Can anything be done to reconstruct the clitorial hood or anything to fill this hole? (Photo)

I had labiaplasty with clitorial hood reduction and labia majora augmentation now about 4 weeks ago and feel very unhappy. As the swelling subsided it now can be seen that there was definitely removed to much tissue from the clitorial hood above the clitorial glans so there is kind of "Whole" in the upper region. Additionally I really don't like the bumps right and left of the "wings" of clitorial glans it looks so unnatural although my surgeon told me there was no stitching here.

Doctor Answers 4

Lacking clitoral coverage

As the others have suggested, wait for complete healing but make sure your surgeon is aware of your concerns as some surgeons tend to believe they can do no wrong so when you bring it up later, its not a surprise.  Revisions can always be done, depending on what tissue remains and what you are try to accomplish.  If you had no suturing at the top, it makes me wonder just what was really done.  Only a face to face exam will allow your surgeon (or second opinion) to best determine what can be done.

Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Labiaplasty/hoodectomy appearance 4 weeks post-op

Although much of the swelling has subsided, not all has yet.  I encourage you to remain patient until you and your surgeon can evaluate the final result in another 4-6 months.  At this time, if these issues still exist, ask your operating surgeon for advice and/or seek a second opinion for re-assurance.  Only a direct physical exam at that time will be adequate to provide any reasonable recommendation.  Glad to help.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 118 reviews

Clitoral hood reconstruction

I reviewed your photos. It appears you had a trimming labiaplasty with removal of the prepuce or lower portion of your clitoral hood with injury to the the frenula (folds leading from the clitoris). However, no attempt to revise these areas should be done until you are at least five months after your past procedure as the bumps will improve as the swelling resolves. The lower clitoral hood can be improved.  You need to control your anxiety and wait. The reconstruction is more difficult than a primary labiaplasty and should be done by a plastic surgeon with extensive experience in labia and clitoral hood 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, but this won't be known until all the swelling is gone. You only get one good chance for a reconstruction, so be patient and ask a lot of questions.

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
4.7 out of 5 stars 21 reviews

Post surgery question

Your options are limited at this point in time. More surgery may not help. I think you should be careful and let things heal at least 6 months.

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.