Jonathan Kew, MD

Perineal refashioning (if that is what is needed) is a straightforward procedure, that allows you to recover quickly.

Webbing or a skin bridge can be easily treated with a 'fenton's' procedure - this is a day procedure done under local or a light GA.

Scarring / or perineal pain can also be relieved in certain circumstances with PRP injections or fractional CO2 laser treatment - these are however somewhat more unconventional solutioins. It is however very hard to make a judgement on a single image on the internet.

Good luck.

Vaginal repairs are standard procedures that any obstetrician and Gynaecologist should be comfortable to do. All gynaecologists in Australia will have the title FRANZCOG, this title enables them to claim for the procedure back through medicare.

Brisbane will be awash with many suitably qualified specialists.

Good luck!

In australia - there is no medicare item number for labioplasty/labial reduction.  So even if you had private health insurance -  because there is no medicare item- neither is there any insurance rebate.

You mention the word 'self conscious' - I think tthese days we forget  that there is a very wide range of 'normal' - and that the images shown in media / or certain magazines have often been photoshopped to make labia appear smaller than often really are.

Here is a link to 'non photoshopped' labia

Photo Gallery | Labia Library
I think that if you are getting chaffing - issues with cleaning - it may worth seeing a gyno  - just to make sure you do not have a candidal infection causing irritation.

I suspect that my thoughts are not really what you wish to hear...

I guess the answer really depends on what your symptoms are.
The truth of the matter concerning vaginal repair surgery - is that the vaginal calibre is narrowed through the removal of a strip of skin running from the vaginal entrance uptowards the cervix, either involving the back or the front wall of the vagina. Scarring then takes place which produces additional strength as a reaction to the suture material used. The bulge dissappears because there is less vaginal skin to bulge.

Now the cause of the prolapse and the surgical solution are two different things. The cause is because the supportive collagenous thickening that supports the structures of the vagina have torn away from their insertion. (Think of a hammock that has been seperated from its posts). But the solution is to make the hammock smaller!

Lots of surgeons will talk about defect specific repairs, paravaginal repairs etc - or mesh reinforced repairs -  but it is not clear whether these fancier repairs actually do a better job than just removing the redundant excessive skin and restitching.

But here is the crunch - although  the vagina is distendable and retractable (it is elastic) - the only time a  it needs to have capacity to deliver a head is if future child birth is on the cards. 

If you have a repair - where vaginal skin is removed - it may be that any future deliveries would/should be caeserean sections.  So if further kids are on the cards-  a treatment that may cause tightening (through new elastin collagen deposition) is logically better than surgery which basically means removal of exessive vaginal skin.

If you have yeast - you most likely have a vagina that has skin rich in glycogen. This would indicate the vagina is well oestrogenised. Although this is a feeding ground for yeast - it is also a feeding ground for good 'lactobacilli' - this also means that they are 'out competing' the bad anaerobic 'BV organisms'.

Yeast do not cause wound infections.  BV in contrast does increase the risk of wound infection.BV is more likely in oestrogen poor states such as menopause.  If possible  - for patients that have BV, I would advise a course of eostrogen cream prior to surgery.