1 month post-op. Asymmetrical due to hematoma. Will my labia even out? (photos)

Hematomas will prolong the recovery because the blood must be absorbed by the body. From what I can tell, that will not be a long term problem. The area continues to improve for another 5 months or more. If you are still seeing too much asymmetry, then you can consult with a someone who does many revisions.Regardless, this can be fixed down the road if need be. Hang in there.

Hematoma related swelling can take a few months to resolve. Longer than a labiaplasty without hematoma for sure. Be patient.

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. You have extra skin on the side of your right clitoral hood that will not completely go away. You also had a very aggressive trimming labiaplasty with asymmetry of the upper labium  You will need a revision to achieve better symmetry. 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 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 six 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. I would take the extra skin on the right side of your clitoral hood to reconstruct your right upper labium with a clitoral hood flap, which I invented and published in that journal article.   I have done this surgery about 60 times with excellent results. This surgery would take about 2 hours hours so it is not a simple office procedure. If any surgeon reduces more of your clitoral hood, you will be ineligible for this repair. 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

My surgeries are very different. You need to discuss this with your doctor. get well soon. It seems that the natural connection between your tissues around the clitoris and the labia has not been established.

Hi and thank you for your question. Swelling from a hematoma can delay the healing process. I would advise for you to be patient It may take a little longer but it should heal to the results you are expecting. Best wishes!

Hello,I do not see hematoma. You were probably treated with a too aggressive "Trim" procedure which is one of the potential risks of that procedure in particular. I would wait until the wound is mature and re-evaluate at that time...at least 4-6 months. Trim operations do tend to take longer to look good even in the best of cases at least in my opinion. :)Best Regards,

First of all, it is very common for labia to not match even in women who have not had surgery. 
It appears some distortion occurred from your hematoma or some element of the surgery.
It is unlikely that all of this will correct but it is too soon to assess whether you will need a revision.
Be patient and get through the healing process, AT LEAST 3 months before deciding if something needs to be corrected.  Minor revisions can most often be carried out in the office under local anesthesia.
Take Care,
Dr N