I had a botched LP& I’m very unhappy with results. I am planning to be reconstructed using the clitoral hood tissue as flaps if possible. My initial goal during the first LP was a conservative trim, so really I wanted medium sized labia. However, now that I’ve been amputated, I’ve accepted the fact that I will never achieve what I initially wanted. I was wondering if you think I could achieve the ‘goal’ photos attached. Their labia minora are quite small, can I at least get it to that size?
January 19, 2022
Answer: Revision Labiaplasty You have not been amputated. Whenever a patient has a specific exact goal in mind, she is disappointed. The important thing is reasonable expectations, and working with a surgeon very experienced in anatomy and different techniques (airbrushing; linear; wedge; flaps...) in order that your surgeon can design a procedure that best fits you . You should be able to achieve a version of your "ideal" outcome, but make sure your surgeon is savvy in all techniques, and that, while you hold a mirror when (s)he is examining you and designing" your revision, you and your surgeon reach agreement. I only do revisions, and I know the importance of "reasonable expectations in all genital plastic/cosmetic surgery, especially in the rarified air of revision labiaplasty. Best, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA
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January 19, 2022
Answer: Revision Labiaplasty You have not been amputated. Whenever a patient has a specific exact goal in mind, she is disappointed. The important thing is reasonable expectations, and working with a surgeon very experienced in anatomy and different techniques (airbrushing; linear; wedge; flaps...) in order that your surgeon can design a procedure that best fits you . You should be able to achieve a version of your "ideal" outcome, but make sure your surgeon is savvy in all techniques, and that, while you hold a mirror when (s)he is examining you and designing" your revision, you and your surgeon reach agreement. I only do revisions, and I know the importance of "reasonable expectations in all genital plastic/cosmetic surgery, especially in the rarified air of revision labiaplasty. Best, Michael P Goodman, MD, FACOG, IF, AAACS. Davis, CA, USA
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January 18, 2022
Answer: Labiaplasty revision It does appear that you likely had a fairly aggressive labiaplasty, and the answer to your question may depend on you. If you are a smoker and smoke around the time of a procedure, then basically no as the flaps will likely die. It does look like you have enough excess hood to try, but the reduction in protection to your clitoris may result in some desensitization, and the innervation might also be damaged. The middle picture is a more likely outcome than the last picture with the defined leading border of the minora. Find a pro!
Helpful 1 person found this helpful
January 18, 2022
Answer: Labiaplasty revision It does appear that you likely had a fairly aggressive labiaplasty, and the answer to your question may depend on you. If you are a smoker and smoke around the time of a procedure, then basically no as the flaps will likely die. It does look like you have enough excess hood to try, but the reduction in protection to your clitoris may result in some desensitization, and the innervation might also be damaged. The middle picture is a more likely outcome than the last picture with the defined leading border of the minora. Find a pro!
Helpful 1 person found this helpful
