What are all the possible ways clitoral sensation could be lost after Labiaplasty?

Labiaplasty refers to reduction of the labla minora by removing skin. The two main categories of operations are linear reductions of the edges (aka trim procedures) and wedge reductions of the enlarged sections. Linear procedures don't affect clitoral sensation. Some wedge procedures, however, result in a downward pull that pulls the skin of the clitoral hood downward toward the vaginal opening. This can make it difficult to expose the head of the clitoris for direct stimulation. Don't confuse this with damage to the clitoral nerves. The clitoral nerves run along the top of the clitoral shaft. These can only be damaged by cutting them directly and that could only happen if a surgeon who isn't familiar with the anatomy damages these nerves during a clitoral hood reduction. A clitoral hood reduction is a component of linear and wedge labiaplasties.

Hello, Some women may not feel normal clithoral sensitation in the first 6 months after surgery. This is a normal surgical process. We expect it to come back soon. This problem does not usually occur in a clitoral aesthetic performed with the right technique and by an experienced surgeon. In the rapid treatment process, the genital PRP method and estrogen-containing creams are very beneficial.
Thank you.
Dr. Mehmet Bekir ŞENGenital Aesthetic Expert

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. A careful, experienced labiaplasty surgeon should not damage the clitoris as the clitoris is not involved in any labiaplasty technique. 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