Botched Labia

This 26-year-old Michigan patient presents to Dr Miklos with a botched labiapasty which was performed only 6 months earlier. She had the initial labiaplasty because she suffered from pain, irritation and discomfort.  She felt the pain was due to the labia minora protruding beyond the edge of the labia majora. This patient is distraught over the results of her labiaplasty. She has not had intercourse since her labiaplasty as she is self-conscious. She chose to come to Dr Miklos due to his extensive experience with treating botched labia, reputation and technique. She could have gone anywhere in the country for her repair but chose Dr Miklos for her botched labiaplasty repair in Atlanta GA.

Almost immediately after the labiaplasty surgery she felt the surgeon cut off too much labia. She feels that her left labia minora is uneven and symmetrical to her right side. (Figure 1). She feels she is disfigured and there is a greater amount of tension on her right labia minora and she feels like this area might tear with intercourse. Dr Miklos revised not only her labia minora but her lateral prepuce and frenulum resulting in better symmetry from right side to left side and better proportion between the upper and lower labia minora. (Figure 2)

Uneven Labia Botched Labiaplasty Revision

She went back to her surgeon who felt she could do nothing to help her and instead recommended another surgeon who was a cosmetic vaginal surgeon specialist in Michigan. This surgeon recommended trimming the labiaplasty to make them symmetrical. Dr Miklos had a teleconference with her prior to her trip to Atlanta for her surgery. Dr Miklos explained he would address each of her issues to the best of his ability and would only perform the surgery in the exact areas that both the patient and he agreed upon.

Photographs were taken prior to the exam and the patient labeled each area of concern. Dr Miklos then reviewed each area of concern in the photos as well as during the exam. The patient could confirm the exact areas as she held a mirror during the detailed examination. She was in complete agreement as to the approach and technique which was to be utilized during the surgery. She agreed: 1) that the lateral prepuce was asymmetrical and redundant (Figure 2a, 2b, 2c)

Figure 2 A – lateral prepuce gives the appearance of a wide clitoral hood
Figure 2 B – marking the borders of the lateral prepuce
Figure 3 C – removal of the lateral prepuce

2) frenulum – were serrated and not contoured, this is a result of poor aesthetic suturing technique. Not the bumpy / serrated edges to the frenulum (Figure 3 A) and the frenulum is contoured to remove the serrated skin edges. Figure 3B shows the results of a frenulum contouring on the right side only.

3) Uneven right labia with irregular border (Figure 4A) and right labia revision to acquire greater symmetry (Figure 4B). One can note she has also had a right sided frenulum contouring too.

Botched labiaplasty revision surgery is more than just addressing what the previous surgeon botched. It is an artistic idea which utilizes the surgeons understanding of anatomy, experiences, and expertise.   If you suffer from a botched labiaplasty surgery, please choose your revision specialist wisely. Failure to do so can lead to even more devastating results. So only go to surgery after you completely vet the very best surgeon to fix your botched labiaplasty.

4) left labia – was slightly longer than the right labia (Figure 5A) and this has reduced by approximately only 2 mm between the 2-3 o’clock area (Figure 5B).

Fig5A:  Elongated Left Labia Minora
Fig5B:  Reduction of Labia Minora elongation