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Secondary Labia Reconstruction:
Dr. Alter has been reconstructing and repairing labia minora deformities due to other surgeons’ botched labiaplasties since the mid-90s—with a tremendous amount of success. He has single-handedly perfected numerous reconstructive techniques that help women achieve the look and functionality they desire.
To understand the best way to revise a botched labia reduction, it’s important to know the common techniques used in labiaplasty. The two most popular approaches used today are the trimming and central wedge technique (invented by Dr. Alter in 1995 and also referred to as the “V” technique or the “Alter labiaplasty”).
The central wedge technique reduces the labia minora while maintaining the normal appearance and anatomy of the labia and labial edge. It also prevents over-removal and has less post-operative discomfort than other techniques when performed correctly. The disadvantages of the central wedge are that it requires more surgical skill and a longer surgery time. An unskilled surgeon may also have a significant complication rate including disruption of the suture line, significant asymmetry, or inadequate removal.
The trimming technique is the quicker, more common labiaplasty surgery used by gynecologists and most plastic surgeons. The labial edges are trimmed with a scalpel, scissors, knife, clamp, or laser. The disadvantages of this method are the risks of partial or over-removal, asymmetry, unnatural appearance along the suture line with scallops and concavities, scar discomfort and pain, and distortion of the clitoris attachment (frenula) to the labia and clitoral hood.
Botched Labiaplasties: Revision & Reconstruction Techniques
Unfortunately, many women who undergo a labiaplasty end up with a worse or even catastrophic result due to a botched labiaplasty. Many of these women have tender, if not painful areas that may make intercourse difficult and some feel like they have been mutilated. All this can have an immense impact on a woman’s self-esteem and mental health. It’s no surprise that these women would have a high-level of skepticism and be reluctant to trust another labiaplasty surgeon.
The good news is that these deformities from the various labia reductions can often be reconstructed to give a normal or near normal appearance using a wide assortment of techniques. These labiaplasty revision techniques were created and refined by Dr. Alter over the course of several decades. He published the first and only major medical paper on reconstruction of botched labiaplasties in the prestigious journal, “Plastic and Reconstructive Surgery” in 2011, which includes his creation of clitoral hood flaps.
A successful labiaplasty revision and reconstruction typically depends on the amount of labia minora and clitoral hood tissue remaining, since this tissue is needed to replace the absent or damaged areas.
Techniques employed by Dr. Alter to reverse botched labiaplasties include:
- Use of remaining clitoral hood or labial tissue to reconstruct the deformed or absent labium caused by a botched labiaplasty. These are very complex plastic surgical techniques require moving tissues around without injuring the blood supply.
- To correct the gap in an overly removed labium, Dr. Alter cuts the gap out and brings the normal-sized edges together. This is similar to small wedge excisions.
- If one or both labia are totally absent, Dr. Alter can often make new labia out of the sides of the clitoral hood. He invented this complicated technique, called a clitoral hood flap(s), which is often the only good option to create a normal labium.
- Fix the scarred or scalloped labium by partially removing the scallops or scars and accurately suturing it.
- Inject fat into the small labium to improve a minor deformity.
- Reattach the hanging clitoral hood or clitoral frenulum to a normal position.
- Reduce a large clitoral hood by re-positioning the clitoris and removing the extra skin.
Patients from outside the LA-area typically email photos of their labia, and then schedule a phone consult to discuss the surgical plan. Even if the first labiaplasty is recent, Dr. Alter can often access whether a reconstruction is possible.
Patients need to stay in town anywhere from two to five days after surgery to make sure that recovering is going well. Post-operative care is usually minimal.
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.
Thoughts & Insights
I knew I was going to experience pain post-op, but something just didn’t feel right. I had no clue as to how much my world was about to change.
Labias, Ladies! Get in your comfy pants, pull up a chair, get cozy and let’s dive deep into the world of labia. First and foremost, the basics!
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