If the Trim Labiaplasty Method Can Result in Deformities, Why Is It Still Used?

The trim method is a commonly used technique for labiaplasty surgery. Unfortunately, the trim method has a high rate of complications and deformities, especially when performed by an inexperienced or sloppy surgeon. Dr. Alter invented the central wedge technique for labiaplasty in 1995 to prevent the unnatural appearance often resulting from the trim technique. If performed by a meticulous, experienced surgeon, the complication rate from the wedge technique is very low.

Although the central wedge method is the most natural way to perform labiaplasty surgery, surgeons continue to use the trim method, leaving many women with a botched labiaplasty.

How Is the Trim Method Performed?

The trim method is performed by removing the excess tissue along the entire labial edge. One of the main benefits of this technique is that it can be performed quickly without much surgical skill. However, the trim method can result in an unnatural appearance, asymmetry, over-resection of tissue, and long, painful, scalloped scars. Labiaplasties performed using the trim method often require a secondary procedure.

When women come to Dr. Alter needing labiaplasty revision surgery, their initial labiaplasty was usually performed using the trim method.

How Is the Central Wedge Method Performed?

The central wedge method reduces the size of the labia minora while still maintaining the natural appearance of the labia and labial edge. A “V-shaped” wedge of tissue is removed from the most protuberant portion of each labium. The main benefits of this method is that it prevents the over-resection of labial tissue while maintaining the natural labial edge.

When performed correctly, the central wedge method has a lower risk of complications and is significantly less likely to require adjustment.

A botched labiaplasty can be painful, expensive, and time-consuming. By choosing a surgeon skilled in the central wedge method, such as Dr. Alter, you can feel confident that you are receiving the best care and technique for your labiaplasty.

Why Is the Trim Method Still Performed?

You may be wondering why the trim method is so commonly used among gynecologists and plastic surgeons if it does not result in the most natural appearance. Many surgeons (and some patients) prefer the trim method, because it removes the dark edges of the labial edge, leaving the pink, “youthful” tissue. However, even though the labia may be pink, the associated deformities often override this benefit. Many surgeons are also uncomfortable performing the wedge method, because it takes longer to perform and requires more surgical skill. These surgeons, thus, feel the trim method is easier.

While the trim method may seem appealing initially, you may be increasing your risk of a botched procedure.

Interested in Learning More About the Central Wedge Method?

If you are interested in learning more about the central wedge technique or how you can benefit from labiaplasty revision surgery, please give us a call at 310-275-5566 or fill out our online contact form.