Dr. Alter’s Before and After
REVISION OF BOTCHED LABIAPLASTIES

Dr. Alter specializes in female genital surgery and has spent decades perfecting his reconstructive techniques. All patients featured in this gallery are unique and an individualized treatment plan was developed for each case.

PATIENT 1

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

22-year-old who had a previous left trimming labiaplasty which left her with severe asymmetry. She underwent reconstruction of the left labium and an “Alter V” wedge labiaplasty on the right.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 2

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

45-year-old who had trimming labiaplasty resulting in a bulky clitoral hood and bulky upper labia minora with severe scalloping and irregular edges. She also had partial amputation of both labia minora. Reconstruction included “Alter V” wedge labia excisions of the upper labia minora and lower clitoral hood plus scar revisions of the labia to reduce the scalloping. This patient’s surgery preceded the clitoropexy procedure.
a. Pre-operation b. Post-surgery

PATIENT 3

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

23-year-old who underwent an aggressive amputation labiaplasty with removal of her right mid-labium and bilateral deformities of the junction of the clitoral frenula, clitoral hood, and upper labia. Reconstruction involved advancement of the upper and lower labia edges on the right and an “Alter V” wedge labiaplasty on the left.
a. Pre-operation b. Post-surgery

PATIENT 4

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

27-year-old who had Bartholin cyst surgery on the left that caused the left labium to be detached. She underwent reconstruction of the left labium along with a right wedge reduction to achieve symmetry.
a. Pre-operation b. Pre-operation with labia open c. Pre-surgery d. Post-surgery with labia open

PATIENT 5

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

27-year-old with clitoropexy and labiaplasty
a. Pre-operation b. Post-surgery

PATIENT 6

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

17-year-old who had a right wedge labiaplasty that came apart. Her left labium was still enlarged. She underwent reconstruction of her right labium with closure of the wedge dehiscence and a left “Alter V” wedge labiaplasty to achieve symmetry.
a. Pre-operation b. Pre-operation with labia open c. Pre-surgery d. Post-surgery with labia open

PATIENT 7

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

26-year-old who had bilateral posterior wedge labiaplasties with total dehiscence on the right and partial dehiscence on the left. She underwent reconstruction with redo of her posterior wedges.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 8

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

36-year-old who had a failed central wedge labiaplasty by another physician resulting in a large perforation on the right and complete detachment on the left. She underwent an “Alter V” labial reconstruction bilaterally with a four-layer closure and reduction of the posterior lip of her vagina.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 9

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

44-year-old woman with clitoris enlargement and bilateral failed labiaplasties with dehiscence, scalloping, and asymmetry. She underwent a clitoris and clitoral hood reduction along with bilateral labia minora reconstruction. She had two wedges removed from the right labium and one wedge from the left labium with a minor revision of her posterior lip.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 10

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

36-year-old who had a previous trimming labiaplasty with resulting overexposure of the glans clitoris, asymmetry of the labia minora with mild scalloping, and an enlarged clitoral hood that is bulky on the lower hood. She underwent a clitoropexy with a hood reduction, closure of the prepuce over her clitoris, and multiple wedge excisions of her labia minora to achieve symmetry.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 11

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

20-year-old woman who underwent a three staged procedure to fully achieve reconstruction. She presented after a trimming labiaplasty and prepuce reduction with a large clitoral hood, overexposure of her clitoris, labial asymmetry and scalloping with partial removal of her lower labia, and an open perineum. Her procedures included a clitoropexy with hood reduction, closure of her prepuce over the clitoris, advancement of her lower labia minora, “Alter V” wedge excisions of her labia minora, and a perineoplasty.
a. Pre-operation b. Post-surgery

PATIENT 12

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

18-year-old who had a trimming labiaplasty. She presented with a very large, bulky clitoral hood and thick labia minora enlargement with scalloping. She underwent a clitoropexy with a clitoral hood reduction and large “Alter V” wedge excisions.
a. Pre-operation b. Pre-operation with labia open c. Post-surgery d. Post-surgery with labia open

PATIENT 13

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

40-year-old who had a previous laser trimming labia minora reduction, labia majora reduction, and perineal repair. She underwent a staged repair by revising her labia majora scars, labia minora, and perineum. She also underwent a clitoropexy with clitoral hood reduction to reduce her clitoral hood.
a. Pre-operation b. Post-surgery

PATIENT 14

RECONSTRUCTION OF LABIA THAT ARE NOT AMPUTATED

28-year-old had a trimming labiaplasty with a clitoral hood reduction. She complained that the hood and clitoris moved to the right and disliked the labial scallops and asymmetry. She underwent a release of the right clitoral hood with a vaginal mucosal graft in the labial sulcus along with multiple wedge excisions of the labia minora to improve scalloping and asymmetry.
a. Pre-operation b. Post-surgery

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.

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