Labial hypertrophy: A new surgical approach

Study Objective: To develop a new technique for labioplasty with the goal of decreased scar formation, decreased vulva pain, and dyspareunia.

Design: We present a simple surgical approach to labial reduction in two young women. We performed a wedge resection of the excess labial tissue after first identifying and preserving the main arterial supply to each labia.

Results: After surgical correction, the patients had excellent cosmetic results with smooth symmetrical contours, minimal scarring, and relief from symptoms.

Conclusions: Hypertrophy of the labia minora is a frequently overlooked problem in young women. In general, gynecologists have been reluctant to surgically remove the excess tissue. We present a new approach to labioplasty that is safe and can be performed easily in symptomatic patients.