Skip to main content
Media Logos

Botched Labiaplasty Repair: Frequently Asked Questions

Surgical Labiaplasty Revision or Restoration Labiaplasty is the surgical procedure performed to correct deformed labia or botched labiaplasty surgery.

Gary Alter, MD is the innovator & acknowledged leader in botched labiaplasty reconstruction surgery. He  wrote the FIRST medical paper on botched labiaplasties – published in the most prestigious plastic surgical journal in the world called “Plastic & Reconstructive Surgery”.
Read More

Why should I go to Board Certified Plastic Surgeon, Gary Alter, MD for my botched labiaplasty revision reconstruction?

Dr. Gary Alter, MD is the innovator and acknowledged leader in labia reconstruction and cosmetic vaginal surgery. Board Certified Plastic Surgeon, Gary Alter, MD wrote the ONLY medical paper on reconstructing botched labiaplasties which was published in 2011 in the most prestigious plastic surgical journal in the world called “Plastic and Reconstructive Surgery”. This extensive publication details some of the cosmetic vaginal surgical procedures that Dr. Gary Alter invented for labia reconstruction repair. Dr. Gary Alter, MD uses many very sophisticated plastic surgical principles, which are taught to plastic surgeons during their extensive training on how to perform a botched labiaplasty repair surgery. Gynecologists and urologists are not taught these surgical and anatomic skills. Gary Alter, MD, took these skills from his plastic surgical training and added them to his knowledge of genitalia from his urological training to invent multiple cosmetic vaginal surgery techniques to reconstruct the “ botched” labia. It is because of Dr. Alter’s unparalleled labiaplasty revision experience and expertise in performing botched labiaplasty repair surgery that he developed a bicoastal practice – with offices in Manhattan, NYC and Beverly Hills, California.

In the mid- 1990s, Board Certified Plastic Surgeon / Board Certified Urologist – Dr. Gary Alter invented the central wedge or Alter “V” labiaplasty procedure – this procedure is considered the “best in class” technique for labiaplasty surgery (labia minora surgery).

Dr. Gary Alter has patients from around the world seeking his expert surgical technique for labia and clitoral hood reduction and for botched labia repair reconstruction. The Board Certified Plastic Surgeon’s labiaplasty revision surgery experience is unmatched worldwide.

The patient with a botched labiaplasty surgery needs to seek the foremost authority for cosmetic vaginal surgery to fix these failures. Otherwise, another failure may be truly disastrous and is certainly possible.

Does Gary Alter also perform labia minora reduction (labiaplasty) surgery?

Yes. The Board Certified Plastic Surgeon performs primary labia minora reduction (labiaplasty surgery) at both his NYC and Beverly Hill surgical centers. For more information on the primary procedure please visit the doctor’s other website:

I feel very deformed after my botched labiaplasty surgery and am unsure about labiaplasty revision. With cosmetic vaginal surgery how normal can you make me look now?

The final result of the labia reconstruction repair surgery as performed in the Plastic Surgeon’s NYC or Beverly Hills labiaplasty reconstruction office depends on multiple factors. Usually, the labiaplasty reconstruction surgery is better if you still have considerable labia and clitoral tissue remaining. This gives the Plastic Surgeon more tissue to use to create an excellent and normal appearance. However, Dr. Gary Alter, MD can still do remarkable labiaplasty (labia minora) reconstructions with little remaining labia minora and clitoral hood. Fixing botched labiaplasties with restoration labiaplasty surgery is the plastic surgeon’s dedicated area of expertise – he can usually make the genital area look very normal, so that you will no longer be self-conscious. The Plastic Surgeon achieves this by moving tissue around or by removing abnormal tissue or by a combination of these two.

The Plastic Surgeon’s NYC and Beverly Hills botched labiaplasty repair patients repetitively tell him that “I have given them back their lives” due to performing the cosmetic vaginal surgery.

My botched labiaplasty surgery has left me feeling embarrassed and ashamed. How long do I need to wait before I can have cosmetic vaginal labiaplasty revision surgery?

Shortly after a failed labiaplasty, most women usually have severe anxiety and wish immediate correction. However, it takes time for the swelling to go down and for the blood supply to revitalize the tissues. Often, the appearance of the genital region looks better with time. I will usually require you to wait at least five months from the botched labiaplasty prior to reconstruction. This will allow time for the tissues to heal. In the meantime, you have to control your anxiety. A premature surgery with removal or destruction of the remaining tissue can eliminate all chance for me to perform a successful reconstruction. In the meantime, I can evaluate you or photos and give you a good idea of the probable reconstruction.

