Severe results from surgery 2 years ago…unsure if I can be helped (Photo)

Question

I made a post last year about a labiaplasty that went very wrong. Unfortunately most of my tissue was amputated. This has exposed my inner vestibule tissue as well. One of the main issues is how tightly my vestibule skin was sewn outwards. It is under so much tension. I’ve watched a video where a surgeon was able to fix this kind of defect by elevating “neo-labia minora flaps” and it helped release the tension. I can’t have sex anymore because of the tension. I wondered if there is still help.

Mark N. Scheinberg, MD · Answer

Thank you for your question I gather From your question that the problem is tension at the bottom of the entrance to your vagina. If this is the issue, a small V-notch in this area can be excised then the edges sewn “north-south “ which will open up the entrance to allow penetration

Ozgur Kartal, MD · Answer

It looks like you have 3 problems.1- There is no natural anatomical connection between the clitoral hood and the labia.2- labia look short3- The clitoral hood looks larger than the labia. so there seems to be an imbalance between the clitoral hood and the labia. in size.
these can be fixed.

Michael P. Goodman, MD, FACOG · Answer

In choosing the practitioner to manage your unsatisfactory LP result, often carefully planned and executed surgical revision is the answer, and often it is not. In your case, while 
"...if you squint" your results appear exemplatory, but of course you are aware of the discomfort engendered when the skin tensions produced exteriorize the mucosal tissues. This is the "pink/tan line you see. The pink tissue is of a different cell type (it is called the "vulvar vestibule",) which can be tender if exteriorized. This is a difficult surgical "fix," and while possible (I have performed these revisions), it can result in further amputation and increased pain. Before resorting to this [uncertain outcome; expensive surgery], I would advise an extended (6 month) course of local therapy with twice-daily application of absorbant estradiol/testosterone/gabepentin cream, starting at a modest concentration, and increasing the gabepentin strength after ~ 1-2 months. Gabepentin is an excellent neuroleptic madication, calming "misfiring" nerve endings. The estradiol, testosterone, and the physical activity of twice-daily 3-5 minute massage may help the mucosal skin to little by little transition into a squamous epithelium able to withstand the rigors of lovemaking. It would be good as well to counsel with a practitioner savvy in sexual medicine to work with you regarding sexual enhancement. Producing "neo-labia minora flaps," while increasing the size of your labia a bit, may not change the fact that you have this mucosal irritation. Very best wishes,  Michael P Goodman MD, FCOG, IF, AAACS. Revision and Genital Pain Specialist, Davis, Ca, USA

Severe results from surgery 2 years ago…unsure if I can be helped (Photo)

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Everything you need to know about Labiaplasty

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Severe results from surgery 2 years ago…unsure if I can be helped (Photo)

Answers (3)

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Everything you need to know about Labiaplasty

Our mission is to create a world where every investment in modern beauty is Worth It.