Feminine Rejuvenation

Wedge vs Trim: A Glimpse at the Technical Side of Labiaplasty

Woman doctor talking to a female patient at her office.

If elongated labia keep you from doing certain physical activities, wearing certain clothing or enjoying intimacy, labiaplasty could be an effective solution. If you’re already looking into the procedure, you may have come across several different surgical techniques that can be used. While common, some of these techniques create subpar results, compared to the Trim-V method.

So whether you’re looking for a “designer vagina” or simply want to comfortably wear yoga pants and ride a bike, the right labiaplasty technique can make all the difference.

Traditional Trim Labiaplasty

One of the most common labiaplasty techniques, the traditional trim method involves linear incisions made down the center of both sides of your vaginal lips, removing excess tissue along the outer edge.

While this method usually trims away the darkest part of the labia — often a cosmetic concern for women — it can leave an awkward transition where the two trimmed edges meet just before the clitoral bulb. The traditional trim technique also tends to leave visible scarring along the edges of your labia.

Wedge Labiaplasty

Because of the downsides to the traditional trim technique, some plastic surgeons have started using what’s called the wedge or V-wedge labiaplasty technique. This method involves creating two diagonal incisions on either side of your vaginal lips, forming a “V”. The tissue in the center of the V is removed, and the two sides are sutured together.

While this technique does eliminate the problem of an awkward transition to the clitoral bulb and linear scarring, it exposes the darkest part of the labia. Because many women choose to have labiaplasty surgery to achieve a more aesthetically-appealing end result, this technique can leave some dissatisfied.

Why the Trim-V Technique Reigns Supreme

Pioneered by top female plastic surgeon Dr. Jennifer Harrington, the trim-V labiaplasty technique incorporates the benefits of the two traditional methods explained above, eliminating the downsides of each.

During this procedure, a curvilinear incision is made on either side of your vaginal lips, rather than a straight line. This creates a smoother, more natural-looking result and allows for a smooth transition at the clitoral bulb. The trim-V technique also incorporates a clitoral hood reduction in order to achieve a balanced, natural look and the desired aesthetic outcome.

How to Choose a Labiaplasty Surgeon

Choose a trusted plastic surgeon whose preferred labiaplasty technique aligns with your goals.

Understanding the basics of each available labiaplasty technique can help you narrow down your search when looking for a plastic surgeon. If you know you’re interested in a specific technique, choose a surgeon who specializes in that area. At your consultation, ask for a more detailed explanation of your plastic surgeon’s preferred surgical technique and what the specific benefits and drawbacks are.

Many women also find that they feel more comfortable working with a female plastic surgeon. A top female plastic surgeon can also have a more nuanced aesthetic eye when it comes to procedures involving a woman’s most intimate anatomy.

You might also consider add-ons to your labiaplasty, such as mons pubis liposuction or nonsurgical treatments like Viveve®. Make sure that your labiaplasty surgeon is experienced with these procedures as well.

At the end of the day, you should feel confident that your plastic surgeon has the experience and ability to give you the smooth, beautiful and natural-looking results you want.


Wedge vs Trim: A Glimpse at the Technical Side of Labiaplasty
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Wedge vs Trim: A Glimpse at the Technical Side of Labiaplasty
Can labiaplasty create a designer vagina and what’s the best technique? Top female board-certified plastic surgeon Dr. Jennifer Harrington of Plymouth explains.
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August 28, 2019
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