Six weeks ago a surgeon (urologist/FACS, excellent resume, referred by my dermatologist) sewed my perineum/labia up over the opening to my vagina, covering it like a biological chastity belt. I can't have sex or a gyne exam and am in pain from the pulling/tearing at that spot (she says I'm healing well). How do I find someone to correct? She tore right labia minora and made it one third the size of left labia minora, but I'm not correcting that--too painful.
Bad Vaginoplasty/Labiaplasty, In a Lot of Pain, Can This be Corrected?
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Doctor Answers 7
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.
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.
For labiaplasty and vaginoplasty, see a specially trained expert!
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 surgeons
For 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.
Michael P Goodman, MD
Davis, CA, USA
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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.
Problems after labiaplasty
Correcting undesirable results post labiaplasty
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.
Labiaplasty, Vaginoplasty Revision for Pain
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.