I already got a labia plasty and clitoral hood reduction and am still not satisfied. I feel like there is barely a difference even though lots of skin was taken off. Is this just my anatomy and something I will have to deal with. Do I need a revision? Please let me know I'm desperate. First picture is before the surgery and second is after.
Answer: Labiaplasty: completing the picture Thank you for your question and for sharing your photos. Although difficult to see the full results of your Labiaplasty from the photos that you’ve submitted, your concerns are apparent. Very commonly surgeons unfamiliar with vulvar anatomy, perform a Labiaplasty in the simplest form. That is give the patient what they asked for…smaller Labia. However, it is also the responsibility of the surgeon to take into account not only what is taken away but what is left behind. When the labia minora are elongated, asymmetrical or darker than the surrounding structures, they become the focal point. However, once the labia are addressed, the eye goes to a new focal point if left unbalanced. From your photos it appears that your surgeon did not address the redundant prepuce or perform a Clitoral hood reduction. By only addressing the labia, your results are nice however top-heavy. I see this frequently when labiaplasties are performed by surgeons that are not specially trained in vaginal cosmetic surgery. A prepuce and Clitoral hood reduction with pexy would likely complete the appearance that you are looking for. I recommend waiting a minimum of 3-6 months before performing the next step and research surgeons on this website for level of experience in performing Clitoral hood reductions. Best of luck, Peter Castillo, MD FACOG FPMRS Aesthetic and reconstructive vaginal surgery Los Gatos, CA
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Answer: Labiaplasty: completing the picture Thank you for your question and for sharing your photos. Although difficult to see the full results of your Labiaplasty from the photos that you’ve submitted, your concerns are apparent. Very commonly surgeons unfamiliar with vulvar anatomy, perform a Labiaplasty in the simplest form. That is give the patient what they asked for…smaller Labia. However, it is also the responsibility of the surgeon to take into account not only what is taken away but what is left behind. When the labia minora are elongated, asymmetrical or darker than the surrounding structures, they become the focal point. However, once the labia are addressed, the eye goes to a new focal point if left unbalanced. From your photos it appears that your surgeon did not address the redundant prepuce or perform a Clitoral hood reduction. By only addressing the labia, your results are nice however top-heavy. I see this frequently when labiaplasties are performed by surgeons that are not specially trained in vaginal cosmetic surgery. A prepuce and Clitoral hood reduction with pexy would likely complete the appearance that you are looking for. I recommend waiting a minimum of 3-6 months before performing the next step and research surgeons on this website for level of experience in performing Clitoral hood reductions. Best of luck, Peter Castillo, MD FACOG FPMRS Aesthetic and reconstructive vaginal surgery Los Gatos, CA
Helpful 1 person found this helpful
Answer: Do I need a revision Hello there. If these are before and after pictures, it seems like you would be a good candidate for a revision with additional skin removal and retraction. Since you have already had one surgical labiaplasty, I would recommend an an aviva scarless labiaplasty in the office to decrease the chances of developing scarring or distortion after having two surgical procedures. The aviva scarless labiaplasty uses directly inserted radiofrequency energy to further cause skin retraction, muscle contraction, thus shrinking the labia further. This can also be done to the clitoral hood and mons pubis,
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Answer: Do I need a revision Hello there. If these are before and after pictures, it seems like you would be a good candidate for a revision with additional skin removal and retraction. Since you have already had one surgical labiaplasty, I would recommend an an aviva scarless labiaplasty in the office to decrease the chances of developing scarring or distortion after having two surgical procedures. The aviva scarless labiaplasty uses directly inserted radiofrequency energy to further cause skin retraction, muscle contraction, thus shrinking the labia further. This can also be done to the clitoral hood and mons pubis,
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February 2, 2022
Answer: Revision labiaplasty Thank you for the question. Although an in-person examination is necessary, it appears that you would benefit from revision in order to further reduce the labia minora. I hope this helps. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.
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February 2, 2022
Answer: Revision labiaplasty Thank you for the question. Although an in-person examination is necessary, it appears that you would benefit from revision in order to further reduce the labia minora. I hope this helps. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.
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October 28, 2021
Answer: Labiaplasty You seem like an excellent candidate for labia minora reduction. Please be sure to seek a board certified plastic surgeon who specializes in this procedure and is well known and respected for it.
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October 28, 2021
Answer: Labiaplasty You seem like an excellent candidate for labia minora reduction. Please be sure to seek a board certified plastic surgeon who specializes in this procedure and is well known and respected for it.
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September 20, 2021
Answer: What surgery should I get Thank you for your question Your photos show inadequate reduction of both prepuce, hood and and lower pair of labia. You are correct in your evaluation. You need to do your homework and find a surgeon who knows the anatomy and can do it right.
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September 20, 2021
Answer: What surgery should I get Thank you for your question Your photos show inadequate reduction of both prepuce, hood and and lower pair of labia. You are correct in your evaluation. You need to do your homework and find a surgeon who knows the anatomy and can do it right.
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September 9, 2021
Answer: Revision labiaplasty and clitoral hood reduction 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. The reconstruction technique depends on the deformity. 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 ten 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. Your labia minora and clitoral hood are still enlarged. A labiaplasty with a clitoral hood reduction can reduce your size. However, it must be performed by a surgeon with experience. Your primary problem is your enlarged clitoral hood, which is still thick, wide, and protuberant. It can be decreased somewhat by reducing the sides. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be drastically decreased. I have done it over 350 times with excellent results. I have not published this technique, so no one does it like me. This is the most powerful procedure to reduce your hood available. No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery. About 40% of my labia cases are reconstructions of other surgeons' labiaplasties. Gary J. Alter, M.D. Beverly Hills, CA - Manhattan, NY
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September 9, 2021
Answer: Revision labiaplasty and clitoral hood reduction 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. The reconstruction technique depends on the deformity. 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 ten 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. Your labia minora and clitoral hood are still enlarged. A labiaplasty with a clitoral hood reduction can reduce your size. However, it must be performed by a surgeon with experience. Your primary problem is your enlarged clitoral hood, which is still thick, wide, and protuberant. It can be decreased somewhat by reducing the sides. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be drastically decreased. I have done it over 350 times with excellent results. I have not published this technique, so no one does it like me. This is the most powerful procedure to reduce your hood available. No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery. About 40% of my labia cases are reconstructions of other surgeons' labiaplasties. Gary J. Alter, M.D. Beverly Hills, CA - Manhattan, NY
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