There are two primary techniques that plastic surgeons use for labiaplasty: the trim technique and the wedge technique:
The Trim Technique
The trim technique is an approach whereby the excess tissue at the edges of the labia minora are trimmed to a more desirable shape and size. The trim technique is typically the most suitable technique for patients whose labias have uneven or discolored outer edges.
The Wedge Technique
The wedge technique involves removing a wedge-shaped section of tissue from the middle third of the labia and then stitching the top and bottom sections of the labia back together.
The trim technique is typically the most suitable technique for patients whose labias are asymmetrical or have an excess of tissue (and do not have issues along the labial edge).