Tips for seeking revision of previous labiaplasty after severe hormonal changes caused major regrowth and changes? (Photos)

Thank you for sharing your question and photographs. A revision is certainly possible with further reduction in the labia but I would also recommend reducing your clitoral hood in order to attain a more proportional result. Hope this helps.

Thank you for your questionThere are two pair of inner labia: A lower pair that inserts into the clitoris and an upper pair called prepuce, that forms the hood (the skin directly above the clitoris) that can insert into and even overwhelm the lower pair. In your photo there is asymmetric excessive prepuce on both sides especially on the right side. For optimum aesthetic results, this excess tissue needs to be removed so as to free up the lower pair for reduction. We look to get a "bridge of the nose " appearance on this upper section. There are several ways published for reduction of the lower pair which give different appearances and each surgeon has their own preferences. What is important is what you prefer. Most of my patients request the natural edge technique. You need to do your homework and make sure your surgeon is well accomplished first in how to reduce the prepuce and second on how to reduce the lower pair. You need to look at their reviews and their before and after photos.See the video below to become more informed

Hello, I understand you are currently 26 years old. A new labiaplasty surgery and even a Klitoral Hoodoplasty procedure in which excess tissue around the edges of the clitoris is removed will provide you with very satisfactory results.

It is way better to have too little removed than too much. A revision labiaplasty in these cases is often very much the same as a primary labiaplasty and no new or unique or novel approach is needed. The photos show excess of the hood and minora both of which can be reduced by an expert labiaplasty surgeon. Seek out amazing photos and videos and reviews and the rest will take care of itself

As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by other surgeons, both wedge and trimming techniques​. You had a trimming labiaplasty and have had some re-growth, which resulted in asymmetry, excess clitoral hood, and scalloping. If you wish symmetry with elimination of the scallops and a natural appearance, I would do a wedge reduction on the right and probably a clitoral hood flap to build up the left and remove most of the scallops. I would reduce your hood also. The reconstruction is much 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 ten years ago. In that paper, I presented the labia reconstruction with the clitoral hood flap in which I take the skin form the sides of the clitoral hood to make a normal labium. You can have a much better appearance by a very skilled reconstructive labiaplasty surgery. Approximately 40% of the surgeries I perform are revisions of other surgeons' labiaplasties. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NY

Labiaplasty revision is undoubtedly achievable allowing for additional labia reduction. For a more balanced outcome, I would also advise clitoral hood contouring.

Hello sftigers,
Thanks for sharing your story and providing great photos which show asymetry of your labia minora and hood. You are an excellent candidate for another labiaplasty, but with hood reduction so as to achieve the best aesthetic results.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

You should be able to achieve your desires. Based on your photos, you appear to be a candidate for either a wedge or linear-type revision, but it will take a hands-on ("3-dimensional!) evaluations to determine which would be best for both your anatomy and your goals. A agree that a clitoral hood skin reduction along with the LP would give best results. "Rules" for a successful outcome? 1. Make sure whomever you elect to operate on you is experienced (can prove at least 25 procedures, or prove they have taken an officially sanctioned certificated training course. 2. Make sure your surgeon is skilled and experienced in BOTH wedge and linear techniques. Surgeons who only do one kind are less flexible and have greater difficulty with difficult anatomy/revisions, and, 3. Make sure your surgeon is either a "Plastic Surgeon"; or a "Cosmetic Gynecologist." Who are the women at greatest risk of getting "Botched?" It is the woman who goes to a "general gynecologist" who does their surgery in-hospital under a general anesthetic. "Insurance" will not pay for cosmetic work, so docs who take insurance rarely do cosmetic work, just "cut it off..." (That's where most "botches" come from...) RealSelf's web reference gives more info.

Very best,

Michael P Goodman, MD, FACOG, IF, AAACS
Sacramento, CA, USA