Bad Vaginoplasty/Labiaplasty, In a Lot of Pain, Can This be Corrected?

You appear to have had a trimming labiaplasty and a perinoplasty.  Your pain should significantly improve for the next 3-4 months.  As for the perinoplasty, that can be revised so that it is not high and does not interfere with intercourse, but I would wait.  Your right labium minora has be over-removed with lumps, and the left labium is also irregular.  It is common to have persistent pain with the trimming labiaplasty, which should improve also with time.  If you wish to have your labia minora reconstructed, I would not attempt it until you are at least 5 months post-surgery. No attempt to revise your labia should be done until you are at least five months after your past procedure as your appearance will be better,  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.  You only get one more good chance to reconstruct you so be patient and ask a lot of questions.

If you have pain after a combined perineoplasty/labiaplasty six weeks after surgery, you may still have suture material dissolving under the skin contributing to both swelling and discomfort. Although most women are able to have sex without issue at the six week mark, others heal more slowly and require more time. For this reason, it is strongly recommended that you have your surgeon examine you at the six week mark BEFORE you attempt to have sex to make sure that the healing is sufficiently advanced. Your photos show swelling and unevenness along the labiaplasty scars. I would wait a few months before making any decision on revisionary surgery.

I'm so sorry that you had a bad experience with labiaplasty. A revision is indicated. You need to speak with someone who has experience in labiaplasty and perineal reconstruction.Find a board certified plastic surgeon or experienced GYN (who has done aesthetic vulvovaginal surgery) in your area with good reviews on RealSelf and good before and after photos who you feel comfortable with to address these concerns.

Although most patients are fairly comfortable about six weeks after labiaplasty or perineoplasty, it can take several months for some patients tissues to relax and for nerve sensitivity to go away. I would be very patient and DEFINITELY avoid rushing into surgery to repair things since further procedures will increase scarring and the possibility of nerve damage. Seek several opinions and wait at least six months before having any further procedures to correct this. It can most likely be improved, but it may never be exactly how you pictured it would look or feel unfortunately.

You really need an exam by a plastic and reconstructive surgeon.  Complications are very common in labiaplasty as this procedure is very simple but requires good judgement and diagnoses to stay out of trouble.  Most patients  with similar complaints can be corrected using a combination of z-plasty and  fat grafting to restore a natural appearance and comfort with sexual activities.  I hope this helps and I'm sorry to hear of your misfortune!

 

All the best,

 

Rian A. Maercks M.D.

Urologists are absolutely not trained to perform aesthetic genital plastic/cosmetic surgery.Ditto for most urogynecologists & gynecologists ( I train both in my office to do LP & vaginoplasty.)  Unfortunately, your Derm steered you wrong. The only surgeons properly trained to perform both aesthetic labiaplasty and vaginoplasty are specially trained cosmetic gynecologists and a very few plastic surgeonsFor you personally: get a second opinion (or 2) from a specially trained cosmetic gynecologist. BEST if this person is also an expert in vaginal pain and sexual medicine.Regards,Michael P Goodman, MDDavis, CA, USA 

I am sorry to hear that you are having pain after this procedure. Usually after 6 weeks the scars have healed enough that pain is not a problem and you hcan have sex without any difficulty. If the surgeon has made your vaginal opening too small there are a number of options to correct that. The first is for you to dialate the vaginal opening-  you can use a bougie (medical term) for any sort of finger dialation, or even a sex toy that will help to stretch the opening. It may take a month or so for the scar tissue to relax and stretch out. If that does not work you may need to have a surgical procedure to  open the contracting bands of tissue at the vaginal orifice by z - plasty (technical term of type of scar revision). Try the non- surgical approach first and if that does not work, seek a consultation with a board certified plastic surgeon.