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Puckering After Labiaplasty

asked 1 year ago by kwhoo in Huntington Beach, CA
Latest answer by Laurie Casas, MD
Question viewed 458 times
Tags: female, bulging, labia, puckering

I had a labiaplasty a few years ago. I am not sure if it was trim or wedge method. Initially the result looked perfect, but during healing I was instructed to apply constant pressure for 8 weeks to the area to avoid bulging / puckering of scar tissue. This was very difficult to do and unfortunately it did end up healing slightly bulgy and puckered. To correct this, would another surgery be necessary - or could applying constant pressure for a few weeks even now that is is healed still work?

11 answers to Puckering After Labiaplasty

Labiaplasty revision treatment

If you still have puckering several years after labiaplasty, you will likely require a surgical procedure to improve your result. It would be possible to do a revision under local anesthesia with minimal discomfort and fast healing.

David Stoker, MD
Los Angeles Plastic Surgeon

www.drstoker.com

Puckering after labiaplasty

Best thing to do is ask the surgeon who performed the surgery to help you understand why you have puckering, if it is reversible and what can be done to correct it. You can always get a second opinion if you are not satisfied with the answers.

Laurie Casas, MD
Chicago Plastic Surgeon

www.casas.md

Puckering of scar tissue can occur

After a year or more, the puckering you have will likely not change on its own, It might be possible to do a small revision and you should speak to your doctor about this!

Anne Taylor, MD
Columbus Plastic Surgeon

Labia reduction recovery

Since you are a few years out of surgery, at this point, no amount of pressure will change the appearance of the area. Further excision may be necessary to remove excess tissue or to smoothen out the contour. Physical examination is critical to giving good advice.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Labiaplasty Puckering, Distortion and Pressure

Hi kwhoo, I am not aware of the use of pressure to mold a result; in fact, I think that's a little unusual. I am even less knowledgeable about the use of pressure to try to change the result at this relatively late stage (there are other procedures where that is done, such as using a chest strap to help lower breast implants - but that's an entirely different anatomical situation). I suspect that you would, in fact, need a small surgical procedure (a revision) in order... more

Alan Engler, MD
New York Plastic Surgeon

Pressure?

Hello, I don't know who did your surgery but the pressure request sounds unusual. Anything going on at this late stage will require surgery to improve. Best Regards, John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon

"Puckering" of the labia after labiaplasty

If a large amount of tissue was removed, especially with the trim method, it may result in some puckering of the scar if it was not closed with great care. It can happen. But even with great care, there is a chance of this happening. It usually will not be resolved with pressure. The ending result is generally from the surgeon’s technique. Providing a picture will give a me a clearer image of what you are describing.

Usha Rajagopal, MD
San Francisco Plastic Surgeon

www.sfcosmeticsurgery.com

Labialplasty

If there is excess scarring, then cortisone injection should help. If there is still excess tissue or uneveness, then further excision and contouring could improve the area.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Puckering years after labiaplasty.

Since it has been a few years, and the puckering has been consistant it sounds like you may need a revision. If there is enough labia minora to decrease, your surgeon may want to revise your surgery. Please keep in mind, you don't want your labia to be too short, this will cause you more problems than the puckering. I avoid the wedge technique, as the result is very unnatural. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Scar Changes Not Likely After A Year

Unfortunately, if it has been a few years after your labiaplasty, the scars are really not going to change at all. At this point, you would probably need a revision of the labiaplasty to get a smoother, less bumpy/puckered scar. This should be able to be done under sedation and local anesthesia. I hope this helps.

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Puckering After Labiaplasty

There is very little structural support for the labial tissues and therefore the tissue has to be closed without tension to avoid puckering. Without an examination it is difficult to give exact advice but I suspect you will need a minor revision to correct the issue. Please see my website for further information and before and after photos.