This patient came to see Dr. medalie at Cleveland Plastic Surgery to discuss vaginal rejuvenation. She had a chief complaint of a great deal of excess vulvar tissue especially involving the labia minora and clitoral hood. This excess tissue was interfering with her daily activities and made her embarrassed to wear tights or a bathing suit. She elected to undergo an outpatient vaginal rejuvenation under local anesthesia with mild oral sedation and is pictured 6 months after her procedure. The procedure selected was the Wedge Method: A small wedge of tissue is removed from the center, maintaining the natural edge of the labia. I utilize almost exclusively the wedge technique of labia minora reduction (labiaplasty) which preserves the contour, color, and anatomy of the labia minora edge. The excess labium is excised in a “V” manner and the upper and lower edges are sutured together. Therefore, the only suture line visible on the edge is a small transverse line instead of a long longitudinal vertical suture line. This significantly decreases the discomfort and visibility of the procedure. Lateral clitoral hood was resected in an elliptical fashion leaving the scars in the inter-labial sulcus so that they are barely visible.She has had a dramatic reduction in her excess tissue and is extremely pleased with her newly contoured labia and clitoral hood.
