What can be done to further enhance and correct the results of my labiaplasty and clitoral hood reduction? (photos)

Hello. I am so sad this has happened. Given the almost complete absence of inner labia (minora), the option to address this would be reconstruction. You do have some clitoral hood skin that could be used to recreate small labia minora. I recommend for you to seek out a specialist in this area such as Dr. Gary Alter. Best wishes ~Dr. Poucher

As the inventor and innovator of the wedge technique in 1994, I reconstruct many women who have had labia reductions by other surgeons, both wedge and trimming techniques. The reconstruction technique depends on the deformity. You had an overly trimmed labiaplasty with removal of almost all of your labia. You also had irregular excision of your clitoral hood, which is still very bulky and enlarged. No attempt to revise your labia should be done until you are at least five months after your past procedure. The reconstruction is much more difficult than a primary labiaplasty and should be done by a plastic surgeon with extensive experience in labia reconstruction. I published the first and most extensive paper on labia reconstruction in the prestigious journal "Plastic and Reconstructive Surgery" over ten years ago. You need various reconstructive techniques to give you a good appearance. The procedure will depend on your desires.

If you want reduction of your hood and reconstruction of your labia minora, I would reconstruct your labia minora with clitoral hood flaps, which I invented and published in the prestigious journal "Plastic and Reconstructive Surgery" about 15 years ago. In this surgery, I take the remaining tissue of your clitoral hood and transfer it downward to create labia minora. I have done this surgery about 100 times with excellent results. The surgery takes about 3+ hours so it is not a simple office procedure. This will also reduce your clitoral hood.

If you do not have an issue with your labia and just want marked reduction of your clitoral hood, then I would perform a clitoropexy (repositioning of your clitoris) with the hood reduction. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now usually within the labia majora when the woman stands. I have performed this procedure over 400 times with outstanding results. I have not published this technique, so no one does it like me.

You only get one good chance to reconstruct you, so be patient and ask a lot of questions.

Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC