Labiaplasty trim method - what would be suggested for me based on my picture? (Photo)

Question

Hello what would be suggested for labiaplasty based on my picture. i should note that i’m extremely sensitive on or near the clitoris and i do not want that area touched as i feel that more sensitivity would be annoying and uncomfortable. also, what is this tissue at the beginning of my vagina? i’m wondering if it’s remnants from the repair to my 3rd degree tear? when i bear down it pushes outwards.

Gary J. Alter, MD · Answer

Your labia minora are enlarged but not massively enlarged. A labiaplasty is a good idea, but it must be performed by a surgeon with experience. One of the two most common techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labioplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. This can lead to scallops and irregularities. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. If you have extra tissue on your clitoral hood, it can be reduced it at the same time. The frenula and clitoris are not violated. No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery. About 40% of the female genital cases I perform are revisions of labiaplasties and clitoral hoods botched by other doctors.

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY

Burcak Tok, MD · Answer

Hello, during the examination before the laioplasty operation, your sensitive points and the procedures to be performed are discussed in detail and a procedure plan is made in this way. The tissues at the entrance to the vagina are remnants of the hymen. Postpartum tears are usually seen in the lower part of the vagina. have a nice day

Ebru Unal, MD · Answer

hello the tissue at the vaginal entrance just under the clitoris is urethral orifice. you might have polyp at the entrance of your urethra or a simple cyst maybe. that would be treated during the labiaplasty surgery. ı would recommend you composite reduction labiaplasty which also corrects the clitoral area. I don't think it will cause any sensation or pain problem. trimming method would not make you happy. best.

Irena Karanetz, MD · Answer

Hello and thank you for your question. 
Both Trim and Wedge are reliable techniques used to perform Labiaplasty in the experienced hands.
Trim Labiaplasty is more commonly performed than Wedge Labiaplasty and has slightly lower risk of wound healing issue because the blood supply disruption is less than in Trim Labiaplasty. But generally speaking, depending on patient's anatomy, either technique can be used successfully to achieve cosmetically pleasing results. 
I suggest that you seek an in person consultation with a Board-Certified Plastic Surgeon specializing in Labiaplasty to further discuss your options, specific techniques, concerns and expectations. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 
Best wishes and good luck. 
Best regards, 
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon

Mark N. Scheinberg, MD · Answer

Thank you for your question There are two pair of inner labia. A lower pair that inserts into the clitoris and an upper pair called prepuce that forms the hood and which can insert into and distort the lower pair. The prepuce should be treated first to free up the lower pair which can be reduced by several methods. Trimming is one. I would check out the natural edge method which leaves a petite natural appearance with hidden scars.Research your surgeons thoroughly looking at reviews and before and after photos.You can get more information in the video below

Marco A. Pelosi III, MD, FACOG, FACS · Answer

Your photo shows excess loose skin around the clitoral hood and the labia minora. You cannot skip doing the hood. If you do, the clitoris will look like a penis. However, you will not become more sensitive if you have the loose skin around the clitoral hood removed so long as it's done by an expert who doesn't mess with the parts of the clitoris that are sensitive. Your next step should be a virtual consultation with an expert to discuss details.

Oscar A. Aguirre, MD, FPMRS · Answer

Thanks for your great questions! You need a clitoral hood reduction at the time of your labiaplasty. When this is done properly the central hood which is clearly seen in the more close up photo would not be operated on so no need to worry about losing snesation or this are becoming hypersensitive. You have redundant prepuce (hood) on both sides of your hood that adds length and volume to your labia. This needs to be expertly reduced to achieve the results that you are looking for. Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.

The tissue that protrudes outwards when you bear down is probably a rectocele considering that you had a 3rd degree tear. This can be repaired at the time of your cosmetic labiaplasty procedure. All the more reson to seek out the expertise of an experienced reconstructive and cosmetic vaginal surgeon.

Best of luck,

The tissue that protrudes outwards when you bear down is probably a rectocele considering that you had a 3rd degree tear. This can be repaired at the time of your cosmetic labiaplasty procedure. All the more reson to seek out the expertise of an experienced reconstructive and cosmetic vaginal surgeon.

Best of luck,

Ozgur Kartal, MD · Answer

You can show your doctor where you want intervention. If your wishes can be made according to your anatomy, your doctor will. I couldn't understand where is the abnormal image you specified from the pictures.

Burcu K. Arslan, MD - Account Suspended · Answer

Hi , according to your pictures you need both cliteropeksi and labiaplasty . It will be better to do it with trim thecnique cause you have dark edges by this way you may have much more lighter appearance.

Labiaplasty trim method - what would be suggested for me based on my picture? (Photo)

Answers (9)

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