Would I be a good candidate for a Labiaplasty? (Photo)

I believe this can be repaired, of course an exam to assess the surrounding labia tissue would have to be done to confirm this. However, you are not alone. I have seen this several times and the repair does not involve amputation. I think that is a bad idea. I also would never do this repair without numbing as it is better to have you comfortable and relaxed as the repair takes some time to perform correctly. I recommend you see a board certified doctor that specializes in vaginal aesthetic or reconstructive surgery. Don't wait any longer, there are good options available for this.

Thank you for your question.It is difficult to see with your photo but typically with these tears it would be best served by doing a repair of the tear. By trimming the torn section and the base it was torn from to the point that they bleed, They can then be reattached giving a normal appearance.You need to find a surgeon who is well experienced in labia repair. Do your homework

Thank you for your inquiry! We would love to meet with you in person for a consultation to make sure you're a great candidate for this procedure. I recommend scheduling with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

It is hard to see in your picture what exactly you may need, but it is certainly possible to either repair the tear (with local anesthesia!) or perform a completion labiaplasty. Please visit my web site for more details as well as information on how to set up a virtual consultation.

Regards,
Daniel A. Medalie, MD

Hello,

Thank you for the question and the photos.

I'm sorry to hear about your experience and poor wound healing.

You appear to be a good candidate for a Labiaplasty procedure to help repair the split/torn inner labia on the right side. The two sides of inner labia may never look the same because it's been a few years since childbirth and injury, but typically we can attempt repairing split/torn inner labia if there is sufficient tissues left.

I would recommend an in-person consultation with a Board-Certified Plastic Surgeons who specializes in Labiaplasty procedures to discuss further your questions and concerns, and for the best cosmetic results.

I hope this helps.

Best regards,

Dr. Irena Karanetz
Fellowship trained
Board Certified New York Plastic Surgeon

Your photos are very helpful. This labial tear can, and should, be repaired when you feel ready to do so. Dr. B.

HI aeowens1,

I am sorry for your tear in the area and also sorry that someone tried to repair it without numbing the site before attempting surgery.
It is a difficult area to repair due to the daily irritation of the area with urination , wearing pants , exercising, etc. With that said , however, it does have a chance to be repaired successfully.
I would suggest that you visit with a plastic surgeon or urogynecologist in your area who does a lot of these procedures for an in person exam and a frank discussion of the risks and potential complications.
In no circumstances, should this procedure be done without some sort of anesthesia.

Good Luck, dear.

Best,
Dr. Christine Rodgers

I recommend you consult a Plastic Surgeon , board certified by the American Board of Plastic Surgery who perform labiaplasty, which is typically done to reduce its size. Your situation is a little different. The two sides of the labia that were torn need to be anesthetized and the edges trimmed so that the two sides can be brought together with sutures. Any PS that does labiaplasty surgery will know what to offer you. I hope this helped

While it is rather uncommon to have a tear of the labia minora during childbirth—most tears occur in the perineum of course—when the labia does tear tends to tear at the very fragile attachment between the clitoral body and the labia minora. The wishbone like structure that attaches the clitoris to the labia minora is the clitoral frenulum, and this thin band can tear during partition, or during the child birth as the baby passes through the birth canal. There are two ways to go about repairing this and the immediate repairs generally don’t heal great because the tissue is fragile and inflamed so it’s not surprising that a separation occurred after the doctors attempted to repair the first time during childbirth. As you say, the one option is simply to reduce the size of the remaining labia fragments above and below the tear. Another option would be to re-repair the wedge by freshening the edges and re-closing it. Because the tissues are so fragile it’s possible that this doesn’t heal fully and that you have a residual separation during the healing process. For this reason, I rarely, if ever, am performing any wedge labiaplasty anymore. They simply are much more prone to separation. so you are left with a little bit of a challenge: you could certainly try again to have the wedge re-cut, and re-repaired knowing that it possibly could separate, even if only on the edge, or you could have the labia reduced around the areas of the tear to make that side smaller and perhaps even the other side reduced as well so it’s not the easiest decision. if you look through my photo galleries, you’ll definitely see at least three patients who have had frenulum tears that have been repaired Mostly by reducing the labia with an edge type reduction, but one with a wedge re-closure, and you can have some framework for understanding the next steps. It’s always a good idea to have a consultation with a doctor specializes who in labiaplasty so the more reviews you see the more photos and videos you see on specifically labiaplasty, the better suited that doctor will be to have a frank discussion about your outcomes. Thanks for your trust and would be honored to speak with you.

I have repaired many labial tears just like yours. I use a variation of the central wedge technique to freshen up the edges of the tear and close the gap. I invented the central wedge in 1995 and published it in many plastic surgery textbooks. It is also known as the "V" or wedge technique. To repair your tear, I sometimes will reduce the labium if you wish. Also, it you want, I can reduce the opposite side to achieve symmetry. The advantages of this repair is that the suture lines are almost invisible and the normal labial edges are preserved. I have examples of other repaired labial tears on one of my websites below. I can also show you other photos of labial tear reconstructions. A trim reduction of your labium is not a satisfactory method .as it will leave you asymmetrical with possible over reduction of your labium. An inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.

Gary Alter
Beverly Hills, CA - Manhattan, NY-