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. This excess tissue was interfering with her daily activities and made her embarrassed to wear tights or a bathing suit. She was not interested in clitoral hood modification. She elected to undergo an outpatient labiaplasty under local anesthesia with mild oral sedation and is pictured 9 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. .She has had a dramatic reduction in her excess tissue and is extremely pleased with her newly contoured labia minora. For more information click HERE!