Labiaplasty revision - Looking for new surgeon to correct appearance of 3 majoras (photo)

Question

I have included a before, one month post op, and current results of a labiaplasty I had with a world renowned surgeon I am worried that this surgeon will be too conservative or create another issue that was not there before (see the fold across my majora in the right? sometimes when I stand, it gives the appearance of 3 majoras rather than 2), so that I’ll keep having to go back to him again and again. My tissue used to be smooth and more taut and now it is wrinkly and saggy. He said that the results were caused by unprecedented healing but I documented my healing journey from hour 0 post surgery and it is clear the fold in my majora, which I feel I must hide with hair, immediately appeared from the operation and only became more obvious as swelling went down. The surgery was 6 months ago. I am 25, 50kg, 158cm, don’t drink, don’t smoke, healthy nutrition, not pregnant.

Burcak Tok, MD · Answer

Hello, yes, it was very good to wait six months for the results to become clear. But if this asymmetrical appearance bothers you, a revision surgery can be performed and the left labia minora and the clitoral hood above can become smaller and wrinkle-free. Perhaps a more pleasant appearance can be achieved with a slight labia majora filler. Get well soon

Jaime Caloca, Jr., MD · Answer

From What I cen see in your well documented outcome, there is definitely a possibility of complete reconstruction in order to obtain results that are 100% to your satisfaction. I see redundant tissue in the labia minora and probably in the Labia Majora too. The most important pre-operative stage is careful aesthetic planning in order to know exactly what you expect from your new surgery in order to deliver results.

Oliver Chang, MD · Answer

Hard to say what technique your previous surgeon did but the asymmetry is normal (as is in everyone). Also not sure if the surgeon encountered anything during the procedure that limited their aggressiveness in removal, but does seem like there might be more to remove. Likely you need a revision but be ready for some risks of more scarring (longer incisions to fix or remove any excess), necrosis (because this will be your second time blood supply is not as good as first time), open wounds post-op (same reason as the necrosis), and more asymmetry or need for further revision. And not sure if you are open to a clitoral hood reduction - that can sometimes help pull some of the labia minoras up some. You can try to massage the area where the swelling and scarring is to see if that will help with time. 
Hope this helps.

Brendan Alleyne, MD, FACS · Answer

Typically depending on the amount of scar, most revision labiaplasties can be completed comfortably in the office under local anesthesia. If weight change occurred, in extreme cases this can deflate the mons as well as the labia majora. In these instances fat grafting can be added onto the procedure to help with the volume loss issue. Thank you for providing your helpful questions and description of your healing journey.

Prashant Murugkar, MD · Answer

Hi, sorry to hear of your troubles. You have not specified the nature of the procedure, did you have a labia majora augmentation? Was it done with fat or dermal fillers.
Assuming that the first picture is the before picture, you can clearly see a zone of adhesion or tethering of skin on the one side, this might be the reason for the postop asymmetry, it is best to get a second opinion by visiting another plastic surgeon.
Best wishes
Dr Prashant Murugkar
Reforme Medical, UK

Labiaplasty revision - Looking for new surgeon to correct appearance of 3 majoras (photo)

Answers (5)