I have one labium that is removed and one that is still present. How can you make me look normal from my botched labiaplasty surgery. How does Surgical Labiaplasty Revision (Restoration Labiaplasty Surgery) help in this case?

If you only have one labium, the bicoastal (NYC and Beverly Hills labiaplasty reconstruction practice) Plastic Surgeon can usually match it by creating another labium out of the portion of the remaining clitoral hood. Doctor Gary Alter, MD invented this cosmetic vaginal surgery tissue-moving operation about five years ago, because he has seen (and successfully treated) so many botched labiaplasties. The success rate is extremely high, as the Plastic Surgeon has not had any failures with this sophisticated procedure. The Plastic Surgeon published this technique but does not know of any other plastic surgeons that have even attempted it. Doctor Alter’s sophistication with this restoration labiaplasty revision procedure has only improved with experience.

How long does Surgical Labiaplasty Revision or Restoration Labiaplasty reconstruction take to fix my botched labiaplasty?

The length of the Surgical Labiaplasty Revision or Restoration Labiaplasty surgery depends on your vaginal deformity and the required labiaplasty reconstruction. The labiaplasty revision surgery can take as little as an hour or as long as 4-5 hours. The cosmetic vaginal surgery revision of a botched labiaplasty is much more difficult than the initial labia reduction, so the time of labiaplasty revision surgery may be much longer. The important decision is choosing the correct labiaplasty revision surgery and the best plastic surgeon with the skills to fix your botched labiaplasty surgery.

I now have a lot of painful areas after the first botched labiaplasty surgery. Will I be pain free after cosmetic vaginal surgery?

Most of the painful areas after a labiaplasty are due to tender scars. Most vaginal reconstruction (labiaplasties performed by other surgeons or unskilled doctors) are performed by trimming the entire labial edge with a scalpel, scissors, or laser. Therefore the entire labial edge is a scar. Thus, there is a much higher change of painful scars with these techniques in contrast to the Alter “wedge” technique. With labiaplasty reconstruction, Doctor Gary Alter, MD can almost always remove the painful scars with his sophisticated labiaplasty revision surgical techniques and eliminate the pain.

My last vaginal reconstruction labiaplasty (labia minora) surgery was very painful. Will this one be as painful?

It is difficult to believe but the labiaplasty repair reconstruction is usually only mildly painful. If your previous labiaplasty was performed by the trimming technique, most women had a long prolonged period of pain. This rarely, if ever, happens with the Board Certified Plastic Surgeon’s vaginal labia reconstructions. Most women return to work in 3-4 days with only mild discomfort.

What is the post-operative course after the repair of my botched labiaplasty?

You need to apply ice and antibiotic ointment for two days. You can shower the first day after surgery. There are no catheters, requirements for baths, or wound care. After two days, there is nothing to do except to heal with mild discomfort. The sutures dissolve. You can resume exercise in a month and sexual intercourse in six weeks.

How much does botched labiaplasty repair surgery it cost? Does insurance cover the botched labiaplasty reconstruction when it was the fault of my first surgeon (doctor)?

The cost of vaginal reconstruction varies depending on what needs to be done. Fortunately, insurance will often cover part of the botched labiaplasty repair expense, because the surgery is a reconstruction of a normal body part and not cosmetic. Oftentimes, an HMO will even cover the cost to fix your botched labiaplasty, because the HMO often recognizes Dr. Gary Alter, MD’s unique skills and qualifications. The Plastic Surgeon’s NYC or Beverly Hill’s staff will negotiate directly with the insurance company or HMO to try to get your surgery approved. We also work with several finance companies.

Can I do other plastic surgery procedures at the same time as my botched labiaplasty repair surgery?

Yes, in most cases even if it is not genital related. The Plastic Surgeon often perform breast augmentation or liposuction at the same time as the reconstructive surgery. Please visit the Plastic Surgeon’s main website to review what procedures he offers:

I know you have offices in Beverly Hills, CA and Manhattan, NY, but I don’t live nearby. How do I see you as a patient for Surgical Labiaplasty Revision or Restoration Labiaplasty to fix my botched labiaplasty?

We encourage you and out-of-town patients seeking cosmetic vaginal surgery to email photos to We will then do a phone consultation to discuss the plans. We will assist you in suggesting hotels, etc. The Board Certified Plastic Surgeon will see you on the day before your botched labiaplasty revision surgery. At that time, Doctor Gary Alter, MD will discuss the surgical plan in depth and usually show photos of vaginal reconstruction procedures on similar patients. Usually, you can return home on the third or fourth day after surgery. Any later questions can be handled with email photos and phone or email correspondence.