Thank you for your question and photo. Overall swelling is normal for the first 3-5 days after the procedure. Bleeding is not common. You may have some slight spotting for the first 12 hours but should not have any heavy bleeding. If this occurs, you should contact your surgeon.
Any time prior to a few months is too soon to expect edema to resolve, worry that it will not or know your final result. Labia often swell quickly and asymmetrically early on for the first 2-3 days and varies widely from patient to patient. Pain is variable from patient to patient. Sitz baths in warm water though good for cleaning and possible infection prevention can cause increased swelling. It can last several weeks to months and vary from day to day if you overdo it, eat a salty meal. Things you can try for early edema resolution: Low salt diet, arnica, bromelain, Ibuprofen. You should have a good idea of your final appearance by 3 months. I tell my patients, for most you are 85% of the way to your final result in about 3 months the rest takes up to a year.
Thank you for your question. Labiaplasty swelling can be very intense,
especially if accompanied by bruising or hematoma. The labial tissue can expand
quite a bit compared to other areas of the body, and it is not uncommon
for one side to swell more than the other. Since you are actively bleeding, I would recommend that you apply gentle but firm pressure to the labia and have someone take you to your surgeon's office to be evaluated for persistent bleeding.
You may have a little more swelling than normal following your labiaplasty but I think in two weeks you will be happy with the result.
While it is difficult to tell for sure from your picture, I think everything looks normal. I do beg you to please call your surgeon and check in with them. I would be horrified if my patients were looking to strangers on realself to answer an immediate post op concern. In the time it takes to load a picture, you can call your surgeon or their answering service and have a call back long before any of our answers are posted on realself. Your surgeon wants to hear from you. Please call them!