Susceptible to scarring: what is the best type of incisions for labiaplasties?

Hello, scar formation depends entirely on genetic predisposition. and the type of incision to be made has nothing to do with it. However, from my own experience, I see that wound healing is better in surgical transfer labia plasty results.

Hi and thank you for your question. You are absolutely correct that patients of Asian descent are generally at a higher risk of poor scarring, namely having keloids or hypertrophic scars, where the scars can appear enlarged and thickened. If you have other cuts, scars, piercings, or areas with thickened scars, then you may be one of these patients who are at a higher risk to have a poor scar in this area as well. If you have normal appearing scars on the body, then it is unlikely.
The other part of this, however, is the location of the incision on the body. Some areas of the body on the same person will have better scarring after surgery and less chance of forming keloids or hypertrophic scars. One such area (for whatever reason, which we can speculate) is the genital skin. This area has a much less chance of forming thicker scars, but it is likely not a 0% chance.
If in the unfortunate event a thickened scar does form, there are ways to minimize it from getting worse. These methods don't work 100% of the time, and do have their own risks, but it is still worth mentioning that something that can likely be improved in that situation.
I hope this answers your question!
Best wishes,Dr. Brandon Elnekaveh

The beauty of Labiaplasty surgery is that there is almost no visible scarring. That means that no one will know if you had a labiaplasty performed. I perform the edge technique with a hood reduction. This leaves a very smooth edge where the pigment of the darker and rough labia is removed and replaced with smooth lighter colored tissue. Scarring is quite invisible. Please visit my photo gallery for examples. With the wedge labiaplasty, on the other hand, sometimes there is a notch or a step off or even a color transition and so I never perform the wedge labiaplasty.

Best to find a doctor with great before and after photos and videos of healed results that you like, and this will ensure that you have a virtually scarless labiaplasty. The worst scarring happens when doctors use a baseball stitch or a running over and over stitch to close the labia. This technique leaves multiple firm areas notching grooving and a painful scar. You can find many examples of this, sadly, here on Realself from patient uploads.