Botched labiaplasty - can these issues be fixed in revision? Please help! All answers appreciated !!

Question

I had a LP of the majora, minora & clit. My labias were amputated & then stitched inwards to the mucosa. From below the clit there is no intralabial crease between the minora & majora, & they have become fused. This means when I open my legs my whole vulva goes wide open but in a normal women the majoras stretch but the inner lips should stay put together. Also I have rippling in my vagina. How can this be fixed? I know I can do clitoral hood flaps to build minora but how do I get the seperation

Amir Sadr, MD, MSc (Plast), FEBOPRAS · Answer

Dear Genuine833772
Thanks for sharing your photographs and asking your question. I am really sorry that you had an unsatisfactory outcome after labioplasty. Your observations are very true. Looking at your photographs, it seems you had excessive amount of labia minora tissue removed. This is a very easy mistake to make if you are not careful as a surgeon. Labia minora has multiple functions in women and therefore amputating it is not a good idea. a good labioplasty results mean that even with legs spread open, the inside of vagina should not be visible. My opinion is that you may benefit from reconstructive surgery to improve your vulva closure. The type of surgery depends on availability of local tissues which could be determined after a clinical examination. I hope you find this explanation useful.

Mark N. Scheinberg, MD · Answer

Thank you for your questionThere are actually two pairs of inner labia: a lower pair that inserts into the clitoris and an upper pair called prepuce which forms the hood that frequently inserts into and may distort the lower pair. Typically the excess prepuce needs to be removed to effectively treat the lower pair. Your photos show the prepuce was not attended to and the intralabiall crease is not well demonstrated. I would be interested in seeing how removing the excess prepucial folds , which looks like what you are calling rippling, would significantly improve results. As to the fusing of minors and majora, it is difficult to evaluate the intralabial crease with the photographs presented. It would appear there are corrective options but this will require an on site evaluation.

Ebru Unal, MD · Answer

Hello, flaps from the clitoral area will reform the inner lips, this is a very precise surgery and needs good after care also. as you had the labia major reduction the entrance of the vagina is separated from each other.after the correction of the inner lips with the flap, I would do a thread placement to reshape the entrance of the vagina. Hope this advise finds you well. Best

Christine Rodgers, MD · Answer

HI genuine,

The only way that I see to correct the tightness between the labia minora and labia Major would be to do full thickness skin grafts in the crevice between the 2 structures. These are not difficult to do but it is difficult for the grafts to take or heal due to the friction in this area.
Please see an experienced surgeon who specializes in skin grafts in your area.

Good Luck and Best Wishes,

Dr. Christine Rodgers

Hagen Schumacher, PhD, FRCS(Plast), FEBOPRAS · Answer

Hello,
Thank you for your enquiry. The photographic information is very helpful.
Within the first 6-9 months following surgery, there can be some distortion due to swelling. This often gets better with time. If your surgery was fairly recently, I would wait for 6-9 months first. Regular massage can help with swelling and rippling from scars. If you are beyond that time and if scar massage has not helped, it might be possible to deepen the fold or to use flaps or skin grafts to give you more tissue.
I would suggest to confirm this with your surgeon.

Botched labiaplasty - can these issues be fixed in revision? Please help! All answers appreciated !!

Answers (8)

Answer: Botched labiaplasty?

Answer: Botched labiaplasty?

Answer: Labiaplasty surgery

Answer: Labiaplasty surgery

Recommended reading

Everything you need to know about Labiaplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Botched labiaplasty - can these issues be fixed in revision? Please help! All answers appreciated !!

Answers (8)

Answer: Botched labiaplasty?

Answer: Botched labiaplasty?

Answer: Labiaplasty surgery

Answer: Labiaplasty surgery

Browse related questions

Recommended reading

Everything you need to know about Labiaplasty

Our mission is to create a world where every investment in modern beauty is Worth It.