of sensation possibly be avoided? HI ninny11, I think that if you have an experienced labiaplasty surgeon, sensory nerve loss can be avoided. You have a good amount of tissue around the clitoral area and if your surgeon understands the anatomy, the nerves to the clitoris and the frenulae should be preserved. As with all surgeries and medical care in general, you need to search for an experienced surgeon, read the reviews and visit with a few so that you can make an informed decision. Hope this helps a bit. Good Luck! Best, Dr. Christine Rodgers
Helpful