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
If done properly, there should be no clitoral sensation loss after labiaplasty. IF a labiaplasty involves resection and retraction of the clitoral hood, a detailed awareness of the essential anatomy of the clitoris and its blood vessels and nerves must be understood to perform this procedure. Loss of clitoral sensation would only occur if nerve damage ocurred.
