Botched labiaplasty, can it be revised? (photos)

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 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 two years ago. You may need various reconstructive techniques to give you a good appearance. I can excise most of your scalloped edges and irregularities with one or multiple wedge excisions and make you look very good.  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

I am sorry to hear about your experience. You could absolutely undergo a revision with the remaining excess labia. Your exam is essentially very similar to a patient who has not yet undergone labiaplasty, in that there is a significant amount of excess labia present. There may be some challenge to evening out some areas of the tissue. If you view our before and after pictures and labiaplasty procedure, you will see you would benefit from labiaplasty with clitoral hood and posterior fourchette reduction. We have patients who travel from out of state for surgery and have their initial consult remotely. Best of luck. 

Hi Dear, Thanks for your  question it will be an attempt to correct the scar cut all those remnants of the lips and repair them again and give increased labia majora.

You have at least two issues here as far as I can see: suture effect and skin texture.  I have treated women with both of these specific gynecologic issues for years.  The skin texture promotes a vicious cycle of overgrowth and abnormal texture.  It not only can be corrected surgically, but ongoing maintenance for the long term is needed help to prevent future occurrence, which will happen with that type of skin tissue.  There are also ways of avoiding suture to prevent the scalloping.  Gynecologists may have slightly varying ways to deal with these issues, so bring up these issues and any others with your gynecologist you choose.

Based on the photographs you presented, you would be a solid candidate for a revision type procedure, which would remove the scalloped edges and give a more smooth appearance.

Make sure you do your homework and find an experienced surgeon the you feel comfortable with and be very clear on what your final desired look.

Best of luck!

Thank you for your additional images and narrative from your previously posted question.  It does appear that you have enough remaining tissue to improve the appearance of each labia by removing the scalloped edges to restore a more natural appearance.  Be sure to see a labiaplasty surgeon for an in-depth discussion of your goal results and anticipated improvement opportunity. 

Yes it can be revised---- but your next surgery is your best hope. Do not choose an inexperienced revision surgeon. Fortunately you have enough labia minora that most of this can be taken care of. It has been my experience if we take away the scalloped appearance this will take away the emphasis on the most dramatic area---- you may or may not be able to take away the small holes depending upon how much labia you have left in relation to your clitoral hood area.  My previous answer to the same question 3 days ago --- follows:I am sorry to hear of your post operative results but hope is not lost. This is one of the most common questions I see on the RealSelf website i.e. patients upset with the results of their labiaplasty. I agree that your results are less then desirable and you should express your displeasure with the surgeon who performed you procedure but i would caution you to allow this surgeon to go back and do ANY  REVISION.   Fortunately you appear to have some labia minora unfortunately it is extremely scalloped.  This results is not the results of a linear resection surgery per se but instead because you surgeon has no idea on how to suture correctly.   Many surgeons will tell you that you need to wait 6 months for revision and  I disagree with these surgeons.  I have been performing labia revisions on botched surgery at 3-4 months post operative for more than 15 years. Do not limit yourself to a surgeon in NC as this next surgery is going to be the best chance of restoring you to as close normal as you can get.

Choosing a cosmetic vaginal surgeon or any surgeon should be one of the most important decisions of your life. Failure to choose a surgeon with experience, expertise and one who achieves excellent results is not an easy find especially a surgeon who has experience with botched labiaplasties. There are a lot of surgeons who think they are experts in the field but they don’t work on vaginas daily. Some surgeon have practices that allow them to operate and perform: breast augmentations, tummy tuck, butt lifts, hair transplant and then there are surgeons who dedicate their whole practice to vaginal reconstruction and cosmetic vaginal surgery. It is obvious which surgeon has more experience, expertise and better insight as to the a patients desires of their gynecologic area. Please don’t just choose a surgeon because they claims to be specialist in plastic surgery --- choose a surgeon who can prove to you they are specialists in your gynecologic area of concern. In your situation you need a surgeon who has experience in botched labia surgeries.  Please see the "botched" i.e. revision surgery section of my website.

Choose a surgeon who has great before and after pictures especially in the realm of botched labiaplasties.



John R Miklos MD

Atlanta ~ Beverly Hills ~ Dubai

Looks like someone amputated and baseball stitched you back closed. The revision is probably the same cost as a labiaplasty. The rates for my procedures are all published online. I would do this as a discount to you given your experience. Please call my office we can help you. time to move on from this.

You can get rid of this appearance with revision labiaplasty surgery.
It's a very difficult operation, but we can fix it.

but improvements can be achieved.  See a local experienced surgeon with good judgment to see what options you have as it will depend on what your goals are.  The simpler fix is to 'trim' off the ragged, jagged edges you have but it will make your labia shorter/smaller.   I'm partial to plastic surgeons over gyns like yours.