Overview of Labiaplasty
Reconstructive Surgery

Corrective Labiaplasty Procedure

Techniques Used in Labia Reduction
To understand the best way to revise a botched labia reduction, it’s important to know the common techniques used in labiaplasty (labioplasy). 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 works to reduce 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.

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, scar discomfort and pain, and distortion of the clitoris, clitoral hood, and labium.

Botched Labiaplasties: Revision & Reconstruction Techniques
The deformities from the various labia reductions can often be reconstructed to give a normal or near normal appearance using a wide assortment of plastic surgical techniques. These labiaplasty reconstruction and labiaplasty revision techniques were created and refined by Dr. Alter over a decade of reconstructing multiple labia minora and clitoral hood deformities utilizing a wide variety of techniques.

A successful labiaplasty revision and reconstruction typically depends on the amount of labia minora and clitoral hood tissue remaining. A good surgeon will require as much labia and clitoral hood as possible to fix the labia properly to ensure an optimal cosmetic vaginal surgical outcome.

Techniques most employed by Dr. Alter to reverse botched labiaplasties are:

  • 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 of 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.
  • If one or both labia are totally absent, Dr. Alter can often make new labia out of the clitoral hood. He invented this complicated technique, which is often the only good option to create a normal labium.
  • Fix the scarred or scalloped labium by partially removing it or accurately suturing it.
  • Inject fat into the small labium to improve a minor deformity.
  • Reattach the hanging clitoral hood to a normal position.
  • Reduce a large clitoral hood by re-positioning the clitoris (clitoropexy) and removing the extra skin.

How Long Should Women Wait Post-Botched Labiaplasty?
Women usually need at least five months after a failed labiaplasty to allow for healing, new blood supply, and swelling to go down. Too often, patients and surgeons rush to fix a botched labiaplasty by operating too soon or removing more tissue. To ensure you get the most out of your reconstruction, it’s imperative that you allow your body time to heal before proceeding with more treatment.

Dr. Alter will happily review your botched labiaplasty and work with you to create a plan that results in the best outcome for you.

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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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Dr. Alter knows how hard it can be to address a labiaplasty gone wrong. Rest assure, with Dr. Alter you’ll be treated with respect and utmost discretion every step of the way.

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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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