I need advice with a revision labiaplasty. Should I just have the scar completely removed or treated? (Photos)
Doctor Answers 15
Proper technique for revision of a separated V-wedge labiaplasty
Thank you for your sensible request and excellent quality photos that enable me to evaluate and suggest a solution. I have performed > 600 labiaplasties by both modified V-wedges and modifications of linear resection, and many revisions as well. You have had a V-wedge, with post-operative separations, producing both scarring and anatomy that is displeasing to you. You are ~ 1 year post-op, a perfect time for revision.
While of course I cannot design a revision surgery until I actually see you and have your labia in my fingers, I would recommend a curvilinear revision to both even out the "flow, diminish the overall size, and change the edge areas that are sensitive for you. While I cannot give you an exact price, an approximate price at my facility in northern CA (a $300 round trip plane fare from L.A.; additionally, our office will pay for up to 2 nights at a local hotel for you to recover prior to returning to L.A.) would be $5000-5500 ("out-the-door" including all fees, local anesthesia, and facility). This is probably much less than other experienced surgeons in the L.A. area, but certainly Gary Alter, MD, Red Alinsod, MD and Ryan Stanton MD are acceptable surgeons in your area, but their "out-the-door" fees may be greater secondary to increased costs in the L.A. area. The attached weblink, and other areas on my website may be of use to you in your final decision...
Michael P Goodman, MD
Davis, CA, USA
is always more challenging, especially if excessive tissue was removed or 'lost' as you report. Its hard to appreciate problems from your photo unless your minora is completely gone on the left side. if your surgeon cannot provide you adequate answers where your confidence is maintained, get second opinions and communicate your goals to whomever you choose to see. An exam is required so choose your surgeons wisely.
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Labiaplasty - revision or steroids?
- I am so sorry you have had a poor experience.
- Please get at least two different opinions and be sure you have a well-qualified plastic surgeon or other specialist trained in treatment of this area (gynecology, urology).
- A steroid injection will not correct the problem or your appearance.
- You will need a surgical revision.
Hello. From your photos it appears you could benefit from a revision surgery. The best way to evaluate alternative however would be for you to have a consultation in person with an expert. Best wishes ~Dr Poucher
thank you for sharing the questions and photos. Steroid injections can be utilized but they have never been proven to decrease tension in the area. I recommend you get more than one consultation for your situation. Choose a surgeon who has experience, expertise, reputation and results. Choose a surgeon who specializes in revision surgeries and this will mean they have many before and after revisions surgery photos. This next surgery is very important as you may only have one chance at a revision surgery. Very best of luck with your decision.
John R Miklos MD
Urogynecologist & Cosmetic Vaginal Surgeon
Atlanta ~ Beverly Hills ~Dubai
Labiaplasty: Revision After Previous Surgery
You need surgical revision of your botched labiaplasty
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