Open wound - labia separation. (photos)
Doctor Answers 11
Ability for Revision Labiaplasty Surgery
Gary J. Alter, M.D.Beverly Hills, CA - Manhattan, NY
Total separation of V-wedge labiaplasty. Why? What to do??
What should you do? It really makes no difference now WHY (except that if you're a smoker, you really should quit if you want it to heal over...) There it is. This can be reconstructed to look fairly good, BUT: let it heal fully by keeping it clean and letting the tissue TOTALLY heal. DO NOT (!!) let anyone "reconstruct" it for at least 6 months (Yes! really!). Then, only go to a Plastic Surgeon experienced in"flaps." Your revision will probably need a "flap," bringing down the upper labum to cover over the defect. At the same time, you may wish a small linear revision of what will be a small "bumpy" area on the anastamosis site on the left side for "matching" purposes. Do not be afraid to "travel" to fine the best surgeon for your revision. This is the ONLY chance you will have to re-construct successfully!
Michael P Goodman, MDDavis, CA, USA
You might also like...
Best to get these questions answered by your MD
Open wound after labiaplasty
Thank you for your question. My recommendation is to seek immediate repair of the open wound by a board certified plastic surgeon. If this is not possible, application of Mupirocin ointment four times a day can be beneficial. It may take 3 to 12 weeks for total healing. You should not engage in any sexual activity until there is full healing. To avoid bacterial contamination from the ocean, I would also recommend not going to the beach until there is full healing. Please note most patients heal within 3-4 weeks. I hope this is helpful. Best wishes in your recovery!
James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgeon
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS
Labiaplasty open wound
Thank you for your question. The labial breakdown that you have on the side pictured will heal with topical ointments. A small amount of bleeding is normal until it heals. Unfortunately, without surgical correction, you will always have some degree of notching at the edge without a smooth appearance. This may fade and improve some over time, but I anticipate you'll want a surgical revision. 6months is a very common time to suggest repair.
I would wait to submerge the area in a bath or at the beach until it is completely healed, 4 weeks at minimum in my practice. This is the same time for sexual activity, although you may need at least 6 weeks before sex given the area that broke down and now has to heal on its own.
Best of luck and I hope it heals quickly and uneventfully for you!
Labioplasty wound opened
Sorry about your situation. Since the sutures dissolved so quickly, the wound opened up. It is possible that you may heal without need of additional surgery, but not likely.
You need to keep the area as clean as possible and sitz baths would help. Sex will be possible when you are healed and comfortable. Healing will take several weeks, but complete healing will take several months. Please check with the doctor for specific care instructions and activity instructions.
Open wound - labia separation
iam sorry about your complication,it is prudent to wait atleast 6 months minimum,there is no point in hurrying,give tissues to heal well,the more you wait the better for you ,this is definitely not an emergency and it is definitely better to wait,was this done by the same surgeon ?
Example of wedge resection breakdown
I am sorry to hear of your surgical problem. This is a typical example of what happens with the wedge resection technique does not heal well. The problem with this situation it is often difficult to repair. It will not repair on its own and you will have a permanent wedge defect here until you have it repairs. I just operated on a patient from Miami Fl who had her wedge resection performed and it broke down. Since that time she had 2 repair surgeries and these also broke down. She came to me at that point and did not have enough tissue to attempt a further wedge resection repair. I have been repairing labiaplasties for more than 20 years, there is not reason why you need to wait longer than 4 months.
John R Miklos MD
Urogyencologist & Cosmetic Vaginal SurgeonAtlanta ~ Beverly Hills ~ Dubai
Open wound - labia separation.
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.