The pain and swelling usually peaks around 3-5 days post-op. Then improves over the next few weeks. I tell patients no intercourse for 8 weeks. When they start having intercourse again, they should use a water based lubricant for at least 2 months.
I'm sorry that your results are not what you expected. The only way to figure out what is wrong (if anything) and how it can be fixed is a physical exam. Find a plastic surgeon near you who has experience with labiaplasty, cosmetic genital surgery and reconstruction of the perineal area.
From your description, you may have some residual retained sutures that are causing persistent inflammation and swelling. This can lead to the other symptoms you have described. Please return to you surgeon for an exam and removal of any of these spitting sutures.
We use absorbable sutures in labiaplasty because removing sutures from such a sensitive location can be very uncomfortable for the patient. Occasionally, these sutures become a nuisance before they are absorbed. In those cases, we do occasionally remove the offending sutures. You need to have a candid discussion with your surgeon about these concerns. Good luck!
Although most women are healed sufficiently to have sex without discomfort at 6-8 weeks after labiaplasty, not all women are ready. From your comments, it is clear that suture material remains embedded in the area and has not completely dissolved. Go see your surgeon. Until then, wait a few more weeks before attempting sex again.
Usually we use absorbable sutures that eventually dissolve. You may have some residual sutures that your surgeon might want to take out to help you feel better. Speak to your surgeon
I am sorry to hear about your experience so far after labiaplasty and clitoral hood surgery. Different techniques, use of cautery and leaving sutures in beyond two weeks even if they are dissolvable can contribute to swelling. Most sutures are dissolved or fall out by 6-8 weeks but you may have a residual one that is poking your husband. Sensation changes can be temporary or permanent depending on the extent of what was done.
Unfortunately, risks of labiaplasty do include altered sensation, scarring, infection, and adhesions, among other things. You should follow-up with your surgeon about your partner being poked and the persistence of altered sensation. By three to six months, sensation should be restored, and if not, seeking a second opinion would be advisable.
I hope this information is helpful.
Dr. Troy Hailparn
Thank you for sharing your experience, and I am sorry that your results have not been what you anticipated to this point. Nothing can replace an in-person examination to identify the cause of your issues, and the type of labiaplasty performed, as well as any ancillary procedures as it sounds as if you may have also had a clitoral hood reduction. Prolonged swelling in this region can take place that can cause some changes to the sensation of your clitoris, and this tends to resolve spontaneously given enough time. Most procedures also use absorbable stitches which should have dissolved sufficiently to have fallen out. With the degree of your symptoms I would voice your concerns with your surgeon yet again, and if you still are having issues, seek a second opinion from a board certified plastic surgeon.
Sutures don't belong near the clitoris. Period. Your doctor used poor technique. labiaplasty recovery should take 2 weeks tops, with easy progression to intercourse at 4 weeks. See another doctor for another opinion.
Pain and swelling can be common
Minor complications that do not affect the outcome occur
occasionally. Major complications are rare. These can include infection,
bleeding, (hematoma) , separation of the incision, changes in sensation , pain,
increased sensitivity, unsatisfactory cosmetic results. Any concerns of infection, new pain,
swelling, bleeding , drainage should immediately be address by the doctor.
Sounds like you may still have some sutures poking your husband and your tissues. See your surgeon to remove them.