Clinical Anesthesia & Research


Modified Wedge Labiaplasty with an Aesthetic Eye: The True Technique

Robert L. True, MD, FACOG, FACS

Statement of the problem: Many labiaplasty procedures result in unacceptable aesthetic results.

Summary: Labiaplasty procedures have become very popular but results vary depending on the technique and experience of the surgeon. There are many techniques of performing the procedure and many times women are unhappy about the results due to an unsatisfactory aesthetic result. There are numerous reasons why women desire labiaplasty. These include embarrassment, poor self-esteem functional and emotional enhancement [1-4]. To achieve the best aesthetic result one must consider the specific characteristics of a more aesthetic genital area. I would like to describe a different technique for performing labiaplasty which emphasizes this goal, versus other techniques that may not provide the same type of results. I developed a technique called a modified posterior wedge technique that results in a more aesthetic and natural appearance of the labia. A similar technique has been described in the past [5], but I developed this technique separately and based on what constitutes a more aesthetic labial appearance.

Description of technique: I discuss my technique of performing labiaplasty from initial evaluation, markings, surgical details, results, potential complications and how to avoid them. 

Conclusion: The rationale, goals and technique for performing a modified posterior wedge labiaplasty is described.