Is this normal for post op Labiaplasty to look like this? (photos)
Doctor Answers 14
Extended Wedge Separation
Early post labiaplasty there is often irregular edges to the mucosal surface with tremendous amount of swelling and distortion. Bruising and swelling will make the labia minora look quite unnatural.
Over 3-6 weeks this generally settles and by 6-12 weeks a more normal labia majora to labia majora relationship is established. As long as the skin excision and modification of the labia minora was done proficiently and precisely you should achieve an excellent result.
I would certainly visit your operative and certified plastic surgeon to ensure that all is healing well, watch out for fevers, chills and increasing pain as this may be a sign of infection. Complications like infection following labiaplasty are extremely uncommon so be vigilant and visit your operative surgeon.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Unfortunately I would agree with the comments below that sitting in water- sitz baths is not something I advise and in fact I ask my patients to avoid sitting in baths/pools etc. for at least 1 months post op. Typically, incisions heal well without the need for fucidin or other topical medications and these in fact can impair normal healing. I recommend that you have this evaluated IN PERSON as you may have an infection.
All the best
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Is this normal after labiaplasty to look like this?
This does not look like normal post-op healing. With increased redness, swelling and pain, it is likely you have an infection and need to be seen by your surgeon right away and treated with antibiotics by mouth. Wound care products like Skintegrity can also help with healing and scar reduction in addition to the antibiotics. Antibacterial and numbing spray is available over-the-counter called Dermaplast, which I recommend to my patients to reduce the risk of infection and help with pain. Anti-inflammatory meds like ibuprofen and ice can help, as well as Sitz baths at this point using mild anti-bacterial soap (1-2x/day) in lukewarm water for 10 minutes.
The swelling should start to go down once you are properly treated and will take at least 4-6 weeks to look more like normal. By three months after surgery you should have a good idea of your final result, and at that point, you can address any revisions that you feel need to be done.
I wish you the best in your recovery.
Dr. Troy Hailparn
Is this normal for post op Labiaplasty to look like this?
Improper postop care after labiaplasty
STOP. Think. and check with your surgeon in person. No tub baths or sitz baths or swimming or hot tub use for at least two months after labiaplasty is what I instruct my patients. Water will cause maceration of tissues, dissolve absorbable sutures and cause exactly your problem. If your doctor recommended sitz bath treatment after labiaplasty, see another doctor. You likely have wound separation and infection. Get a culture swab, start using the right antibiotics and antibiotic ointment. You are more likely than someone without this "pickle" to need touch up surgery to obtain the optimum cosmetic result.
It will take months before you will know for sure.... but follow closely with your surgeon or another trusted doctor who is expert in wound care until you obtain resolution.
Hope this helps.
Sitz baths and regular antibiotic ointment application to labiaplasties post-op = wound separation!
1. Sitz baths
2. Regular application of antibiotic ointment (it's too occlusive...)
3. Frequent "looking/touching/tugging..."
If your surgeon told you to do this, he/she messed up. If you did it on your own, you were "misguided."
The only saving grace is that vulvas are very forgiving, and all may heal well, but you will need to wait another 6-8 weeks to appreciate the final outcome. If you need a "re-do," it is not advisable to re-operate on the area until at least 4 and probably 6 months after your original surgery, so that the area has a chance to re-vascularize & heal properly. While icing is quite helpful for 3-5 days after surgery, I do not recommend it ongoing! (certainly not after the first 5 days or so...)
Don't immerse, pull/.tug or regularly apply antibiotic ointment to newly done labiaplasties, folks! The webkink below discusses the risks of genital plastic/cosmetic surgery.
Best wishes for a full recovery!
Michael P Goodman MD
How to destroy your labiaplasty results with Sitz baths:
Labiaplasty not healing well
- This is your 11th day after surgery.
- Your wound edges have not healed but have separated
- The labia look pink and swollen, suggesting a possible infeciton.
- Sitz baths are a good idea.
- Generally ointment is not put over open wounds - it slows healing.
- Open wounds usually heal well with moist dressings and regular washing with water, not soap.
- Icing is unlikely to help and the cold may damage the tissues.
- Your surgeon should be the one in charge of your care and should see you without delay.
- If you had surgery out of town, please see your OB-GYN, your regular physician or seek emergency care.
Hope you find this information helpful. Best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.