Wedge or trim? (Photos)

Which would suit my anatomy best- wedge or trim labiaplasty?

Doctor Answers 24

Wedge or trim

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What are your aesthetic goals? If you want a "petite" trimmed look that the trim method can achieve that. The wedge method will keep the darker natural border of the edges. Sit down and talk about what you would like to achieve with an experienced cosmetic gynecologist or plastic surgeon. Be comfortable with asking questions, and seeing what can help you achieve the look you desire. Also a  discussion about  clitoral hood reduction would be helpful with your anatomy. 


Scottsdale Plastic Surgeon
5.0 out of 5 stars 15 reviews

What type of labiaplasty is best?

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Thank you for your question.  There are many types of labiaplasty surgeries that have been published in our medical journals.  Of the published types, I perform four methods and not one of them is better than the other, but they all have there pros and cons. The choice is made after consulting with you and listentng to what you want, only then can I tell you what procedure would be best for you.  If you want pink edges that are equal to or below the level of the labia majora then I would recommend a linear labia minora reduction and a clitoral hood reduction. If you want to maintain the natural edge then you should consider the labial wedge resection or the labial fenestration method. You have several factors that could be addressed and I would strongly advise that you consult with an experienced cosmetic-plastic gynecologist. Ask to see before and after photos of their work and be comfortable with your decision.  All of the best and take care.

Dr. John Serrao
Cosmetic-Plastic Gynecologist

Wedge vs Trim

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Hi, excellent question! Many plastic surgeons utilize the wedge technique as that is the simplest to perform and that is what is taught in many training programs. We have found that one must be trained and competent in all techniques i.e. wedge, trim, combination techniques, clitoral hood lifts, prepuce reduction, lateral sulcus defect repairs and many other techniques that make one an expert in labiaplasty and cosmetic vaginal surgery. This is secondary to the fact that most women require a combination of these type of techniques. The wedge resection gives you a reduction of the bulk and mass of the labia without changing the appearance too much. Yes, it will not hang down so much and if being done for mostly functional reasons or decreasing the bulk or bulging in clothes it does very well for women. It does have a high risk of separating at the edge or inferior portion of the incision secondary to that being the area of least vascularity. It also maintains the same appearance of the edges of the labia and therefore many women that don't like the dark edges or the scalloped or bumpy edges opt for trimming or contouring technique. 

In your particular case, it appears you would do best with the trimming or linear contouring technique as your edges are very irregular and can be smoothed out with this technique as well as the darkened edges removed. Of course, this is a personal decision that you must make and be given all options. The MOST important thing is that you consult with an experienced vaginal reconstructive and cosmetic surgeon. Being board certified does not mean you have training or experience in this field. Make sure you check on experience, are shown many, many examples of before and after pictures of their work and please TRAVEL if necessary to find this expertise. We see too many women now getting poor results and botched surgery as the procedure gains popularity and many surgeons with no experience are offering the surgery. 

Best of luck to you, 

Dr Robert D Moore

Urogynecology and Cosmetic/Reconstructive Vaginal Surgery

Atlanta - Dubai - Beverly Hills 

Robert D. Moore, DO
Atlanta Urogynecologist
5.0 out of 5 stars 11 reviews

Wedge vs trim (linear resection)

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Thanks for the question but there are many different techniques to decrease the protruding the labia minora and the two most common techniques are 1) the curvilinear reduction or linear reduction (trim) and 2) a wedge resection.  NO matter which technique you pursue choose a surgeon with experience, expertise, reputation and one who achieves great results.  These qualities are not achieved by being a "plastic surgeon" or even being "board certified" but instead they come through great training, years of surgical experience, common sense, logic and innate talent.    All too often surgeons tell patients what post operative cosmetic results should be instead of asking a patient : " what results do you hope to achieve"?   The surgeon should be able to communicate with a patient and discuss whether her postoperative desired results are achievable. A surgeon should communicate with a patient what is and what is NOT achievable for that individual patient. 

