ABSTRACT
Labia minora hypertrophy is the most common external genitalia defect reported by patients seeking surgical treatment. As early as 1976, Radman presented a simple amputation technique of the labia minora. The central wedge technique became a model for further modifications, which consisted in moving the wedge to the front or to the back, called anterior and posterior wedge resection, respectively. According to surgeons, the most commonly used techniques are simple amputation, central wedge resection, and posterior wedge resection. The posterior wedge resection technique allows the surgeon to simultaneously perform a clitoral prepuce correction. The most common cause of secondary interventions post-labial reduction is dehiscence of post-operative wounds. A rapid development in aesthetic gynecology allowed surgeons to fine-tune current surgical methods and create further modifications of the existent techniques. It introduced an additional delamination of the marginal labial fold using a fish-hook incision.
