Is my vagina normal and what procedures should I look into for improvement? (photos)

​I reviewed your photos. One of the two most common labiaplasty techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labiaplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. You had a trimming labiaplasty resulting in scallops, asymmetry, and ragged edges. Your labia can be made much smoother and smaller by doing multiple wedge reductions or even laying a clitoral hood flap on each one. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" about ten years ago, which includes the clitoral hood flaps, which I invented.

Since you have extra tissue on your clitoral hood, it can be reduced at the same time. Your clitoral hood is long and protuberant. It can be decreased somewhat by reducing the sides. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be decreased. With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. I have performed this procedure over 300 times with outstanding results. I have not published this technique, so no one does it like me.​

​Your labia majora have stretched which resulted in excess skin and lost of fat to provide fullness. I suggest reducing the excess skin and increasing the fullness with fat injections. The technique I popularized and published in the medical literature leaves a scar on the inside of the majora in the fold between the majora and the minora and clitoral hood. If closed with sutures under the skin and performed meticulously, the scars are difficult to see.

The internal tissue is remnants of your hymen, which can be excised and reduced.

No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.​​ Approximately 40% of the female genital surgeries that I perform are reconstructions of other women's botched labiaplasties and hood reductions.

Gary J. Alter, M.D.
Beverly Hills, CA - Manhattan, NY

Hi , in general all these disturbing images can be fixed . The clitoral head is reduced, the labia majora is filled, the labia minora is revised. The excess tissues of the hymen seen inside can be removed. And as a result, you can have the look you want with a general gynecological aesthetic operation.