Too much bruising and swelling? (photo)
Doctor Answers 8
Labiaplasty: Postoperative Healing
Thank you for your question. Swelling is common after labiaplasty with the amount dependent in part based on the time since surgery. A hematoma can also occur postoperativley. I would recommend contacting the surgeon who performed the original surgery to evaluate your current condition.
Best of luck.
Jeffrey S. Palmer, MD, FACS, FAAP (Cosmetic Urologist -- Cleveland, Ohio)
Post-Op Labiaplasty Healing with Intense Swelling
Generally, patients are able to walk comfortably within a few days and can return to work within a week.
Do NOT Evacuate
Thank you for sharing as your questions and photos as they will be helpful to other readers. It appear you do have a hematoma and this is unfortunate. However your surgeon will determine what is best for you and I personally would NOT recommend hematoma evacuation in your situation. As long as the hematoma is contained (not spreading) and you are not bleeding out (i.e. copiously bleeding out of the incision site) there is nothing to gain by opening the incision and attempting to close it again.
If you have a hematoma anywhere else in the body after a surgery you would not evacuate it unless it was causing a problem ( i.e. severe pain, changes of neurologic function, losing to much blood.....) most surgeon know if the hematoma is small and contained your body will absorbs that blood over time. Sure you might be tender longer but it will all eventually be absorbed. '
Now what is the downside of opening the incision and attempting to evacuate the hematoma........well if one opens up the incision lines of the labia surgery and this will need to be closed again. It is my experience ( from doing over 1500 labiaplasties over 20 years & being a center who specializes in botched labiaplasties) that incision lines reopened and re repaired do not heal well and this decreases the chance of a better cosmetic appearance., Yes it is true the hematoma may also cause damage to the suture line and it may not heal perfectly but my experience is you have a better chance of just letting it heal on its own for now.
Based on the size of your hematoma ( not excessively large) I would sit and wait. Now things might change but allow your surgeon to make that decision. To rush to surgery is a mistake.
John R Miklos MD
Urogynecologist & Cosmetic Vaginal Surgeon
Atlanta ~ Beverly Hills ~ Dubai
You might also like...
Type text or a website address or translate a document.CancelTranslate from: SpanishHi Jessica, You should contact your surgeon for you evaluated but it is normal that sometimes inflammation occurs that eventually disappears hope you have a speedy recovery.
Miriam Luciano Dominican Republic OB / GYN
You do seem to have more swelling than average and I am concerned you may have developed a hematoma. I recommend that you contact your surgeon so they can check on your incisions. The good news is that hematomas rarely affect your final aesthetic results.