Is this labia distortion following revision thigh lift 6 months ago? Or is this normal? (Photos)

Question

6 months Po after second thigh lift to remove remaining loose skin and to fix labia distortion caused by first thigh lift. Sadly, I feel like it got worse. Is this labia distortion or a normal looking vulva? My outer lips completely disappeared when I open my legs

J. Timothy Katzen, MD, FACS · Answer

Hello, and thank you for your question regarding whether your labial distortion following a revision thigh lift performed approximately six months ago is normal. Thank you for your detailed history and the photos you provided. Based on your description and imagery, it is not normal for your outer labia (labia majora) to "completely disappear" when you open your legs. The flattening or loss of volume in the labia majora is often a sign of distortion that may be directly related to your original thigh lift or the revision procedure.

Unfortunately, over-resection of skin or improper anchoring of the inner thigh flap during a thigh lift or revision can pull on the soft tissue of the vulva. This can cause labial spreading, retraction, and in some cases, create the illusion that the outer labia have vanished entirely. This type of distortion can be both emotionally and physically distressing, especially when it interferes with your sense of comfort or intimacy.

In your case, further thigh lift surgery is not recommended. Attempting another lift could risk worsening the distortion. Instead, the best solution is often fat transfer to the labia majora. This involves harvesting fat from areas such as the abdomen or flanks, purifying the fat, and then carefully injecting it into the labia majora to restore volume, contour, and a more natural appearance.

When considering revision, it’s extremely important to seek an experienced, board-certified plastic surgeon who has significant expertise not just in thigh lifts, but in addressing complications and performing fat grafting to delicate areas like the vulva. Look for someone who has performed at least 100 thigh lifts and can show you before-and-after results of patients with similar concerns. Be sure to also read verified reviews to ensure they have a history of successful outcomes.

Thank you for your insightful and brave question regarding labial distortion following a revision thigh lift. I hope this information helps guide you toward a safe and satisfying solution.

Sincerely,
Dr. Katzen

Patrick Felice, MD · Answer

This is an unfortunate side effect of thighplasty surgery. If made too tight around the labia, it can cause distortion and drying of the labia and vagina. If it presents a problem, you made need to have this released and a skin graft placed.Hope this helps.

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