Hey! I had labiaplasty 8 years ago. And since then I have suffered with burning and sharp pain along my labias and itchy scarring. All surgeons say that I look completely normal and surgery was done well. Is there any hope for me? How to treat this situation? I am hopeless! I was young and naive when I went to this surgery and now I am paying huge price from that...
January 28, 2022
Answer: Options to treat nerve pain after labiaplasty Adalheida what you are describing is chronic neuropathic pain also called “neurogenic pain”. To control and eliminate this pain can be very elusive. Neuropathic pain is directly related to hyperexcitable nociceptive neurons (nerves) due to trauma like that seen with labiaplasty. Neuropathic pain is caused by either 1) overly aggressive reduction of labia resulting in amputation 2) Inappropriate usage of type and caliber of suture for labiaplasty which can lead to "grooving" . Grooving can cause pain if the grooving is close to nerves leading to the nerve(s) being kinked, creating tender areas in around the labia. Lastly, changes in sensitivity can occur with injury to a branch of clitoral nerve. Neuropathic pain "ENDS" when the wound site is completely healed. We are not just talking about superficial healing (how things look) rather, a healing process than cannot be seen with the naked eye and occurs on a cellular lever. Healing is considered COMPLETE when axon regeneration occurs along with re-innervation (re-growth of nerves) of the target tissue and complete elimination of the inflammatory process. Often times, patients are prescribed neuroleptics such as Gabapentin and Pregabalin but are unable to tolerate the excessive sedation associated with these medications. However, you may have some success by compounding Gabapentin+Lidocaine+ Estradiol, and massaging this compound to tender areas resulting in significant improvement in sensitivity and pain syndromes. A second option is surgical resection/ revision of affected areas. A new non-surgical adjunct for the treatment of neuropathic pain is the use of platelet rich plasma (PRP). PRP is harvested from one’s own blood that can be activated and injected to tender areas of your labia. This activated PRP causes a cascade of healing events, stimulating your body to form new blood vessels, decrease inflammation and releases growth factors resulting in axon regeneration and re-innervation of the target tissue (re-growth of nerves) ultimately eliminating ongoing pain. This Neuropathic pain can begin to improve 3 weeks after the application of PRP. Reference article: Platelet-Rich Plasma and the Elimination of Neuropathaic pain by Damien P Kuffler Best of Luck! Dr Michael Reed aka @thecosmeticgyn
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January 28, 2022
Answer: Options to treat nerve pain after labiaplasty Adalheida what you are describing is chronic neuropathic pain also called “neurogenic pain”. To control and eliminate this pain can be very elusive. Neuropathic pain is directly related to hyperexcitable nociceptive neurons (nerves) due to trauma like that seen with labiaplasty. Neuropathic pain is caused by either 1) overly aggressive reduction of labia resulting in amputation 2) Inappropriate usage of type and caliber of suture for labiaplasty which can lead to "grooving" . Grooving can cause pain if the grooving is close to nerves leading to the nerve(s) being kinked, creating tender areas in around the labia. Lastly, changes in sensitivity can occur with injury to a branch of clitoral nerve. Neuropathic pain "ENDS" when the wound site is completely healed. We are not just talking about superficial healing (how things look) rather, a healing process than cannot be seen with the naked eye and occurs on a cellular lever. Healing is considered COMPLETE when axon regeneration occurs along with re-innervation (re-growth of nerves) of the target tissue and complete elimination of the inflammatory process. Often times, patients are prescribed neuroleptics such as Gabapentin and Pregabalin but are unable to tolerate the excessive sedation associated with these medications. However, you may have some success by compounding Gabapentin+Lidocaine+ Estradiol, and massaging this compound to tender areas resulting in significant improvement in sensitivity and pain syndromes. A second option is surgical resection/ revision of affected areas. A new non-surgical adjunct for the treatment of neuropathic pain is the use of platelet rich plasma (PRP). PRP is harvested from one’s own blood that can be activated and injected to tender areas of your labia. This activated PRP causes a cascade of healing events, stimulating your body to form new blood vessels, decrease inflammation and releases growth factors resulting in axon regeneration and re-innervation of the target tissue (re-growth of nerves) ultimately eliminating ongoing pain. This Neuropathic pain can begin to improve 3 weeks after the application of PRP. Reference article: Platelet-Rich Plasma and the Elimination of Neuropathaic pain by Damien P Kuffler Best of Luck! Dr Michael Reed aka @thecosmeticgyn
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Answer: Nerve damage after a Labiaplasty Adalheida, I certainly understand the discomfort you are having after a Labiaplasty that appears normal but the nerve damage cannot be seen. I have had success treating women with a cream that contains Estradiol ( estrogen), Lidocaine (a numbing agent) and Pregabalin ( a neuroleptic). This cream is rubbed into the area of discomfort. This cream has the potential to provide significant relief.
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Answer: Nerve damage after a Labiaplasty Adalheida, I certainly understand the discomfort you are having after a Labiaplasty that appears normal but the nerve damage cannot be seen. I have had success treating women with a cream that contains Estradiol ( estrogen), Lidocaine (a numbing agent) and Pregabalin ( a neuroleptic). This cream is rubbed into the area of discomfort. This cream has the potential to provide significant relief.
Helpful
February 14, 2022
Answer: Post surgical longterm complication Hellothe device used for the bleeding control is very important during labiaplasty. If a regular cautery is used it may damage the surrounding area and causes scarring. I would advise you prp or adipose mesenchymal tissue transfer to the effected area. that will help the scar tissue get better. hope that answer will help. best
Helpful
February 14, 2022
Answer: Post surgical longterm complication Hellothe device used for the bleeding control is very important during labiaplasty. If a regular cautery is used it may damage the surrounding area and causes scarring. I would advise you prp or adipose mesenchymal tissue transfer to the effected area. that will help the scar tissue get better. hope that answer will help. best
Helpful
January 28, 2022
Answer: Post labiaplasty pain 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 probably had a trimming labiaplasty which can cause discomfort along the scar line. If the scar is excised and replaced with normal tissue, the pain is often eliminated or markedly improved. The reconstruction is much 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. I need to see photos and need to know which specific areas are painful. You may need various reconstructive techniques to give pain relief and a normal appearance. Approximately 40% of the surgeries I perform are revisions of other surgeons' labiaplasties. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.
Helpful
January 28, 2022
Answer: Post labiaplasty pain 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 probably had a trimming labiaplasty which can cause discomfort along the scar line. If the scar is excised and replaced with normal tissue, the pain is often eliminated or markedly improved. The reconstruction is much 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. I need to see photos and need to know which specific areas are painful. You may need various reconstructive techniques to give pain relief and a normal appearance. Approximately 40% of the surgeries I perform are revisions of other surgeons' labiaplasties. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.
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Answer: Revision labiaplasty hi, if you can post a photo it might help you better. I cannot comment without seeing the photo.
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Answer: Revision labiaplasty hi, if you can post a photo it might help you better. I cannot comment without seeing the photo.
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