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Secondary Labia Reconstruction


The Alter wedge labia minora technique is still not widely used. Gynecologists and most plastic surgeons perform the operation very differently. They essentially trim or amputate the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. It is the same technique whether a scalpel or a laser is used. In contrast, I remove triangles of tissue and bring the normal edges together. Thus, my technique preserves the normal labial edges, normal color, and normal anatomy. The trimming results can be satisfactory but may result in secondary deformities such as absent labia, asymmetry, and irregular, scalloped edges.

I specialize in reconstructing deformities from botched or failed labiaplasties resulting from trimming or wedge labiaplasties. I use a variety of techniques depending on the situation.  In 2011, I published the only medical paper on reconstructing labia deformity abnormalities in the prestigious plastic surgery journal “Plastic and Reconstructive Surgery”.  The reconstruction is usually much more difficult than a first time labiaplasty and requires advanced knowledge of plastic surgical principles of tissue movement.  I invented clitoral hood flaps in which I take extra tissue from the sides of the clitoral hood and transfer it to create new labia minora in women who have had labial amputation.  Often, I can make the reconstructed labia minora look very normal.

Click here to see examples of Dr. Alter’s Secondary Labia Reconstruction Work

For more information on Secondary Labia reconstruction please visit Board Certified Plastic Surgeon, Gary J. Alter, MD’ labiaplasty website:

If you have any questions about Secondary Labia Reconstruction please feel free to contact Board Certified Plastic Surgeon, Dr. Gary Alter at his Manhattan, New York or Beverly Hills, California office.

416 N Bedford Dr
Suite 400
Beverly Hills, CA 90210

461 Park Ave South
7th Floor
New York, NY 10016

The Nova Clinic
Villa Number 1047
Al Wasl Road
Umm Suqiem 2, Dubai