My partner and I have been performing labiaplasty surgery for more than 15 years and we have written the largest single center study in the world addressing just this question: What are your postoperative aesthetic expectations?  What we learned in one study  from 550 labiaplasty patients over a 3.5 year period actually dictates whether we perform a) the curvilinear reduction or b) a wedge resection.  99% of caucasian women do NOT want the so called "natural border and skin" of their labia.  They do NOT want a dark labia minora skin edge if it is at all possible----- 99% of women prefer a lighter, pinker skin edge which is NOT attainable with a wedge resection.  The wedge resection can remove some of the more darkened edge but not lighten the labia through its entire length..The lighter/pinker ( more youthful appearance) is only achievable through a linear resection.  The normal anatomy of the bulk of the labia minora is preserved and just the edge of the labia is removed.  This doesn't mean that a wedge resection is not a great technique. The results of the wedge and the linear resection are only as good as the surgeon performing the procedure. 

Please choose a surgeon wisely and do NOT allow location and costs limit your choice in a qualified and experienced surgeon.  To answer your question  "wedge vs trim?  Well it is my opinion you would do extremely well with the "trim" technique as long as you would prefer to have the darkened skin edges removed.  In experienced hands this procedure can be done with minimal pain, rapid recovery and excellent results.. 

John R Miklos MD 

Urogynecology & Cosmetic Vaginal Surgeon 

Atlanta ~ Beverly Hills ~ Dubai

Wedge or trim?

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Thank you for your question and photos. Sit down and talk about what you would like to achieve with an experienced cosmetic gynecologist or plastic surgeon

Bulent Cihantimur, MD
Turkey Plastic Surgeon
4.8 out of 5 stars 102 reviews

Wedge or trim?

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It is the surgeon that is more important than the technique. The most critical decision to be made in achieving the best plastic surgical result is picking the most experienced with labiaplasty and most talented, that is the best, plastic or gynecologic surgeon possible. Too often, patients choose a physician based on a catchy ad, the brand name of a technique, the basis of one or two before and after photos, or their web site’s search engine ranking. These criteria will not find the most experienced and talented plastic surgeon. See the below link on suggestions on finding the most experienced plastic surgeon or gynecologist for your labiaplasty.

Wedge or Trim Procedure

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#Labialplasty is probably the most common of the Vaginal Enhancement procedures. A candidate for a Labiaplasty procedure is concerned about the appearance of her labia or she may experience pain and discomfort from large, long or uneven labia; usually of the inner lips or labia minora.  This may result in chronic rubbing, which leads to difficulty in wearing tight clothing, such as leggings; tight shorts and bathing suits can reveal a “Camel Toe” which can be corrected with treatment. Enlarged or uneven labia may have a significant psychological impact and severely affect normal sexual relations. Many women live with this problem unaware that there are treatments available to help them. Surgery is the most common treatment and this problem can usually be corrected in under one hour with a local anesthetic. Each procedure is customized to the physical findings as well as the desired goals of the patient. Some procedures may include treatment of the clitoris or clitoral hood to further enhance this region.  The “trim procedure” is a straight incision along the edge of the labia to reduce excess tissue.  A “wedge” is the removal of a triangular shaped part of the labia with the remaining parts placed together to look completely normal. There are “modified wedges” and Barbie Doll procedures as well as other varieties of treatment. The Barbie Doll reduces much of the Labia Minora so that it is not visible beyond the Labia Majora. There is no one right solution for all patients, but there is a solution for every woman. The outcome of a Labiaplasty is a more youthful appearance, ability to wear all types of clothing without discomfort and/or embarrassment, and a more confident sex life.

Without determining specifically from your photo, any of these three procedures may be an option to help with your labia. It would be good to seek out a local board certified plastic surgeon for a consultation to discuss the details of your desired final results. Good luck!

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Technique

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I perform both techniques and it is important to sit down with your surgeon and let them know the look you are trying to achieve. We would review the pros and cons of each technique. Best wishes!

Labiaplasty

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In my opinion, the trim method would be best for you.  With this method we can achieve minimal scarring and still take away any discoloration throughout the edge of  the Labia minora. Be sure to choose a Board Certified Plastic Surgeon who specializes in Labiaplasty.

Which Labiaplasty Would Be Best: Wedge or Trim?

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More important than choosing the type of labiaplasty is choosing a board-certified plastic surgeon or gynecologist with experience in both procedures, if you want the choice, and who can show you good before and after photos. Each procedure has its plusses, and your surgeon can discuss the options with you. The wedge retains the natural edge, which may or may not be something you desire. 

Once you've chosen a surgeon you trust, then you can make your decision on the surgical approach after a discussion with the surgeon.

For more information, click on the link below.

All the best.

Heather J. Furnas, MD
Santa Rosa Plastic Surgeon
4.9 out of 5 stars 33 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.