Labiaplasty- do I definitely need a revision, if so what is the absolute soonest I can have it done?
A wound separation should be assessed by your surgeon. Sometimes a
wound separation may heal uneventfully, and sometimes a revision may be
Kenneth Hughes, MD
Los Angeles, CA
Revisions after labiaplasty
are best done many months down the road. You want your inflammation is gone and the tissues no longer swollen. 5 months is certainly reasonable but longer is always better. And I agree with Dr. Alter's opinion that it looks like you had a significant amount of tissue removed from one side or your wound separated completely resulting in that appearance.
Sorry about your problems
I agree with you that you would benefit from a revision. I would wait around 6 months for this and I would be very, very careful to go to an experienced doctor. A different doctor than the one who did your original surgery. Too much tissue was removed, and now your labia need to be reconstructed from the clitoral hood tissues. This is an uncommon operation and Dr. Alter is probably the most experienced at this if you are in California (or if you were my wife) I would recommend that you see him.
I reviewed your photos. It appears that much of your labia minora were removed, especially on your right. However, no attempt to revise your labia should be done until you are at least five months after your past procedure as your appearance will improve, and the swelling will be less. You need to control your anxiety and wait. The reconstruction is more difficult than a primary labiaplasty and should be done by a plastic surgeon with extensive experience in labia reconstruction. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" about two years ago. You may need various reconstructive techniques to give you a good appearance, but this won't be known until all the swelling is gone. I probably would recommend a right clitoral hood flap to reconstruct your right labium and am unsure about your left side. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.
Acute labiaplasty revision
Although revisions are possible, at 2 1/2 weeks out from your labiaplasty, you are in a relatively tenuous zone for this. Best to be very patient and wait for continued recovery and follow your operating surgeons recommendations. Glad to help.