35 y/o unhappy with labiaplasty results - which type of revision procedure is best for me?

I wonder if you had significant weight loss as it appears that your pubic area may have descended and drooped, which may be causing you genitalia to be redundant and excessive. You may need a pubic lift to elevate your pubic skin which would elevate your genitalia and make it look more youthful.

Your labia have been reduced, but they are still redundant. That can also be reduced by doing a wedge labiaplasty, which I invented in 1995 and published in the plastic surgery textbooks. Another trim would not help the tortuous folding of your labia. It is also known as the "V" or wedge technique. Your clitoral hood is also long, wide, thick, and protuberant. Since you have extra tissue on your clitoral hood, it can be reduced at the same time. It can be decreased somewhat by reducing the sides. I pioneered a clitoropexy with clitoral hood reduction in which the clitoris is pushed closer to the pubic bone and the width, thickness, length, and protuberance of the clitoral hood can be decreased. With this procedure, I lift up the clitoral hood skin, move the clitoris closer to the pubic bone, thin the tissues under the clitoral hood skin, and then remove a large amount of excess skin. This results in a dramatic decrease in the length, thickness, and protuberance of the clitoral hood, so that the hood is now within the labia majora when the woman stands. I have performed this procedure over 300 times with outstanding results. I have not published this technique, so no one does it like me.​

​Your labia majora are stretched, redundant, and folded. I suggest reducing the excess skin and possibly increasing the fullness with fat injections. The technique I popularized and published in the medical literature leaves a scar on the inside of the majora in the fold between the majora and the minora and clitoral hood. If closed with sutures under the skin and performed meticulously, the scars are difficult to see.

No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery.​​ Approximately 40% of the female genital surgeries that I perform are reconstructions of other women's botched labiaplasties and hood reductions.


Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NYC

Hello Furth01,
You're right, your vulva appears untidy and older looking. You needed more than just a labiaplasty. Your hood is large and drooping and your labia majora is very lax and deflated.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,