Labia minoraplasty - the balance between technique and untoward effects: A case report

Abstract

Case presentation: A 45-year-old nulliparous patient presented with a long-standing history of genital
discomfort in the form of friction, laceration, and dyspareunia. She was also esthetically displeased with
her labia minora, which she considered too large and long. Her labia minora appearance was also noted
to cause emotional distress. The patient requested labia minoraplasty. Despite correct technique
selection, she was noted to have notching, fenestration, and pigment mismatch eight weeks
postoperatively, and required revision surgery.
Discussion: Wedge resection versus edge trimming is an active topic in cosmetic gynecology. Patient
selection and hypertrophied labia minora are important considerations in technique selection. These
have a bearing on the eventual esthetic appearance and development of untoward effects.
Conclusion: Even with the correct technique selection for a specific type of labial hypertrophy, untoward
effects may develop postoperatively, requiring reconstruction or revision later.