How can my botched labia majoraplasty be fixed? Too much tissue removed. Will tissue expander be suitable in my case?

Fat transfer can be performed to add volume to the area and smooth out wrinkles. This procedure is informally known as labia puffing.

This is a vary challenging question? A series of local flaps may be able to provide missing labial skin and bulk. One could start with fat graft although graft take in this area may not be as good as needed. Series of fat grafting (2-3), at least 6 months apart, should be tried first before using local flaps. I an not sure whether expender would be right solution but combination of fat grafting and expansion with small implant may work. Hope this helps.

hello, you can do a lot of sports. especially stretching your legs to the sides. You can massage your vulva abundantly with moisturizing creams.

I would fat graft the majora. You may need more than one session. There should be some local plastic surgeons who could do

Yes, tissue expanders can be used to "stretch" the labia majora, or fat transfer utilizing a combination of PRP and micronized fat via a Tulip System or equivalent, if you wish your majora "...puffed up..." Regarding "...looking open," a mini V-wedge or 2 on each side will serve to "close" the opening to some extent. It is difficult to be exact based on only one photograph. My recommendation is to fine a surgeon who specializes in revisions, and whose thought process is expansive. If you are unable to travel to the U.S., your best bet in Europe would be either Dawid Serafin or Rafal Kuzlik in Poland. Dr. Alexandros Bader in London is great as well, but I'm not sure if he would do the mini-wedges that might best minimize the open appearance of the vaginal introitus.

Best wishes, Michael P Goodman, MD, FACOG, IF, AAACS. Revision Specialist, Davis, CA, USA