Labiaplasty scarring normal? (Photo)

Question

1 year post op and unhappy with results. Clitoris seems way bigger(although said they didn't touch it). Main concern is the scarring. Is there anyway this can be shaved back without having to undergo surgery again? I don't fully trust my surgeon and have had revision on my breasts with him 3 times! He makes out like I'm a pain but I don't feel like my expectations are unreasonable please let me know if this looks normal

Gary J. Alter, MD · Answer

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​. You had a trimming labiaplasty which resulted in asymmetry, excess clitoral hood, and scalloping.  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 much 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 ten years ago. You will need various reconstructive techniques to give you a good appearance.  You can have a much better appearance by a very skilled reconstructive labiaplasty surgery.  Approximately 40% of the surgeries I perform are revisions of other surgeons' labiaplasties.

Your clitoral hood is bulky and protuberant and looks bigger after a labiaplasty. The type of hood reduction depends on the patient's anatomy and desires. I routinely remove the sides of the clitoral hood with a labia minora reduction if there is excess tissue.  If the skin overlies the head or glans of the clitoris, that can be reduced. If the patient has a very large, protuberant, wide clitoral hood like you, I invented a procedure called a clitoropexy with a clitoral hood reduction.  With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. I have performed this procedure over 300 times with outstanding results.   I have not published this technique so no one does it like me.

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, NY

Falguni Patel, MD, FACOG · Answer

Hi, the edges seem jagged. An ablative laser may be able to correct it, but does feel like a burn afterwards for about 3-7 days.  As others have mentioned, when clitoral hood is t properly reduced or minimally reduced, it will appear larger especially when too much labia minora has been removed.  A surgical revision may be the best way to reduce the hood.  I hope that helps.

Burcak Tok, MD · Answer

Hello, the wound healing on the edges of the labia has been jagged. These parts can be removed, but then there is a risk of the labia shrinking too much. If the clitoris seems larger than normal, you may benefit from filling the labia majora (this is all I can interpret from what I can see from the picture without examining it).

Courtenay Poucher, MD · Answer

Hello.The edges of your labia can be "resurfaced" or LASERed away which is still a procedure that requires healing. It appears they did not address the excess skin of your clitoral hood and sometimes once excess labial skin is removed the clitoral hood appears more prominent. If desired, a clitoral hood reduction at the same time as resurfacing of labia edges would give you a more sleek, less top heavy look. I hope this helps.Take care,~Dr. Poucher

Hazem Elshoreya, MD · Answer

It seems you had a linear labiaplasty without clitoral hood reduction. The scarring you are concerned about is irregularity of the incision line of Labiaplasty probably due to the type of suture used to close the incision. It could be better but if does not bother you much, do not go for another surgery. If you elect surgery, the labias has to be reduced a little further to get rid of all irregularities then closed again. Radiofrequency may smoothen the skin a little but I doubt it will help much.The clitoral hood will appear bigger because it was proportional to your original labia size. Your labias were reduced but not the clitoral hood so it will appear bigger on top of the smaller labias. That is why we do Clitoral hood reduction with most labiaplasties.

Labiaplasty scarring normal? (Photo)

Answers (9)

Answer: Scarring and revision options

Answer: Scarring and revision options

Answer: Labiaplasty without Clitoral Hood Reduction

Answer: Labiaplasty without Clitoral Hood Reduction

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Everything you need to know about Labiaplasty

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Labiaplasty scarring normal? (Photo)

Answers (9)

Answer: Scarring and revision options

Answer: Scarring and revision options

Answer: Labiaplasty without Clitoral Hood Reduction

Answer: Labiaplasty without Clitoral Hood Reduction

Browse related questions

Recommended reading

Everything you need to know about Labiaplasty

Our mission is to create a world where every investment in modern beauty is Worth It.