Will I have to continue the use of Cortisone injections to ease pain after labiaplasty? Is PRP a better option?

Nı you dont use always cortisone injections .Yes prp is very goog option for painful scar tissues , it needs three times per a month .

Hello "Orangerabbit,"
Corticosteroids will not help significantly for pain and scarring after poorly-performed labiaplasty secondary usually to either excessive tissue removal (aka "amputation"), too-tight suture placement, or placement of very slowly-dissolving sutures that cause "grooving" during their long presence in the skin. My practice specializes in medical and surgical treatment for post-labiaplasty problems. The pain you are experienced is called "neuropathic pain," either from irritation of nerve roots or from a "neuroma," which is an organized bundle of nerve fibers formed after surgery. Treatment is either with "neuroleptic medications" (such as gabapentin or pregabalin) either systemically or locally-applied (my preference) massaged into the affected area. Diagnosis of "neuroma" is difficult; if neuroleptic medication fails, and the pain appears to be specifically localized, neuroma may be possible/probable; therapy is surgical removal. Personally, I am developing a new therapeutic approach utilizing platelet-rich plasma (PRP), which has theoretical application in this area. Answering your question, I would recommend the use of PRP by an experienced practitioner, injecting concentrated PRP directly into the affected area(s) after pre-injection of local anesthesia. I see no problem in the usage of corticosteroids, which may help "soften" the scar; if this is the cause of your pain, corticosteroids may also help.

Best wishes, Michael P Goodman, MD, FACOG, IF, AAACS
Davis, CA, USA