Labioplasty Revision Istanbul

What is Labioplasty?

Labioplasty is divided into two types: inner labiaplasty and outer labiaplasty. Labioplasty is generally referred to as the surgery for correcting the inner labia. However, since the entire labial area, including both the inner and outer labia, forms the genital area’s appearance, considering the entire area as a whole will increase post-surgery satisfaction. Inner labia correction surgery, or labioplasty, is the aesthetic correction of the inner labia.

What is Revision Labioplasty?

Revision labioplasty is a surgery performed to correct the labia in individuals who are not satisfied with the result of a previous labioplasty or have other issues. It may be performed in patients who have not achieved a positive result from their initial labioplasty.

In patients who require a second or third labioplasty, pre-operative evaluation and consultation are crucial. Proper surgical planning is necessary to achieve the best possible outcome for the labia.

What is the Structure of the Vaginal Inner Labia?

The vagina is the internal structure of the genital area. The external genital area is called the vulva. The vulva consists of the inner labia, outer labia, mons pubis, and clitoris. The labia minora, or inner labia, form by merging with the clitoral hood, the area above the clitoris, and the inner connective tissue.

Thus, the inner labia are formed by the merging of three folds. In cases of inappropriate patients, improper cuts may result in jagged edges or excessive protrusion in the clitoral area. Many patients seek revision labioplasty due to these issues.

The urethral opening (the urinary tract) and the vaginal entrance are located in the area of the inner labia. Since the distance between these structures can be as little as 0.5 cm, incisions must be made carefully. Misaligned folds or bothersome tissues can cause not only aesthetic issues but also difficulties in urination, pain during sexual intercourse, or sensitivity when wearing underwear.

Why is Revision Labioplasty Performed?

Revision labioplasty is generally performed for the same reasons as labioplasty. However, some additional reasons may include:

• Difficulty urinating, such as interrupted or sideways urine flow after labioplasty.
• Pain or discomfort in the genital area during rest or movement, or irritation from underwear.
• Pain during sexual intercourse, or bleeding.
• Pain in the clitoral area.
• Inability to orgasm.
• Pain when walking or climbing stairs, especially in cases where the inner labia have been overly reduced, causing the outer labia and inner thigh skin to extend, making it difficult to spread the legs.
• Formation of hard tissue at the incision sites.
• Protrusion of the clitoral area (known as "dog ear" deformity).
• The inner labia still being visible while standing.
• Failure to achieve the desired aesthetic result after the initial surgery.

I Had Labioplasty but I’m Not Satisfied, Can It Be Corrected?

If a patient is not satisfied with their labioplasty results or has experienced complications, they can opt for revision surgery. However, correction surgery cannot be performed immediately. The surgical area must heal fully, which can take 2 to 3 months. The necessary waiting time depends on the individual’s tissue healing process.

The specific approach during revision labioplasty will depend on the initial surgery's results. For some patients, minor repairs or fat grafting may be sufficient, while others may require more complex procedures, such as tissue flaps. Post-surgery, special creams and regenerative treatments like PRP (platelet-rich plasma) can be used to promote healing.

How is Revision Labioplasty Performed?

Labioplasty, or inner labia correction surgery, must be customized for each individual. Inappropriate cuts, failure to address excess clitoral hood tissue, or improper incision techniques can lead to unsatisfactory results, requiring revision labioplasty.

Similarly, revision labioplasty must be tailored to the specific needs of the patient. It’s especially important to plan the surgery carefully, as revision procedures tend to be more complicated. What needs to be done will depend on factors like the degree of damage to the remaining inner labia tissue and whether there is any excessive protrusion of the clitoral area.

In some cases, incisions may extend to the outer labia, requiring a tissue flap procedure. In cases where the inner labia have been completely removed, revision surgery can be performed using similar techniques. The goal of the surgery is to correct visual and functional issues and ensure the patient's satisfaction.

What Are the Types of Revision Labioplasty Surgeries?

