Labia minora reduction
There are two techniques for reduction of the labia minora: Edge Resection and Wedge Excision (3,4)
Edge resection or trim technique
This is a simple resection of tissues at the edge of the labia minora. It can also be combined with a reduction of the clitoral hood. The advantage of this procedure is that it removes pigmented excess tissue and that there is less risk of disruption of the incision. It can also be combined with a reduction of the clitoral hood.
This is a wedge resection of the labia minora which preserves the natural edge and pigmentation of the labia. This is particularly useful when trying to match the opposite side which may require no surgery. Like the edge technique, it can also be combined with a reduction of a prominent overhanging clitoral hood.
Labia majora modification
The labia majora may be reduced with an elliptical excision with the scar at the junction of the inner lining and the external skin. This surgery can be performed at the same time as a labia minora reduction.
Loss of volume of the labia with age or weight loss can also be corrected with fat grafting.