Scalloping and unevenness after labiaplasty. Which procedure can fix this? (Photo)

Hello. I can see the bumpy edges and asymmetry that is bothering you. A proper revision would include skin resurfacing with RF, further reduction of the hood on the larger side and resection of the extra perineal skin. Please note revisions should only be handled by surgeons well experienced in revising aesthetic vaginal procedures. With that in mind, I recommend you to be willing to travel and to have at least 3 consultations. Also, the cost for revision should be several thousand more than the original procedure as you will want to have great results which will come from an expert which costs more. There will be scar tissue and finessing to be done to achieve the results you desire.Best wishes.~Dr. Poucher

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, and about 40% of my female genital surgeries are reconstructions of botched labiaplasties. You will need various reconstructive techniques to give you a good appearance. I probably would recommend using multiple wedge excisions to reduce your labia, eliminate many of your scallops, and improve symmetry. 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, NYC - Dubai, UAE

I can clearly see the areas of concern you are describing. Yes, radio frequency feathering of the scalloped edges would help achieve your goals. You may also need excision in addition but that would be decided by an exam. Not every cosmetic surgeon is able to do this so you must search for an experienced surgeon.

This appearance can be fixed and smoothed out. A combo of delicate skin excision and sculptural feathering will do the job. Your next step should be a virtual consult with an expert.

Sorry about your funky results as a result of technique at the time of your original surgery. You have asymmetry, scalloped edges and your hood is off to one side. This can be fixed in one surgical setting. The key, though, is finding the right surgeon and for this you may need to travel.
Go to the link below to see hundreds of B/A photos with combination labiaplasty and hood reduction. From that link you may schedule a virtual consult via phone or zoom, at which time we can discuss in-depth your anatomy, expectations, and concerns. Women from all over the world travel to my Center for their Intimate Makeover under local anesthesia.
Best of luck,

hello, the connection between the tissues around the clitoris and the labia has been cut.
because of this, your clitoris looks more protruding.
and your labia look serrated like a saw blade.
What you need to do:
1- The natural anatomical structure between the tissues around the clitoris and the labium should be ensured.
that is, the tissues on the clitoris and labia should not look like two separate structures.
anatomical integrity must be ensured.
2- In addition, rough structures such as saw blades in the labia should be smoothed.
Price $4000

Thank you for your query and excellent photoset. Yes, a minor revision would well satisfy your needs. Personally (see RealSelf's web reference below for examples), I would use a skimming curvilinear revision on the top with a sub-Q hidden suture closure, and perhaps a "feathering" ("airbrushing" ) RF technique for the minor "ridges" on the bottom to give a more even, smoother result. I would tend to reduce the redundant hood with bilateral lateral elliptical excisions of excess skin, but of course exact technique would await hands-on evaluation prior to surgery. You will want to see a super-specialist who "specializes" in revisions-- make sure you see several examples of his or her results. Personally, we would charge you ~ US$6000 out-the-door (including procedure, facility, anesthesia and supplies) for your revision. If you are from "out of town" we have a Marriott Residence Inn next door and reimburse out-of-area patients for 25% of their lodging charges. (...Lots to take into account when you decide what to do...) Best wishes for a successful outcome! Michael P Goodman, MD, FACOG, IF, AAACS. Davis, Northern CA, USA