Ennis Plastic Surgery · Beautiful Medicine™
Posterior Wedge Labiaplasty
A closer look at tissue preservation and contour.
Understand how the posterior wedge works, how it differs from a trim, and the questions to discuss with Dr. Ennis before choosing a technique.
View Actual Patient ResultsDr. L. Scott Ennis · Credentials & practice recognition
International Society of Aesthetic Plastic Surgery
American Society for Aesthetic Plastic Surgery
Castle Connolly
American Institute of Plastic Surgeons
National Academy of Plastic Surgeons
Palm Beach Illustrated
America’s Most Honored Doctors
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A personal approach
Your consultation
with Dr. Ennis.
Labiaplasty reduces or reshapes the labia minora, the inner folds around the vaginal opening. The appropriate technique depends on your goals and the characteristics of the tissue.
This guide focuses on Dr. Ennis’s preferred posterior wedge approach for suitable patients. For the broader procedure, anesthesia and recovery discussion, visit the complete labiaplasty guide.
Consultations: In-Office & Virtual
Meet Dr. Ennis
The technique
What Is a Posterior Wedge?
A triangular or V-shaped section of tissue is removed from the posterior, or back, portion of the labia minora. The remaining edges are brought together and closed with sutures.
The approach reduces excess length or fullness while retaining much of the original labial border. Incisions can be positioned within the natural folds, but a scar remains and its visibility varies with healing.
Watch filmCompare your options
Posterior Wedge vs. Trim
Dr. Ennis favors a posterior wedge when preserving the natural edge is a priority and the anatomy supports it. Neither approach is the right choice for every patient.
Posterior Wedge
Removes a section from within the labia rather than trimming away the entire excess edge. This can preserve the border’s contour and pigmentation. The closure must heal without excessive tension; wound separation is a specific concern.
Trim Method
Removes tissue along the outer edge and sutures the new border. It can directly address bothersome edge tissue but changes the original border and creates a scar along it.
Claims that one method always prevents loss of sensation or has fewer complications are too broad. Both involve incisions in sensitive tissue, and the risks depend on the operation, anatomy and healing.
Your consultation
Choose an Approach Around Your Anatomy
Talk openly about discomfort, symmetry, the appearance of the border and what you hope surgery will change. Dr. Ennis will evaluate the amount and location of excess tissue, tissue quality and whether a tension-free closure is possible.
If you have had surgery before, bring details of the procedure and your recovery. Scar tissue and limited remaining tissue can change the available options. The revision guide explains these considerations.
Questions worth asking
- Why is this technique appropriate for my anatomy?
- Where will the incision be, and what tissue will remain?
- What are the risks to healing, comfort and sensation?
- What result is realistic, and what are the alternatives?
What to expect
Healing, Scars & Surgical Risks
Labiaplasty carries risks including infection, bleeding, scarring, nerve injury or changes in sensation. Wedge closure can separate or heal poorly, so tissue tension and postoperative care matter.
Choose a qualified, board-certified plastic surgeon with labiaplasty experience, and discuss both benefits and risks before deciding. Dr. Ennis will outline your aftercare, activity restrictions and follow-up plan. Review the full recovery guide for more context.
Actual patients of Dr. Scott Ennis
Labiaplasty Before & After
Posterior wedge labiaplasty patients of Dr. Ennis. Individual results vary.
View clinical before-and-after photos Contains images of intimate anatomy.
Your care at Ennis Plastic Surgery
Meet Dr. L. Scott Ennis
Dr. L. Scott Ennis is certified by the American Board of Plastic Surgery and is a Fellow of the American College of Surgeons. His approach to labiaplasty considers both function and appearance, with particular attention to tissue preservation and your individual goals.
He earned his medical degree at the University of Alabama at Birmingham, where his training included recognition as Best Intern and Outstanding Chief Resident, and completed a plastic surgery fellowship at the University of Virginia.
At the Boca Raton practice, you can discuss sensitive concerns in a private setting. In-office and virtual consultations are available, including for patients traveling from outside Florida. Read more about Dr. Ennis’s training, credentials and recognition.
Explore Dr. Ennis’s Profile
Watch filmA clearer understanding
Questions About the Wedge Technique
Does a posterior wedge preserve the natural edge?
It is designed to retain much of the existing labial border while removing a section of tissue from behind it.
Is the scar invisible?
No surgical technique can promise an invisible scar. The incision may sit within natural folds, but scar appearance varies.
Is a posterior wedge always better than a trim?
No. Dr. Ennis prefers it for suitable anatomy, but the technique should be selected around the individual patient’s tissue, goals and risks.
Where can I learn about the full procedure?
The main labiaplasty guide covers anatomy, anesthesia, recovery, patient photos and Dr. Ennis’s educational films.
Keep exploring
Understand your options.
Your consultation with Dr. Ennis
A private conversation.
A personal plan.
Discuss your concerns, understand the options, and decide on a plan with Dr. Ennis. Your consultation is a private conversation about what matters to you.
In-Office & Virtual
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