Postop in OR

Patient had vaginoplasty elsewhere 3 years prior and wanted more defined labia minora and also closure of her vaginal opening.

Revision of posterior vaginal dehiscence scar and labia minora bilaterally.

Patient had excess urethral tissue left by prior surgeon, small vaginal opening, no labia minora nor clitoral hood, also had a wide trough in her mons. Repaired these problem areas.

Three prior revisions for this patient before she was referred to MoZaic Care. She had a trough in her mons that made her clitoral hood more prominent, lack of definition of her labia minora, excess tissue under her urethral opening and her vaginal opening was persistently open.

Patient had a sensitive clitoris.  Revised the clitoral hood, excised excess tissue between clitoris and urethra, redefined labia minora, opened up bottom of vagina/posterior fourchette.  Photos include preop, postop, and 3 months.

Revision after peritoneal pull through vaginoplasty 1 year prior.  Issues included labia minora retraction and clitoral hood redefinition.  Photos include preop and 2 weeks postop.

PPTV with new labia technique: Labial revision after penile skin retraction and retraction of labia minora, with left side more severely retracted.  Also, clitoral hood revision.

Revision for exposed clitoris, undefined labia minora, and introital scar tissue.  Procedures performed include clitoral hood revision, labiaplasty, and steroid injection/surgical repair of introital scar.  Photos include preop, postop, and 3 months later.

This patient had initial vaginoplasty done in Eastern Europe. Urethra placed too high and glans was found intraoperatively near patients anus. Major reconstruction and revision to dissect and properly place neo-clitoris, correct urethra with urethroplasty, creation of vagina and most tissue present on outside needed for vaginal lining.

Vagina had scarred down to 3 cm. She was sent to us for peritoneal flap revision. Note the pink circle inside the vagina it the peritoneum sewn to the healthy vaginal tissue.

One year revision: peritoneal flap with new labia technique ( penile shaft skin flaps). Note retraction of labia minora on the right preoperatively, skin bridge scar under clitoris, some excess tissue on opposite labia minora and underneath skin bridge.

Below-Preop: exposed clitoris, excess protruding midline erectile tissue: both urethral and bulbospongiosis muscle; misplaced urethra below clitoris as opposed to below the pubic bone; and loss of labia minora definition. Postop: removal of excess urethral and bulbospongiosis muscle, repositioning the urethra, creation of labia and clitoral hood.

Phalgina labiaplasty revision

Peritoneal Pull Through Bilateral Severe Labial Retraction: Revision Surgery

Check out Dr. Bonnington's revision surgery photos on his designated photos page!