Exactly 3 weeks post op today. The same thing happened on the right side and the surgeon put 2 stitches in a week after surgery. The hole on the left side appeared just 10 days after surgery and if anything, seems to be getting bigger (0.5-1cm in diameter now). Sutures have come out since. It now appears quite deep, and the edge is not straight or smooth. He seems to think it will heal over time and gave me 2 options - leave it alone, or put in 2 dissolvable stitches. What should I do?
February 22, 2018
Answer: Post op labiaplasty x 3 weeks Dear Mistyc:I have performed labiaplasty routinely for 17 years and between my partner and I have performed approximately 2000 labiaplasties. It is my experience adding a suture more than 24 hours after the initial surgery is not helpful. Now I would not argue with a surgeon who said "Well lets add a couple of sutures " after 24-72 hours after the original surgery but in my opinion rarely is ever is going to help. You are 3 weeks post op - though nothing in this world is 100% it is highly highly highly unlikely adding sutures now is going to help. If you were my patient I would counsel you to: 1) keep your hands off of the area ie don't pull on the area ( I am sorry I don't mean to be rude as it is a natural tendency to inspect multiple times a day) but looking at the area is not going to make it heal faster. Being a patient in your situation is very hard and anxiety provoking so I understand the desire to inspect 2) allow the are to heal on its own and 3) don't waste time, energy or anxiety of putting in sutures. The reason why it will not heal back together at this time is because the suture line split and the newly cut/split edges are no longer touching one another to heal together ( ie the breakdown of the initial repair). At this point since the raw cut edges can't heal together the body starts the healing process on each cut edge individually and this process starts by laying a new layer of inflammatory / healing cells on the now independent cut edges which are no longer healing together. What you have now are 2 separate cuts on each side of the labia healing independently. Your body is trying to heal each cut and once a layer of healing tissue covers that raw edge the it is not longer raw and will no longer fuse to the other recently cut edge. The edges need to be raw to heal and fuse together. At 3 weeks post operative there is not way your edges are fresh/raw. Just look at your own photos. Not raw edges will not heal together. Example there are no raw edges or wounds in the palms of both of your hands.......... I can't just suture your hands together and hope they will fuse-----impossible unless you had a rawness on both sides. Even if one hand had a ulcer or wound and we tied your hands or sutured your hands together it will never stick together or heal together. So again my opinion is don't waste the time, energy or anxiety of getting more sutures. Allow it to heal and then wait 5 months ( with a wedge resection ) and find a surgeon who is skilled in revision labiaplasty surgery and travel if you must for their care. Choose a surgeon with experience, expertise, a great reputation as well as one who can achieve great results. Best of luck !!John R Miklos MDAtlanta ~ Beverly Hills ~ Dubai
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February 22, 2018
Answer: Post op labiaplasty x 3 weeks Dear Mistyc:I have performed labiaplasty routinely for 17 years and between my partner and I have performed approximately 2000 labiaplasties. It is my experience adding a suture more than 24 hours after the initial surgery is not helpful. Now I would not argue with a surgeon who said "Well lets add a couple of sutures " after 24-72 hours after the original surgery but in my opinion rarely is ever is going to help. You are 3 weeks post op - though nothing in this world is 100% it is highly highly highly unlikely adding sutures now is going to help. If you were my patient I would counsel you to: 1) keep your hands off of the area ie don't pull on the area ( I am sorry I don't mean to be rude as it is a natural tendency to inspect multiple times a day) but looking at the area is not going to make it heal faster. Being a patient in your situation is very hard and anxiety provoking so I understand the desire to inspect 2) allow the are to heal on its own and 3) don't waste time, energy or anxiety of putting in sutures. The reason why it will not heal back together at this time is because the suture line split and the newly cut/split edges are no longer touching one another to heal together ( ie the breakdown of the initial repair). At this point since the raw cut edges can't heal together the body starts the healing process on each cut edge individually and this process starts by laying a new layer of inflammatory / healing cells on the now independent cut edges which are no longer healing together. What you have now are 2 separate cuts on each side of the labia healing independently. Your body is trying to heal each cut and once a layer of healing tissue covers that raw edge the it is not longer raw and will no longer fuse to the other recently cut edge. The edges need to be raw to heal and fuse together. At 3 weeks post operative there is not way your edges are fresh/raw. Just look at your own photos. Not raw edges will not heal together. Example there are no raw edges or wounds in the palms of both of your hands.......... I can't just suture your hands together and hope they will fuse-----impossible unless you had a rawness on both sides. Even if one hand had a ulcer or wound and we tied your hands or sutured your hands together it will never stick together or heal together. So again my opinion is don't waste the time, energy or anxiety of getting more sutures. Allow it to heal and then wait 5 months ( with a wedge resection ) and find a surgeon who is skilled in revision labiaplasty surgery and travel if you must for their care. Choose a surgeon with experience, expertise, a great reputation as well as one who can achieve great results. Best of luck !!John R Miklos MDAtlanta ~ Beverly Hills ~ Dubai
Helpful 1 person found this helpful
Answer: Labiaplasty post-op hole along suture line. Will it heal You underwent labiaplasty surgery with wedge resection. Most of the stitches are opened in labiaplasty surgeries performed with this technique.
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Answer: Labiaplasty post-op hole along suture line. Will it heal You underwent labiaplasty surgery with wedge resection. Most of the stitches are opened in labiaplasty surgeries performed with this technique.
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