Dr Gary Alter - Labiaplasty Bad Experience

I had labiaplasty surgery a couple of years ago with Dr Gary Alter in LA. I don't think the cosmetic results are good. I've looked at other reviews and my results look like people’s before photos except with scars. I also have issues with pain. I have always thought things weren't "quite right" down there as I was unable to orgasm until age 24 (I am now 31). My pain issues sparked up again recently and I reached out to Dr Alter. First he replied saying he has no patient with my name. Then he replied again saying he had found my file and recommended I see a gynaecologist. I said I thought this was his specialty and he ignored my emails after that. When I called local gynaecologist offices they said this is not something they deal with. I soon after made a phone appointment with Dr Alter and he said “I’m looking at your file now” and he confirmed I had a problem with my clitoris and recommended revision surgery. He said this was all in his notes and claimed the failure to communicate this to me was due to a "miscommunication".
The original surgery involved flying to LA a day before the procedure was scheduled. At the consultation Dr Alter began to examine me and I yelped due to pain, and he made random comments about "steroid cream" and "dog ears" and demanded "Do you want the surgery or not?" So it went ahead without knowing much of anything. When I woke up from surgery and the nurse who assisted said "It looks good" but her eyes darted away like they do when you lie, so I knew something wasn’t right. The recovery was confronting. The pain drugs made me vomit. I remember having difficulty walking in a straight line down the corridor at the follow-up appointment, and Dr Alter chuckling because I was disoriented from the drugs. I spent an hour on the street outside his office because I couldn’t work out how to get home. I was alone, in a foreign country. There was no compassion or care. So after this recent phone call, his office has sent me a quote for amount very similar to the original fee I paid, even though my original surgery obviously did not address the issues supposedly noted in my file. Have emailed both Zena and Dr Alter with questions – god knows if either will reply.
I was stunned to read the following on Dr Alter’s website: “Patient-First Policy - Dr. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery. We take the time to learn about your concerns, goals, and desires, so we can build a plan that addresses your concerns and gets you the results you deserve.” Um ok then??? I guess it’s easy to say you do something rather than actually do it. I feel invisible to these people.
Have spent the past few days feeling down. If anyone has similar issues, feel free to reach out.

This is just an update to confirm that Dr Alter never did respond to my emails. Zena didn't reply either. It is apparent that they stopped replying because I questioned why they were quoting me full price a second time after an unsuccessful first surgery. The fact that they can leave someone in pain, without any medical care, is reprehensible in my opinion. I've read some other reviews and it seems to be a common practice within their office.

I wanted to mention something I found strange when I spoke to Dr Alter on the phone. He said “I’m looking at your file now”, and he referred to my photos. I said "You didn't take any photos". And he went silent. The photos were taken after I was put under general anesthesia, because they definitely weren't taken when I was awake. I don't recall giving any sort of consent for these photos to be taken. Considering this is surgery of the genitals I find this disturbing? Are doctors allowed to take photos of patients without consent?