Labiaplasty- do I definitely need a revision, if so what is the absolute soonest I can have it done?

I had a v wedge labiaplasty done 2 and a half weeks ago. The left side is fine I think but the right side is really swollen and has totally opened up and stitches are visible where right labia should be attached! I think I will need a revision but I don't want to wait too long......and with a revision I can't see any skin that the surgeon will re-attach the right labia minora to??? I don't understand what has gone wrong as I followed all post op instructions!! Please help!!

Doctor Answers 5

Labiaplasty revision

I reviewed your photos. It appears that much of your labia minora were removed, especially on your right. However, no attempt to revise your labia should be done until you are at least five months after your past procedure as your appearance will improve, and the swelling will be less. 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 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. I probably would recommend a right clitoral hood flap to reconstruct your right labium and am unsure about your left side. You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Beverly Hills Plastic Surgeon
4.7 out of 5 stars 21 reviews

Wait 6 months to a year

It’s very important that you wait for at least 6 months to 1 year for revision to allow for scar remodelling. Right now, the swelling is hiding your results and it’s very difficult to make an assessment of how you actually look. Your surgeon will be able to let you know what can be done to improve your results once the area is in better condition.

Leila Kasrai, MD, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 66 reviews

Labiaplasty- do I definitely need a revision, if so what is the absolute soonest I can have it done?

A wound separation should be assessed by your surgeon. Sometimes a wound separation may heal uneventfully, and sometimes a revision may be required.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Revisions after labiaplasty

are best done many months down the road.  You want your inflammation is gone and the tissues no longer swollen.  5 months is certainly reasonable but longer is always better.  And I agree with Dr. Alter's opinion that it looks like you had a significant amount of tissue removed from one side or your wound separated completely resulting in that appearance.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Acute labiaplasty revision

Although revisions are possible, at 2 1/2 weeks out from your labiaplasty, you are in a relatively tenuous zone for this.  Best to be very patient and wait for continued recovery and follow your operating surgeons recommendations.  Glad to help.

Ryan Stanton, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 116 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.