Yasin CEYLAN, Özlem YÜKSEL AYBEK, Berkay YÜKSEL, Engin YURTÇU
Anatolian Journal of Obstetrics and Gynecology Research - 2026;3(2):98-104
Purpose: Labiaplasty has become one of the most frequently performed procedures in female genital cosmetic surgery due to increasing aesthetic awareness, functional complaints, and concerns related to sexual well-being. Although wedge and linear (trim) resections are the most commonly used techniques, comparative data addressing their outcomes, particularly sexual function and genital self-image, remain limited. Thus, the aim was to compare clinical, psychosexual, and patient-reported outcomes following wedge or linear labiaplasty and to identify factors associated with postoperative satisfaction and complications. Methods: This prospective comparative study included women who underwent labiaplasty at a tertiary referral center between 2025 and 2026. Patients were allocated to either the wedge or linear technique group according to surgeon preference and anatomical suitability of the labial morphology. Demographic characteristics, operative variables, and postoperative complications were recorded. Genital self-image and sexual function were assessed preoperatively and at the 6-month postoperative follow-up using validated instruments: the female genital self-image scale (FGSIS) and the female sexual function index (FSFI). Within-group and between-group comparisons were performed using appropriate parametric statistical tests. Results: The cohort consisted of 94 women, split equally between the wedge (n=47) and linear (n=47) groups. Both techniques resulted in significant postoperative improvements in genital self-perception and sexual function. FGSIS and FSFI scores increased significantly in both groups (all p<0.001). Operative time was longer in the wedge group, whereas the linear technique was associated with shorter procedures but higher rates of aesthetic dissatisfaction. Wound dehiscence occurred more frequently following wedge resection. No significant differences were observed between groups regarding postoperative total FGSIS or FSFI scores. Conclusion: Both wedge and linear labiaplasty provided meaningful functional and psychosexual benefits. However, each technique was associated with distinct complication profiles and aesthetic trade-offs. Surgical success appeared to depend more on individualized patient selection and tailored operative planning than on the surgical technique itself. A patient-centered, anatomy-based approach is essential to optimize safety, satisfaction, and long-term outcomes.
