What methods can be used to reconstruct excessively shortened labia? Can they regrow a little?

Question

Hello dear DRs, I had a labiaplasty a month ago, and unfortunately my left side is much shorter than my right side, especially the lower part is cut more. I naturally had no extra skin on my clitoris. So I definitely cannot use it for reconstruction. What methods are there for reconstruction? I am aware of the sensitivity and type of labia minora tissue, and I want to know this too. Is it possible to use fillers to increase the size of labia minora? Also, Can labia regrow a little after labiaplasty? Since the labia are affected by hormones. Is it possible for them to grow (a little) again after labiaplasty? I know that pregnancy changes the labia, but is it possible for people with hormonal imbalances (like pcos) to experience this after labiaplasty?

Randal Haworth, MD, FACS · Answer

Labia reconstruction is a surgical procedure that aims to address concerns such as excessively shortened labia. Surgical options may include labiaplasty or procedures using tissue grafts. However, it's essential to consult with a qualified plastic surgeon or gynecologist to discuss your specific situation.

While some procedures can enhance appearance, the term "regrow" might not be accurate. Surgical techniques focus on reshaping and restoring rather than regrowing tissue. The success of such procedures depends on individual factors and should be thoroughly discussed with a medical professional to understand expectations and potential outcomes.

Best of luck !

J. Timothy Katzen, MD, FACS · Answer

Labiaplasty is a personal and delicate procedure, and I understand the worry that arises when the results do not meet your initial expectations.

First, it's important to note that it has only been a month since your surgery. Postoperative swelling can distort the results in the early healing period, so the final result may not be apparent until around six months after surgery.

Regarding your question on labial tissue regrowth, in general, the labia do not significantly regrow following a labiaplasty procedure. However, as you rightly pointed out, hormonal fluctuations like those during pregnancy or those associated with conditions like PCOS can lead to changes in the labia, though these are typically minimal.

For patients who experience dissatisfaction due to excessive tissue removal, there are reconstructive procedures available that can help restore the appearance of the labia. One commonly used technique involves fat grafting, where fat is harvested from another part of your body and carefully grafted onto the labia. This is a complex procedure that should be undertaken by a highly experienced reconstructive surgeon.

As for the use of fillers, this is not a commonly recommended practice due to the unique tissue type and sensitivity of the labia. The long-term safety and efficacy of such treatments have not been well studied and it's essential to discuss this thoroughly with a knowledgeable and experienced surgeon before proceeding.

I strongly recommend scheduling a consultation with your original surgeon or a reputable board-certified plastic surgeon experienced in genital reconstruction. They can thoroughly evaluate and discuss the best options for your circumstances.

I hope this provides some reassurance. Remember, your concerns are valid, and addressing them is important to your overall well-being.

Sincerely,

Dr. Katzen

Raffy Karamanoukian, MD, FACS · Answer

Labia minora reconstruction is a delicate and challenging issue. Our office specializes in these difficult cases. Local tissue reconstruction is key. Since you are only a month out of surgery, it is also important to avoid further retraction so intervention may be important and critical.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian
Realself100 Surgeon

Michelle Jones Singer, MD · Answer

An experienced cosmetic gynecologist might be able to reconstruct a the labia minora using a flap of neighboring skin if the labia is too short following an initial labiaplasty.

Using filler will only temporarily increase the size of the labia minora.

After being removed, Labia cannot regrow or regenerate.
It's crucial to give the body at least 8 to 12 weeks (or even more) to heal completely after the labiaplasty before considering any further surgeries.

And remember to consult a cosmetic gynecologist that is experienced in whatever procedure you choose.

Sue Kafali, MD · Answer

Unfortunately, once labial tissue has been surgically removed, it cannot regrow. While hormonal changes &mdash; such as those during pregnancy or with conditions like PCOS &mdash; can cause temporary fullness or swelling in the genital area, these changes affect only existing tissue and will not restore tissue that has been excised or significantly alter its size after labiaplasty.The choice of labiaplasty technique is essential for both aesthetics and function. Preserving some of the natural labial edge typically provides the most natural contour, maintains sensation, and offers protection for the vaginal opening. This is why I do not perform aggressive trimming methods, such as the “Barbie doll” technique, which removes nearly all of the visible labial border. Preserving tissue generally leads to more predictable healing, improved long-term appearance, and fewer functional issues like dryness or irritation.If a patient experiences noticeable asymmetry or feels the labia have been excessively shortened, reconstructive options can be considered. These may include local tissue rearrangement using any remaining labial tissue, or grafting from nearby mucosal areas (such as vaginal tissue) to recreate missing segments. Fat grafting or filler can add volume, but this approach is usually better suited for the labia majora rather than the thinner, more delicate labia minora.It is important to allow full healing &mdash; typically 3 to 6 months &mdash; before pursuing revision or reconstruction, as swelling will subside and scar tissue will soften, which can improve symmetry over time. I hope this information helps you understand your choices better. Thank you and best wishes!

Dana Goldberg, MD · Answer

It is possible for the labia to regain a little length over time, but usually the easier fix is removing more tissue from the opposite side to obtain better symmetry. I would not recommend filler to the minora. It will likely not give the look you are trying to achieve, although it's hard to say without photos.

Ali Dogukan Angin, MD · Answer

Hello, unfortunately there are limited techniques to create new labias. Fillers can not be used for labia minoras. Labias can grow but this growing will not be sufficient. The Only way is surgical techniques, we have special techniques and we can do it,

Ebru Unal, MD · Answer

Hello, this is a very good topic, and I am confident that this answer will help women. Regrowth after labiaplasty is not anticipated. If there is tissue around the clitoral shaft, flep can be used to extend the inner lip. If there is no tissue there, vaginal mucosa and vulva skin can be used to create an artificial inner lip. Filler may not be beneficial for interior lip reconstruction.

Burcak Tok, MD · Answer

Hi, I could have given a clearer answer if there was a picture. If there is no labia minora left, there will be no growth, but if a little bit of it is left, there will be a slight growth, or rather sagging, with age.

Zoran Potparic, MD · Answer

It is difficult to comment on your options without in person evaluation. In general, reconstruction can be done with local tissue in the form of flap; it is questionable where to take that tissue and how much can be harvested. Enlargement with fillers or fat grafts is not that reliable in the long run. In person, second opinion consultation(s) with a board certified plastic surgeon with extensive experience with labial/genital reconstruction, is recommended. Good luck.

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