Improper healing of tissues 4 months after labiaplasty. Do I have hope?

Hello,
Thank you for the question and photo.
I'm sorry to hear about your negative experience. The wound healing process takes up to 1 year to be fully completed, so for now I would recommend to continue with conservative scar massage management prior to undergoing any revision surgery.
I would also encourage you to seek an in-person consultation with a Board-Certified Plastic Surgeon to further discuss your concerns.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon

HI deep34,

So sorry for your problems with the labiaplasty. To be honest , it is difficult to evaluate you properly because your picture is a bit blurry. It seems that all the important structures are present so I would suggest that you wait a few more months until the swellng goes down. Then find another surgeon in your area who does many of these procedures for a re-evalution of your labia.

Best Wishes,

Dr. Christine Rodgers

Q: Will corrective surgery improve my labial complications?
A: Yes, it is possible. The first step is to evaluate the picture that you attached. The image itself is not the best quality; therefore, you may submit a new set so that my evaluation will be more on target. However, I will try my best to interpret the photo that you submitted. Indeed, your surgeon selected the wrong procedure — trimming the labia minora. In medicine, this type of operation is termed a “straightforward amputation” that has no place in cosmetic gynecologic surgery because it changes the natural, rounded look to a straight appearance of the labia minora (also called a thin or inner labia). It would be best to wait approximately eight months before corrective surgery can be offered. Post-surgical edema (swelling) of the labia still obscures the photo’s interpretation. Therefore, I am going to evaluate this picture from top to bottom. The image presents surgical changes in the natural anatomy a) clitoral hood (foreskin) is divided into two pieces and connected by the artificial groove in the midline. The right piece creates the hanging loop that fuses with the right clitoral frenulum unnaturally, and the clitoral hood is a uniform (one-piece) structure. The left portion of the clitoral hood was brought down to the level of the labium minus bifurcation (the labium minus natural division in two segments: 1. The lower segment creates the clitoral frenulum, and 2. The upper part builds the clitoral prepuce (the hood). Furthermore, on the left side of the clitoral hood, there is a rope-like tissue structure that suspends the left labium minus. The labia minora has a created surgical gap below the bifurcation with a bigger hole on the left side. Additionally, the labial frenulum is missing at the bottom of the labia minora due to broken down both labial tissue. Finally, the suturing technique created a “railroad-track” complication; the full-extent of this unfortunate outcome can be more accurately evaluated when edema subsided. You did not present any symptoms associated with the regrettable results of your esthetic surgery.
The solution:
1. you should wait until the swelling and scar tissues settle down,
2. corrective surgery should include reconstructions of a) the clitoral prepucioplasty that I developed and published this technique (J Reprod Medicine 2015;60:178-182); b) clitoral frenuloreduction based upon my anatomical discovery of the new structure – the infrafrenulum fascial bundle (Clin Anat 2018 Sep;31(6):907-912), and did the additional research in which he developed a new surgical technic - frenuloreduction and published it in the peer-review medical journal (Heliyon. 2019 Jan 18;5(1):e01098. doi: 10.1016/j.heliyon.2018.e01098. eCollection 2019 Jan).
3. Reconstruction main part of the labia minora. Suppose you like to cope with the railroad-track complications. In that case, you will need two stages of surgery a) phase I - labia minora tissue expansion (the technique that I have developed and have not yet published; b) phase II – remove the railroad-track complications and make the labia minora natural - rounded look.
To help women in India, you should put women on notice about your unfortunate surgical outcomes and disclose the practice name and how your surgeon treated these obvious complications related to lack of surgical anatomy knowledge and surgical skill. As you are probably aware, I am not using the RealSelf platform to market my practice but doing this to help women. Therefore, you can ask the RealSelf company to allow you to make a copy of my answers that you can post on social media in India to help women and notify your surgeon about your problems in writing. Additionally, you can report your surgeon’s teacher about his or her wrong teaching.
With regards,
Prof. Dr. Adam OstrzenskiU.S.A.