How to deal with over excision? (Photo)

The gap that bothers you can be narrowed effectively by injecting fat along the medial border of the labium majus. It's a straightforward procedure that in my experience of over 27 years gives excellent results. The labium minus cannot be thickened effectively with fat - it doesn't take well. Fillers don't work well there either - they create uncomfortable stiffness and uncomfortable sensitivity. It would be best to leave that alone.

Your deformity does not seem to be that significant. Correction can be achieved adding some thickness which is possible with fat grafting or filler. Local flaps from the side of the labia may also be used. Hood flap does not have much of a volume and will not be significant contribution. A Second opinion consultation with an experienced board certified plastic surgeon would help to discuss these options. Good luck.

I would suggest a re-do and to attempt to bring the two lips together at the fourchette or Vaginal entrance and achievement better symmetry but perfect symmetry is not guaranteed

Thank you for your question and including photos.
Looking at the photos, it looks like your left labia was reduced, but it looks like your right labia has not changed at all. Overall, it looks like not much was done on either side. The best way to improve the symmetry is to reduce your right labia to match the left

Q: What could be done to make it look better?
A: Yes, revision of this batched cosmetic surgery is possible.

Pictures show the following postoperative functional and cosmetic anomalies:
1. The clitoral hood is tightened, the clitoral gland is hidden, and the clitoral frenula are not completely visible,

2. Surgery left a lot of redundant tissue,
3. The labia minora are asymmetrical, the right labium minus is inverted, and both present with deep wrinkles. The red arrow on picture # 1 indicates an over-resection of the left infralabial crease and the fragment of the labia majora. Both labia are fused with the skin of labia majora and crease. This post-operative fusion can cause functional problems (pain at the beginning of penetration, dryness, and loss of labial protection). It requires surgical treatment by applying a labiolysis technique I developed and published. Black and wrinkled tissues are depicted in both pictures in the lower part.
If you are having symptoms, the surgery can help. Your esthetic problems can be also corrected.
An experienced surgeon would be the best choice for your subsequent surgery, and you should ask a prospective surgeon questions like the ones I have created above. Please feel free to contact me through the RealSelf company.”

Adam Ostrzenski, M.D., Ph.D.
Professor of Gynecology