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

Thabkyou for your questionYour photos show that the prepuce (what you refer to as CHR) has not been properly addressed and can be nicely reduced to a bridge of the nose appearance. The bumps on the frenulum can be trimmed to smooth out and balance out the appearance. YOU NEED TO DO YOUR HOMEWORK when deciding on a surgeon. Look at a lot of their before and after photos, lookout reviews and investigate their training specifically in vaginal surgery

Hi! Thank you for your question. For ideal intimate rejuvenating surgery outcomes, we need to evaluate labia majora and labia minora proportions. In your case, I believe fat transfer to the labia majora can enhance your surgery outcome. If you do not want another surgical procedure, hyaluronic acid fillers could be a good option as well. In some cases, patient dissatisfaction is not necessarily due to remaining skin in the labia minora, and is, in fact, due to a lack of volume in the labia majora.

HI,
It is clear that you need a clitoral hood reduction to even out the hood with the labia. I can certainly perform this under local anesthesia and encourage you to visit my web site to see how to contact me and set up a virtual consult.

Regards,

Daniel A. Medalie, MD

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

Thank you for sharing your question and photographs. Your previous surgeon unfortunately removed too much labia minora and too little CH and frenulum tissue. With a revision you can improve upon your results but further reducing your CH and frenulum to improve proportions. Be sure to see a specialist to understand anticipated result and the benefits/risks associated with the procedure.

I'm so sorry that you've experienced this. I would recommend reconstruction! As stated by some doctors below, I agree; you have enough skin on the CH to create a labia minora. I'm happy to consult with you on a treatment plan that works for you and your goal!

Clitoral Hood Reduction must necessarily be proportional to the whole vulva. otherwise it’s best to do less Labioplasty trimming to maintain some proportions of various structures The option here is to accept this and do nothing or further “flattening” bilateral clitoral Hoodectomy. I suspect your surgeon was a bit careful and didn’t remove much hood skin. If you are to do anything you will need to to accept the risk of doing more around the hood

Q: Can corrective surgery help in this case?

A: Yes, it can be done, please read the article that I am attaching to advance your knowledge on this very subject. Ostrzenski A. Labiolysis, Corrective Surgery for Iatrogenic Labium Minus Fusion. Ann Plast Surg. 2019 Nov;83(5):558-567. doi: 10.1097/SAP.0000000000001920. PMID: 31232812.

With regards,
Prof. Dr. Adam Ostrzenski
USA

Your situation is not unique after labiaplasty. Yes, the bulk of your redundant hood can be minimized, most likely with a combination of careful surgical reduction perhaps "finished" with "airbrushing," smoothing the bumps via "brushing" with a RF (radiofrequency) needle. Of course, 3-dimensional reality is often different than a 2-dimensional photo, so exact technique cannot be determined until your surgeon has performed an hands-on evaluation. The MOST IMOPORTANT thing is to only let a well-experienced and well-trained female genital plastic surgeon/cosmetic gynecologist touch you.

I suggest that you peruse websites of prospective practitioners; choose only someone who can prove to you, by many (at least 10+; more is better) that they are experienced in working on the hood. This is not the time to "save money" or have it performed "under insurance" (the "kiss of death" for botches..!) While you may find the perfect surgeon in your geographic area, do not be afraid to travel to find the best combination of experience, price, and kind accommodation...

Very Best,
Michael P Goodman, MD, FACOG, IF, AAACS
Sacramento, CA, USA