Fig. 4.

Case 2. A 26-year-old female patient with bilateral labia minora hypertrophy, unilateral clitoral hood hypertrophy, and labia minora asymmetry is shown. In this patient, only the outer surface of the labia minora needs to be tightened, so the middle flap (M-flap) is located on the outer surface of the upper labia minora. a, b As in Fig. 3, the green area represents the wedge resection area on both external sides of the labia, the yellow area represents the clitoral hood reduction. c The incision on the internal side is shown. d A postoperative image is shown