What techniques does Heights Plastic Surgery use to perform a labiaplasty? January 24, 2023 A labiaplasty is an outpatient procedure that typically takes about 30 minutes to complete. To begin, a local anesthetic and oral sedative will be administered to ensure you are comfortable and pain-free throughout your surgery. Dr. Downey or Dr. Bullocks will then perform one of the following labiaplasty techniques, depending on your biggest concerns and desired results. Dr. Downey or Dr. Bullocks will go over which surgical technique will be best for you while developing your personalized treatment plan during your one-on-one consultation. The Edge Technique. Also known as the trim technique, the edge technique aims to make the inner labia, or labia minora, slightly receded from the outer labia, or labia majora. This technique removes the darkest parts of the labia, making it very popular with our patients. It is ideal for women with an enlarged inner labium. The Wedge Technique. The wedge technique is targeted toward women who want a smaller, tighter-looking labia that still keeps its natural contours. It is also ideal for fixing an unevenly enlarged labia minora. Unlike the edge technique, this does not remove the darker areas of the labia minora.