What should I ask for to look normal? (Photo)

When a labiaplasty is closed with large sutures that are sewn in a baseball type fashion, the labia can have notches and grooves and piercings through it along the closure. You needn’t ask for a specific technique, just a very specific surgeon. The best way to find this type of surgeon is to look at all of there photos: there should be hundreds. And their videos: similarly hundreds of cases and results that you like, that look nice to you. And their reviews. Hundreds.
There are a wide range of normal appearing labia that don’t need a labiaplasty. When the labia minora have been cut and sewn improperly and indelicately, then a revision is needed to smooth out the edges. Sutures should be placed as small and delicately as possible and your results can still be a very fine thin labia after removal of all scar tissue. Everyone deserves to have the body that is the best version of themselves.

I am sorry that you are having to go through this. From the images, unfortunately, it looks like the outcome of your surgery was not optimal. It appears that a bottom-to-top Barbie doll trimming technique was used, resulting in an abrupt, unnatural cut. The incorrect sutures used were not removed promptly, which created a finger-like appearance with visible holes. The recommended approach would be a labiaplasty revision procedure to reshape and improve the current appearance. The goal would be to remove the finger-like appearance, even out the area, and eliminate any excess tissue, especially around the cleft, for a more satisfactory outcome. We offer virtual consultations at my practice however if you are looking for someone local to your area, I highly advise consulting with a board certified cosmetic gynecologist that specializes in vaginal rejuvenation procedures specifically. Best of luck to you!

Hello,
Thank you for sharing your story. I understand this is a sensitive and challenging situation for you. As a genital aesthetic surgeon, I've encountered similar cases, and I want to assure you that there are effective solutions available.
Firstly, I'm sorry to hear about your past experiences. It's important to approach your case with care and precision, especially given the history of trauma and subsequent surgeries.
Labiaplasty and clitoral hood reduction are procedures designed to address issues like asymmetry, discomfort, and the presence of scar tissue. In your case, it sounds like a reconstructive approach may be necessary to not only enhance aesthetic appearance but also to reduce discomfort and improve functionality.
Our goal would be to carefully remove the excess scar tissue and reshape the area to achieve a more natural and symmetrical appearance, while also taking care to minimize future scarring and discomfort.
I recommend creating a personalized treatment plan.
You've taken a brave step by considering this procedure.
Warm regards,
Dr. Mehmet Bekir SENGenital Aesthetic Surgeon"

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 have a severe deformity. 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, and about 40% of my female genital surgeries are reconstructions of botched labiaplasties. You will need various reconstructive techniques to give you a good appearance. I need better photos which include your entire clitoral hood and the bottom of your vagina in order to determine the best way to reconstruct you. If you have enough clitoral hood, I probably would recommend clitoral hood flaps to reconstruct your labia. You only get one good chance to reconstruct you, so ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

Hello Amber Smiles.
I am so sorry for your child hood experiences and for your subsequent surgical management. After reviewing your photos I can tell you surgical procedures to improve the overall appearance and function of your labia can help. Given the amount of scar tissue and holes and displacement of tissue it should be a 2-3 step process involving removal of tissue, adjusting placement of tissue and laser resurfacing. Please be certain to seek out at least 3 in person consultations with highly qualified labiaplasty revision surgeons prior to making a decision on who to go with. Best wishes to you. Dr. Poucher

Hello Amber,
I'm very sorry about your prior history and situation. You would benefit greatly from expert cosmetic surgery of your vulva. You should expect to travel to seek out the best surgeon for your procedure.
Go to the link below to see hundreds of before and after photos representing my experience in complex labiaplasty and clitoral hood reduction. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

I can appreciate your distress over the horrific results of your previous labial reduction. Unfortunately, I have seen this result several times. Each time the initial procedure was performed by a general Ob-Gyn who simply was not trained properly to do the job right, resulting in the appearance you have experienced. Additionally, I have seen this outcome in women who smoke, resulting in the fistulas (the "tunnels & openings...) This is what happens with wrong sutures... wrong technique. Needless to say, for your revision you will need to see a cosmetic gynecologist or savvy plastic surgeon who has previously dealt with your type of deformity. Your repair will involve a combination of careful excision, and "airbrushing" (aka "Feathering" by its inventor, Dr. Red Alinsod). Yes, your genital appearance can be altered and "smoothed out" but only by a true expert in this kind of work. Unfortunately, "insurance" will not cover this type of aesthetic work; the only surgeons who will "accept" insurance for your work will leave you worse off. Whom to consult with? I'd steer you to Drs. Marco Pelosi in New Jersey, Rob Moore or John Miklos in Atlanta, Red Alinsod in Dallas, maybe John Hunter in NYC, or Mike Reed or myself in Northern CA You might also check out Dr. Stefan Gress in Munich, Germany, who is a genius and whose lower charges might pay for the trip to Germany. You will need ~ $8-$10,000 for your work to done properly (may sound crass, but important to be realistic in regards to an acceptable outcome. Very best wishes for a reasonable and acceptable outcome! (RealSelf's Web Reference below may help as well...)

Michael P Goodman, MD, FACOG, IF, AAACS. The Labiaplasty and Vaginoplasty Training Institute of America, Sacramento, CA, USA