Before & After Gallery

Gary J. Alter M.D.

Before & After

Labiaplasty Revision -Reconstruction using wedges and other techniques

All patients included in the gallery below had their initial labiaplasty performed by other physicians not in any way affiliated with Dr. Alter.
In order to see the detail that Dr. Alter goes to when revisiting a botched labiaplasty, we shoot all before/after zoomed in and no photos have been doctored in any way. Highly skilled in correcting botched labiaplasties, Dr. Alter has spent decades perfecting his vaginal reconstructive techniques, granting women the ability to attain a more aesthetically appealing and normal vaginal appearance.

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Patient 1
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-operation d. Post-operation with labia open.

Patient 2
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-operation 

Patient 3
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-operation

Patient 4
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. Post-operation d. Post-operation with labia open.

Patient 5
30-year-old who had a laser trimming labiaplasty and perineal elevation. This caused scalloping and asymmetry of the labia minora and a high vaginal lip preventing intercourse. She underwent reconstruction with “Alter V” labia reductions along with lowering of the high vaginal lip. a. Pre-operation. b. Post-operation

Patient 6
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. Post-operation d. Post-operation with labia open.

Patient 7

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-operation d. Post-operation with labia open.

Patient 8
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-operation d. Post-operation with labia open.

Patient 9
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-operation d. Post-operation with labia open.

Patient 10
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-operation d. Post-operation with labia open.

Patient 11
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-operation 

Patient 12
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-operation d. Post-operation with labia open.

Patient 13
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-operation 

Patient 14
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-operation 

Labiaplasty Reconstruction Surgery

Weighing your options regarding a less than ideal labiaplasty can be daunting to be sure.
Dr. Alter and staff are dedicated to your wellness and look forward to connecting with you about your concerns and goals.

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Gary J. Alter M.D.

A pioneer in genital reconstruction, Dr. Alter has helped hundreds of women with his extensive knowledge of genital anatomy as well as expertise in minimizing scars, transferring tissue, and improving cosmetic appearance.

416 N. Bedford Dr. Suite # 400, 
Beverly Hills, CA 90210
Phone: +1(310) 275-5566
Email: [email protected]

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