The Trim Labiaplasty Vs Wedge Labiaplasty

Deciding to undergo a labiaplasty procedure is a big step in gaining confidence and sexual empowerment. Labiaplasty is one of the fastest-growing cosmetics surgeries in Los Angeles because it can have a significant impact on the overall appearance of the vagina. All the while, it may address discomfort and improve your overall sexual health. 

Labiaplasty surgery is highly personalized, catering to your needs and desires. Contrary to popular belief, it’s not a one-size-fits-all treatment. Every woman’s vagina is different, calling for different methods to achieve the desired result.

There are two primary surgical approaches available. These include trim and wedge techniques.


Trim Labiaplasty

Trim Labiaplasty

Trim labiaplasty is the most common of the two. It’s the method of choice when addressing a myriad of cosmetic concerns.

The trim procedure is relatively straightforward. Surgeons create a linear cut along the outer edge of the labia. It’s particularly effective at reducing the size of the labia minora. The process involves removing excess tissue to achieve a more petite look. Once healed, the labia minora becomes less prominent as it sits inside the natural folds of the labia majora

There are a couple of advantages to trim labiaplasty. The first is a drastic reduction in length and size. Trimming can instantly remove excess length, which addresses cosmetic issues and discomfort.

Secondly, the trim technique removes dark pigmentation on the tissue’s edge. Hyperpigmentation is quite common in this area. Removing it leaves healthy pink tissue on the labia’s edge, which is more desirable for most women. 

Due to the nature of the incision, the clitoral hood is not affected. Surgeons can address clitoral hood tightening within the same procedure, but the trim technique alone will not achieve those results. This type of labiaplasty may also require more finesse around the tissue near the clitoris. If left untouched, the tissue may form an extra tab of skin that doesn’t follow the labia’s natural contours.

RELATED: What is Labial Hypertrophy?


Wedge Labiaplasty

Wedge Labiaplasty

Wedge labiaplasty is a little more complex. It serves similar purposes to the previous trim method. However, it achieves slightly different results.

As the name would imply, this method involves removing a wedge of tissue. Surgeons cut a v-shaped section of tissue from the center of the labia. This results in a triangular “keyhole” shape with two cut edges. Stitching the edges together tightens the entire labia.

The wedge technique can address asymmetry between the two sides and excess length in the central third of the labia.

Not only that, but it helps to achieve a smooth transition from the labia to the clitoral hood but does not treat excess clitoral hood skin. Unlike the trim technique, the wedge method does not alter the natural contours of the lips. 

Now, because most of the edge is not touched, it does leave behind the hyperpigmentation that the trim technique removes. Surgeons may use other techniques to care for that concern, but it is not part of the standard wedge labiaplasty.

RELATED:  Recovery After Labiaplasty Surgery 


Which Labiaplasty Technique is Right for You?

The right surgical approach for you will depend entirely on your cosmetic, comfort, and vaginal health needs. Generally, trim labiaplasty is ideal for those who are prioritizing cosmetic issues like excess tissue and hyperpigmentation. Meanwhile, wedge labiaplasty is best for women who want natural tightening and minimal scarring.

Ultimately, your goals will dictate which procedure your surgeon utilizes.

Contact the offices of Dr. Michael Tahery today to schedule your consultation. Dr. Tahery is a urogynecologist in Los Angeles who is an expert in both labiaplasty techniques. He will work closely with you to determine the best course of action for your needs.