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

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.