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
November 17, 2022
Answer: Preserving the frenular fold during labiaplasty The labia ( labum-singular) are developed from variable folds from above. The three main folds are the prepuptial fold, lateral portion of the central hood fold, and frenular fold (which you have highlighted in red). Some women have more sensitivity of the frenular fold as it is directly attached to the glans of the clitoris. You are exactly right, wedge resection would be the desired procedure to perform to maintain the frenular fold. However, you would not be able to place the wedge midlabum but rather start your incsion for wedge just below the frenulum thus reducing the labia without cutting the frenular fold. Pick you surgeon carefully and be willing to travel. Best of Luck! Michael Reed MD, Davis CA aka @thecosmeticgyn
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November 17, 2022
Answer: Preserving the frenular fold during labiaplasty The labia ( labum-singular) are developed from variable folds from above. The three main folds are the prepuptial fold, lateral portion of the central hood fold, and frenular fold (which you have highlighted in red). Some women have more sensitivity of the frenular fold as it is directly attached to the glans of the clitoris. You are exactly right, wedge resection would be the desired procedure to perform to maintain the frenular fold. However, you would not be able to place the wedge midlabum but rather start your incsion for wedge just below the frenulum thus reducing the labia without cutting the frenular fold. Pick you surgeon carefully and be willing to travel. Best of Luck! Michael Reed MD, Davis CA aka @thecosmeticgyn
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Answer: Nerve damage after labioplasty Dear Ninny11 Thanks for your question and sharing your photographs. There are many techniques of doing labioplasty including wedge resection and edge trim. In experienced hands, risk of nerve damage is extremely low. If you compare wedge resection with edge trim, risk of complications with wedge resection would be more. Looking at your photos, I think you could have a labioplasty and clitoral hood reduction with curved linear excision ( edge trim) technique with minimal risk of nerve injury. Of course you need to have a face to face consult with surgeon to finalise that plan.
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Answer: Nerve damage after labioplasty Dear Ninny11 Thanks for your question and sharing your photographs. There are many techniques of doing labioplasty including wedge resection and edge trim. In experienced hands, risk of nerve damage is extremely low. If you compare wedge resection with edge trim, risk of complications with wedge resection would be more. Looking at your photos, I think you could have a labioplasty and clitoral hood reduction with curved linear excision ( edge trim) technique with minimal risk of nerve injury. Of course you need to have a face to face consult with surgeon to finalise that plan.
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December 12, 2022
Answer: Labiaplasty and nerve damage Remember that the clitoral nerves are deeper inside and will not be disturbed by a labiaplasty. It is important that you discuss your concerns in detail with an experienced cosmetic surgeon or urologist. Also review what structures will be involved in the wedge resection.
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December 12, 2022
Answer: Labiaplasty and nerve damage Remember that the clitoral nerves are deeper inside and will not be disturbed by a labiaplasty. It is important that you discuss your concerns in detail with an experienced cosmetic surgeon or urologist. Also review what structures will be involved in the wedge resection.
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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.
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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
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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
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