Why remove normal natural looking darkened edges?
The idea that darkened edges are normal is a misnomer. Having a saggy butt is normal for an 80 y/o, but it s not youthful. Most patients develop a darkening appearance due to hormonal changes. This occurs most frequently with pregnancy and getting older. Pink labia are associated with a more youthful appearance and thus most patients actually prefer lighter colored labia. If a patient is adamant about keeping the darkened edges I have no problem upholding their request by doing a wedge reduction , a type of procedure for labia reduction. This procedure will maintain the darkened edges of the labia yet will reduce the size of the labia. The draw back of using a wedge resection is that it will reduce the size but it is difficult to get an even contouring of the labia throughout its length.
