Labiaplasty

There are two main techniques, with several variations. The trim technique removes excess tissue along the edge of the labia minora, following its natural contour. The wedge technique removes a pie-shaped section from the thickest part of the labia and closes the defect, which preserves the natural darker edge and rim. Surgeons also use hybrid or modified versions of these, and some combine labiaplasty with clitoral hood reduction when there's excess hood tissue contributing to bulk or asymmetry. Choice of technique depends on anatomy, the amount of tissue to be removed, and surgeon experience and preference, so what works well for one patient may not be ideal for another.

This can be done under local or general anesthesia depending on extent and patient preference. Complications are uncommon but can include asymmetry, persistent pain, or wound separation. Because technique selection really is anatomy-dependent, an exam by a board-certified plastic surgeon is the best way to know which approach fits your situation.