Does this look like a botched labiaplasty?

I'll weigh in and echo everything that my colleagues, Drs Marosan and Pelosi have said.  If you are a "frequent follower" on RealSelf, you have seen over and over and over again the aesthetic surgeons here, who have together performed thousands of labial reduction labiaplasties warn about "..The Botchers," those ill-trained docs who will say"...Oh, yeah, I can do that," and offer a cut-rate price or "...do it under insurance." Yes, sometimes it goes OK, but a huge portion of the time results are disasterous, as these docs have no idea of "plastic technique," how to truly "shape" and get things right, and-especially- how to deal with the clitoral hood and "unusual anatomy," which often is the rule in women with "robust" labia. They use heavy caliber sutures, "cut it all off", and then, to add insult to injury, "whip-stitch" the inner amputated area to the outside, almost assuring that the patient will have sexual pain for years.Many of the docs on this site have the disquieting task of consulting with attorneys in instances of "botched labiaplasties," such as yours. Invariably, the tune is the same: untrained Ob/Gyn's who think "...hey! It's the labia. I'm a gynecologist & I know this area. How hard can it be..?" They offer cutrate prices, or acccept insurance, calling it an "indicated" rather than cosmetic procedure, as they are NOT TRAINED in cosmetic labiaplasty. KNOW WHAT? They are not truly credentialled by their hospital for cosmetic labiaplasty, only "Partial Vulvectomy," which is AMPUTATING the labia usually for [pre]-cancer, and that is what they do: AMPUTATE. This is such a shame, as-truly- the only time you have to truly "get it right" is the first time. Both the doc AND the hospital or surgical center who let them do this are MEDICALLY LIABLE. Your surgery, especially in the area of the country where you live that has many fine labial surgeons is well below the legally defined "Standard of Care." In my humble opinion, it is not until these docs and the hospitals that let them do this to patients are sued again and again that maybe women such as yourself will be protected!There is hope. Since your doc had no idea how to deal with your robust hood, she/he left it long, and this hood tissue may be used later to reconstruch decent looking labia via a "flap" technique. BUT, as other docs have said here, wait at least 6 months for reconstruction, and see a real EXPERT for the reconstruction. The sad thing is, if you had seen a good, savvy, experienced surgeon in the first place, your labiaplasty, if done by an expert in your area of Southern California would have cost you maybe $5000-6000 Now, a "salvation re-do" will probably cost you > $10,000 for OK results, but nowhere as good as you could have gotten the first time around.Sorry to be so blunt, but hopefully this will be read by other women and keep THEM from being botched by unknowing and inexperienced hands. Ask to see at least 25 "before and after pics of the surgeon's work. Choose training + experience. In plastic surgery, like most other things, you get what you pay for!The weblink below may be additionally helpful for you.Best wishes,Michael P Goodman,MD,FACOG, AAACSDavis, CA, USA

Hello,Thank you for your question and photo. Unfortunately you will need to wait 4-6 months to ensure you have healed completely before evaluating how much labia tissue is left. Reconstruction could be possible but is difficult when there is little tissue to work with. When swelling has completely gone, if you are not happy,  I recommend that you see a board certified Plastic Surgeon who specialises in Labiaplasty reconstruction.All the best

#RevisionlabiaplastysurgeryRevison surgery for #labiaplasty may be requested make the labia more
even.; correct over reduction;  ismprove the appearance of color,
texture, and scars after previous treatment. Revisions are generally possible
but, as with other surgeries, revision becomes more difficult than the initial
first operation These should be performed by a surgeon experience with #CosmeticFemaleGenitalSurgery. You should wait
at least 6 months for the initial surgery to resolve. Tissues need to heal and soften before they
are re-operated upon.