In general, when performing revision surgery for aesthetic procedures, the approach will depend on the results of the first surgery and the patient’s tissue healing status, so it’s not possible to define specific types of revision labioplasty. Planning and surgery are personalized for each patient. To achieve the best possible result in revision labioplasty, the surgical area must be thoroughly evaluated, and the procedure must be carefully planned step by step.

How Long Does Revision Labioplasty Take?

The duration of revision labioplasty is generally similar to that of a standard labioplasty surgery. However, in some cases, procedures like tissue flaps, fat grafting, or trimming may extend the duration slightly.

What Are the Costs of Revision Labioplasty?

Revision labioplasty is often more time-consuming than primary labioplasty. In some cases, tissue flap procedures or fat grafting may be required, which can make the revision surgery more expensive. In other cases, a smaller intervention may be sufficient, reducing the cost.

Is Revision Labioplasty a Difficult Procedure?

The anesthesia and post-surgery recovery process for revision labioplasty are similar to the original labioplasty. However, the surgical technique is more complex, which makes it important that the surgeon is experienced in performing revision labioplasty. If more than three surgeries are performed in the same area, it may cause tissue damage, so choosing the right surgeon is crucial.

What Should Be Considered After Revision Labioplasty?

• Follow general hygiene guidelines.
• Avoid tight clothing for 1-2 days after surgery.
• Use prescribed antibiotics.
• Avoid heavy exercise for the first 3 weeks.
• Refrain from sexual intercourse for the first 4 weeks.
• Showers can be taken after 24-36 hours, but they should be done standing.

How Does Recovery After Revision Labioplasty Progress?

The full recovery of the tissue and the reduction of swelling typically occur in a short time. Since it’s a second surgical procedure, some patients may benefit from treatments that promote faster healing, such as PRP or vitamins, which can be used to enhance recovery.

What Are Common Mistakes in Labioplasty?

The structure of the inner labia is complex and folded. If the area above the clitoris and the folds between the clitoris and the urethra are not properly addressed, it may result in protruding or uncomfortable tissue after surgery.

If excess tissue is removed from the clitoral area (during a procedure called hoodoplasty) it can lead to pain during intercourse, an inability to orgasm, or spontaneous orgasm in inappropriate situations throughout the day.

Since the inner labia are located above the urethra, improper incisions can cause difficulty urinating, or lead to a split or misaligned urine stream. In cases where the inner labia have been completely removed, pain during intercourse and frequent vaginal infections may occur. If the incision extends to the outer labia, it may cause difficulty walking or spreading the legs.

The need for revision labioplasty may also increase if there has been an infection after the original surgery, as it negatively affects tissue healing and can lead to undesirable results.

Is There a Loss of Sensation After Labioplasty? Can It Be Corrected?

Labioplasty can be performed with either a laser or surgical cutting instruments. Any incision can lead to nerve sensitivity changes or nerve severing. However, the pudendal nerve, which provides sensation to the genital area, is located far enough from the labioplasty incision site that permanent nerve damage is unlikely. Loss of sensation due to swelling or infection can typically be improved with supportive treatments.

Who Should Perform Labioplasty?

The genital area, which includes the urethra, anal region, and vaginal opening, has both aesthetic and functional importance. It is part of the pelvic floor, which requires expertise in both function and disease of the genital area. Therefore, labioplasty should be performed by gynecologists who specialize in pelvic health and anatomy.

People Who Are Not Satisfied with Their Labioplasty May Need a Correction Surgery!

In clinical practice, labioplasty may seem unnecessary to some people. However, large, sagging, or visibly protruding inner labia that cause pain during intercourse can affect both life and sexual quality. Similarly, individuals who have undergone labioplasty but are unsatisfied with the results, or even have more severe complaints, may require revision labioplasty to correct these issues.

Can Revision Labioplasty and Vaginal Rejuvenation (Vaginoplasty) Be Done at the Same Time?

The labia are located in the external genital area, while the vaginal structure is part of the internal genital area. Since these are different anatomical areas, revision labioplasty can be performed simultaneously with vaginal rejuvenation surgery (whether surgical or laser) without complications.