There are two basic techniques used to sculpture the inner lips:
In the first method the skin is marked according to the planned surgery, the excess of the labia tissue is removed horizontaly and the edges are sutured. I prefer this technique because of its precision and flexibility In the second method created by dr Alter and called V technique the excess wedge of labia tissue is removed and the edges of the V are brought together verticaly with fine sutures. Unfortunately it has the potential for many complications and can often pull apart. There can be too much tension and not enough suture strength to keep the edges together. A variable blood supply can also impair healing. The key to a successful labiaplasty is to fit the upper portion of the labia and skin next to the clitoris into the reconstructed lips so the edges lie evenly. This is where the art and experience of the repair come together.
The procedure is performed with the use of minimally invasive low temperature, high frequency radiosurgery . It is a unique technique because the thermal damage to the underlying tissue is minimal comparing to the typical electrosurgery or even laser.
Compared to the laser high frequency radiosurgery it produces far less post-operative swelling, inflammation and pain with superb cosmetic results.
Labia majora reduction
The large outer lips of the vulva, or labia majora, are often exaggerated in size and bulk, resulting in an unsightly bulge in tight fitting clothing or a bathing suit. It can be due to sagging skin or to an excess amount of tissue below the surface. This area can be safely reduced by meticulously removing the excess tissue and by hiding the suture lines in the natural skin folds. Care must be taken not to overcorrect the reduction. The labia majora are shock absorbers of the pelvis and protect the vaginal entrance from irritation due to riding, bicycling or spinning. Proper reduction will result in a more youthful appearance and better fitting clothing.