Can botched labiaplasty be fixed? Labia minora & majora are attached.

HI genuine,

It is possible to correct this with placement of full thickness skin grafts in the area between the Labia
minora and Majora. These grafts are very fragile and would require you to be enormously careful with your activities in order for them to take. You might visit with a plastic surgeon in your area who can discuss this procedure with you.
Best Wishes,

Dr. Christine Rodgers

Hello Genuine833772,
I am very sorry about your results. You had too much labia minora removed and this cannot be corrected. Perhaps with time the tension from the procedure will relax and it will appear better. This is why a conservative approach is recommended since one can always "fine-tune" or removed a little more, but you cannot put it back.

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. The reconstruction technique depends on the deformity. You had an aggressive trimming labiaplasty and labia majora reduction. The reconstruction is 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. You have some remaining clitoral hood, which I can use to reconstruct your labia minora with clitoral hood flaps, which I invented and published in that journal article. In this surgery, I take the remaining tissue of your clitoral hood and transfer it downward to create labia minora. I have done this surgery about 70 times with excellent results. Your new labia would be small and extend about half way down your vaginal opening but would be much better than your present situation. The surgery takes about 3+ hours so it is not a simple office procedure. If any surgeon reduces more of your clitoral hood, you will be ineligible for this repair. 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, NYC

Assistant Clinical Professor of Plastic Surgery
UCLA School of Medicine

Hello,
Thank you for your enquiry. In the early stages after surgery, there can be a lot of swelling and distortion which is normal. It is best to wait for 6-9 months before considering revision. In most cases the swelling and the appearance will improve on their own. Technically, it is possible to deepen folds but if your surgery was less than 6 months ago, I would suggest to wait.

hello, I'm very sorry to say, unfortunately there is no possibility of correction.
when our patients come to us and say they want my inner lips to be completely removed. We say that we do not perform an operation in the form of a complete reset of the inner lips.
In you, both labium minors are too short and outer lips are too protruding. for this reason . The pit between the minor and major lips has disappeared. and it looks like you don't have inner lips.

As a "Revision Specialist," I deal with "labiaplasty gone wrong" all the time. Sometimes the issue is purely surgical: "fix" poor results via linear, mini-wedge, and/or "airbrushing" (or combinations thereof) techniques. Sometimes it is psychosexual: work with the sexual sequelae of unintended aesthetics. Sometimes it is neuroleptic: help with the pain caused by removing too much tissue, or by poor choice of closure technique. Frequently it is a combination of factors. Sometimes the work is "face-to-face; sometimes it can be accomplished remotely, working "virtually" on a number of platforms. Unless you are in the arena of professional liability, it is important to deal with WHAT IS, rather than how it could have been avoided. So... what about YOUR situation? If I read the photos right, it looks as it initially in your recovery you had a superficial separation of the minoraplasty incision on the left side, not unusual when you have undergone an amputation, which is basically the situation on the left side. I see evidence of amputation, of what appears to be a "normal" majoraplasty incision line, and what appears to be an undisturbed clitoral hood. What I ask my patients is: What is the "BOTHER?" What are your GOALS? What are the anatomic realities How can we get closest to your outcome hopes? Neurogenic pain is treated with neuroleptic medications, often locally applied. Newly, I am presently adding platelet rich plasma (A-PRP therapy) applied locally for neurogenic pain. Amputation may be treated with a tissue expander, potentially followed by an implant, but this at this point should be considered experimental. All therapies have better outcome if paired with caring psychosexual therapy, aimed at "...getting your mojo back..." I suggest that you spend time looking at websites and online, seeking a practitioner that you can visit either in person or "virtually" to arrive at a therapeutic plan. Best wishes, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA