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Revision Labiaplasty Surgery Sydney By Dr Georgina Konrat
Revision labiaplasty surgery is a secondary surgical procedure performed after previous labiaplasty. Some individuals seek information about revision labiaplasty surgery due to concerns including physical discomfort, anatomical asymmetry, or changes in tissue texture following their initial procedure.
Dr Georgina Konrat performs revision labiaplasty surgery using the DOVE surgical approach (Double Offset V-Plasty with Extended De-epithelialisation). This surgical method was published in the Aesthetic Surgery Journal in 2005. Dr Konrat and her surgical team perform procedures at Double Bay Day Hospital, an accredited Sydney facility.
Like all surgical procedures, revision labiaplasty surgery carries risks and complications including infection, bleeding, scarring, further asymmetry, sensation loss, and dissatisfaction with outcomes. Revision surgery is more complex than primary surgery due to scar tissue and altered anatomy. Results vary between individuals. There is no guarantee of specific outcomes. Before proceeding with any cosmetic surgical procedure, you should seek a second opinion from an appropriately qualified health practitioner, such as a GP.
Educational information only. Any surgical or invasive procedure carries risks. Before you decide, Dr Konrat will explain the expected outcomes, recovery process, and possible complications in detail. No surgical result can be guaranteed.
Before you Decide
All surgical procedures carry risks and require careful consideration. During your consultation, Dr Konrat will explain the expected outcomes, recovery process, and possible complications in detail so you can make an informed decision. Every woman heals differently, and no surgical result can be guaranteed.
During your consultation, Dr Konrat will discuss the risks, possible alternatives, and what outcomes are realistically achievable for your anatomy.
Understanding Revision Labiaplasty Surgery Sydney
If your first labiaplasty surgery didn’t heal quite as you expected, you aren't alone. Revision labiaplasty is a secondary procedure for women who are still dealing with physical discomfort or anatomical concerns after their initial operation.
At our Sydney clinic, Dr Georgina Konrat sees many women who feel their first surgery left things uneven or removed a bit too much tissue. She uses the the DOVE surgery technique, a gentle surgical approach that was specifically designed to work with tissue that has already been operated on. The focus here is on protecting the blood supply and nerve pathways that remain, helping you move forward with more comfort.
Learn more about our practice and our philosophy.
The Function of the Labia Minora
Before deciding on more surgery, it helps to understand what the labia minora actually do for your body.
1. A Natural Shield: Think of the labia as a protective barrier. They help shield the vaginal opening and the urethra from friction, debris, and irritation during daily activities.
2. Keeping Things Balanced: They help maintain natural moisture in the area, which prevents the skin from becoming dry, itchy, or irritated.
3. Sensation: This area is naturally rich in nerve endings, which is why Dr Konrat uses the DOVE method to be as careful as possible with the existing sensation.
Common Physical Indications for Revision Labiaplasty
Every woman’s body heals differently, and even with skilled primary surgery, results can change over time. A revision labiaplasty is a secondary procedure for women who have had a previous surgery and are still experiencing physical issues with comfort, healing, or tissue balance.
Because a secondary procedure involves working with scar tissue and altered elasticity, it requires a very specific approach. Dr Konrat uses the DOVE Surgery Technique to work within the existing tissue layers to help restore a sense of symmetry.
Addressing Anatomical and Functional Concerns
While some women seek a revision to alter the aesthetic appearance, many are motivated by physical symptoms that affect their daily life.
Common reasons you might consider a secondary procedure include:
➔ Anatomical Asymmetry: This is a significant difference in size or shape between the two sides. It can occur if one side heals differently than the other after the first operation.
➔ Over-resection: This happens when too much tissue was removed during the primary surgery. It can lead to a feeling of "exposure" or discomfort because the protective barrier of the labia minora is reduced.
➔ Persistent Discomfort: You may feel physical irritation, tightness, or "pulling" caused by the placement of previous scars or residual tissue.
➔ Scalloping or Notching: Sometimes, previous techniques (like the wedge technique) can result in irregular, zig-zagged edges or "notches" along the labial border as the tissue settles.
➔ Ongoing Irritation: Thickened or raised scar tissue can catch on clothing or cause tenderness during exercise or intimacy.
If you are experiencing these changes in sensation or skin texture, it’s important to understand that you are not just "fixing a look", you're addressing functional concerns. Understanding how a revision is performed and reviewing the potential risks is the next step in deciding if a secondary procedure is right for you.
Learn more about labiaplasty surgery in Sydney with Dr Georgina Konrat. Learn more about the potential costs associated with labiaplasty.
Determining Suitability for Revision Labiaplasty
Revision surgery is a highly individual process. Because we are working with tissue that has already healed once, there is no "one-size-fits-all" approach. Determining if you are a candidate for a secondary procedure depends on your current anatomy and how much time has passed since your primary operation.
Clinical Criteria for Surgical Patients
You may be a suitable candidate for revision labiaplasty if you are experiencing:
Physical Irritation: Areas of tightness, pulling, or discomfort since your last surgery.
Uneven Healing: Noticed thickened scars, raised edges, or significant asymmetry.
Changes in Sensation: Experience tenderness or numbness that has not resolved.
Personal Aesthetic Reasons: A desire to alter the aesthetic appearance.
General Suitability Requirements
➔ Must be over 18 years of age.
➔ In good overall health and a non-smoker (or willing to pause for surgery).
➔ Not currently pregnant or breastfeeding.
➔ The 12-Month Rule: You should generally be at least 6–12 months post-primary surgery to allow tissues to fully soften and heal.
When Surgery May Not Be Recommended
➔ It is a core value of our clinic to provide honest clinical advice. Not every concern after a first surgery requires a second operation. In some cases:
➔ More Healing Time: Your tissue may simply need more time to mature before a final result is visible.
➔ Non-Surgical Management: Gentle scar-management or topical treatments may resolve the issue without further surgery.
➔ Tissue Constraints: If a primary surgery was very aggressive, there may not be enough remaining tissue to safely perform a further reduction.
Dr Konrat will review your surgical history and healing pattern during your consultation to recommend the safest path forward.
How is a Revision Labiaplasty Performed?
Revision labiaplasty is a more detailed and delicate procedure than a first-time labiaplasty. Because the tissue has already been operated on, every step requires extra care and precision. Factors such as scar tissue, changes in blood flow, and reduced elasticity all influence how a revision is individually planned around your specific anatomy.
The Surgical Journey: What Happens During Surgery
The procedure is performed as a day surgery at an accredited Sydney facility under local anaesthetic with light sedation, meaning you'll be relaxed and comfortable throughout.
➔ Assessment & Marking: Before surgery, Dr Konrat reviews your previous surgical notes and examines how your tissue has matured to guide the precise adjustments planned during your consultation.
➔ Anaesthesia: You’ll receive a local anaesthetic and light sedation, administered and monitored by a qualified anaesthetist.
➔ Tissue Reshaping: Using the DOVE labiaplasty surgical method, Dr Konrat reshapes excess tissue while preserving vital blood flow and nerve pathways. If needed, the clitoral hood or perineum can be reshaped simultaneously for symmetry.
➔ Fine Closure: Dissolvable stitches are used, which naturally dissolve as the area heals over the following weeks.
➔ Recovery Before You Go Home: You will spend one to two hours in the recovery suite under nursing supervision before a responsible adult drives you home.
"The goal of revision surgery isn’t to ‘redo’ your original procedure; it’s to work carefully with existing tissue to restore comfort, proportion, and natural function."
What Can I Expect After a Revision Labiaplasty?
Every revision is unique because every woman’s healing history is different. The clinical goal is to restore softness and balance using the tissue that remains.Every revision is unique because every woman’s healing history is different. The clinical goal is to restore softness and balance using the tissue that remains.
Clinical Outcomes & Objectives
When considering a revision labiaplasty, we aim to address the following functional and anatomical areas:
➔ Relief from tightness, pulling, or irritation caused by previous scar tissue.
➔ Restoring softer, more flexible tissue that moves naturally.
➔ Improving symmetry and physical balance between both sides.
➔ Greater comfort during daily movement, exercise, or intimacy.
➔ Aiming to preserve and protect nerve sensation.
Setting Realistic Expectations for Healing
Revision surgery asks a bit more from your body than a primary procedure. Because the tissue has healed once before, it can take slightly longer to settle. While most women notice a more natural feel by three months, final results are typically visible closer to six months.
All surgery leaves scars, which is a normal part of the healing process. Dr Konrat uses delicate sutures and gentle tissue handling to help these lines heal smoothly; most fade into fine, soft lines over 6–12 months.
It is important to understand that while revision surgery can significantly improve comfort, it cannot replace tissue that was previously removed. During your consultation, Dr Konrat will explain what can and cannot be changed for your specific anatomy and show educational before-and-after photos from similar revision cases.
The Dove Surgical Technique for Revisions
Every previous surgery leaves its own unique "fingerprint" on the tissue. Because a secondary procedure involves navigating existing incision lines and scar tissue, the surgical method must be precise and protective of the remaining blood supply.
Principles of Tissue Preservation
Dr Konrat performs revision surgery using the DOVE Labiaplasty technique (Double Offset V-Plasty with Extended De-epithelialisation). Unlike traditional methods that may cut through the full thickness of the tissue, the DOVE approach works within the upper tissue layers. This assists with healing and helps maintain natural sensation by protecting delicate nerve pathways.
Understanding Your Previous Surgery
To plan a successful revision, it helps to understand the "fingerprint" left by your primary operation:
Trim Technique
The trim method removes tissue along the outer edge of the labia minora. While it can shorten the labia, it leaves a fine scar along the edge and doesn’t usually address the clitoral hood or perineum. Some women later notice the edge feels a bit firm, sensitive, or that the natural border between the inner and outer labia has changed.
Wedge Technique
The wedge approach removes a small V-shaped section from the middle of the labia while keeping the natural pigmented edge. It maintains a natural outline, but because it removes full-thickness tissue, it can sometimes affect blood flow or tension at the join. This may lead to raised scars or areas that feel tight or uneven during recovery.
DOVE Surgery Technique
The DOVE Technique (Double Offset V-Plasty with Extended De-epithelialisation) takes a different approach. It works within the upper tissue layers instead of cutting through the full thickness, helping to preserve blood supply and nerve pathways. This assists with healing and helps maintain sensation - it’s why the same principles can often be applied in revision surgery, especially for issues like tightness, asymmetry, or scarring from earlier techniques.
Which Technique is Right for you?
During your consultation Dr Konrat will review your surgical history and examine how your tissue has matured. She will explain whether the DOVE approach is appropriate for your specific anatomy and goals. In some cases, additional procedures, such as mons pubis liposuction may be suggested to help achieve overall symmetry.
Request the Labiaplasty Guide
Our comprehensive Labiaplasty Information Guide provides detailed information about:
- The DOVE labiaplasty technique -
- The consultation process -
- Surgical fees and what is included -
- Recovery timeline and aftercare -
- Risks and complications-
This guide is designed to support your decision-making process and help you prepare for your consultation.
Recovery Timeline & Aftercare
Healing after a revision is a unique process. While you may return to desk-based work within a week, full tissue softening typically takes several months.
First 48 Hours
Prioritize rest. Use cool compresses over clothing to manage initial swelling.
Week 1
Tenderness eases. Avoid tight clothing. Gentle walking is encouraged for circulation.
Weeks 2–3
Resume light activity. Avoid swimming, tampons, and sexual activity during this window.
Week 6+
Once cleared by Dr Konrat, you may return to full activity, exercise, and intimacy.
General Aftercare Tips
Clothing: Wear loose, breathable cotton underwear to minimize friction.
Hygiene: Keep the area clean and dry using only water or non-perfumed products.
Sitting: Avoid long periods of sitting in the first few days to reduce pressure.
Follow-up: Attend all scheduled appointments for assessment.
Understanding Risks & Complications
All surgical procedures carry inherent risks that require careful consideration before proceeding.
The Importance of Informed Consent
During your consultation, Dr Konrat will provide a comprehensive overview of the potential complications specific to Revision Labiaplasty. Every woman heals differently, and no surgical result can be guaranteed.
Australian Medical Regulations
To protect patient safety, Australian law requires a mandatory seven-day cooling-off period between your second consultation and the date of your surgery.
Consultation Process & Surgical Costs
Factors Influencing the Cost
No two revision surgeries are the same, which means costs can vary depending on what’s needed. Because we are working with existing scar tissue and anatomical changes, the complexity of the procedure dictates the resources required.
Your total surgical fee is influenced by:
➔ Procedure Complexity: The amount of tissue reshaping and scar management required.
➔ Theatre Time: Revision procedures typically take 60–90 minutes depending on your anatomy.
➔ Facility Fees: Costs associated with the accredited Double Bay Day Hospital and nursing staff.
➔ Anaesthetic Requirements: Fees for the qualified anaesthetist providing sedation.
You will receive a detailed written quote after your consultation, once Dr Konrat has assessed your specific needs.
Medicare and Insurance Information
Understanding the financial landscape of cosmetic and revision surgery is important for your planning. We aim to provide clear information so there are no hidden or unexpected costs.
Consultation Fee: The initial assessment with Dr Konrat is $165 (non-refundable).
Medicare Rebates: Cosmetic and revision labiaplasty is generally not covered by Medicare.
Registration Status: Because Dr Konrat holds General Registration (MED0001407863), Medicare and private health insurance rebates do not apply to her procedures.
Payment Timing: All fees are discussed openly before you make any decisions to proceed with surgery.
For a full breakdown of what is included in your surgical package, you can request our Labiaplasty Guide.
What Can I Expect After a Revision Labiaplasty?
Every revision labiaplasty is unique, because every woman’s anatomy and healing history are different. The goal isn’t to “undo” your previous surgery, but to restore comfort, softness, and balance using the tissue that remains.
What results can you expect?
• Relief from tightness, pulling, or irritation caused by scar tissue
• Softer, more flexible tissue that moves naturally again
• Improved symmetry and balance between both sides
• Greater comfort during movement, exercise, or intimacy
• Aim to preserve nerve sensation
Healing takes time
Revision surgery asks a bit more from your body than a first-time procedure.
Because the tissue has already healed once before, it can take slightly longer to settle this time around. Swelling, firmness, and mild unevenness are all normal in the early weeks.
Most women notice things start to feel more natural by around three months, with final results visible closer to six months.
About scars
All surgery leaves scars -that’s a normal part of healing.
The DOVE labiaplasty surgery technique uses delicate sutures and gentle tissue handling to help those lines heal smoothly, but they won’t disappear completely. Most fade into fine, soft lines over 6–12 months and become barely noticeable once the tissue has matured.
Setting realistic expectations
Revision surgery can significantly improve comfort, but it can’t replace tissue that was previously removed.
During your consultation, Dr Konrat will:
• Explain what can, and cannot, be changed for your anatomy
• Show educational before-and-after photos from similar revision cases
• Talk through the factors that influence your healing and final appearance
Registered Medical Practitioner | General Registration
MED0001407863
Meet Dr Georgina Konrat
Dr Georgina Konrat (MBBS, FACCSM) is a registered medical practitioner (MED0001407863) with General Registration and Fellow of the Australasian College of Cosmetic Surgery and Medicine.
She has over twenty years’ experience in women’s health and intimate surgery and developed the DOVE labiaplasty surgical procedure. All procedures are performed by Dr Konrat and her all-female team at Double Bay Day Hospital, an accredited Sydney facility.
Frequently Asked Questions
These are common questions women ask when considering revision labiaplasty. If you’re wondering about something, you’re not alone.
When is revision labiaplasty surgery considered?
Revision labiaplasty surgery is considered when individuals have concerns following previous labiaplasty. These concerns may include discomfort, scarring, or asymmetry. Whether revision surgery is suitable depends on individual anatomy, the previous surgical method, and tissue healing. Assessment occurs during consultation.
What is the recommended timeframe before considering revision surgery?
Revision labiaplasty surgery is typically considered after the original surgery has fully healed, usually six to twelve months post-operatively. This allows scar tissue to mature and sensation to stabilize before assessment for revision.
Is revision labiaplasty surgery more complex than primary surgery?
Yes. Revision labiaplasty surgery is more technically complex due to the presence of scar tissue and altered tissue characteristics. The surgical approach must accommodate these factors. Risks may be different or increased compared to primary surgery.
What about sensation after revision surgery?
The DOVE surgical approach works within surface tissue layers. However, all labiaplasty surgery carries risk of temporary or permanent sensation changes. Temporary numbness during healing is common. Individual outcomes vary, and there is no guarantee regarding sensation preservation or recovery.
What if significant tissue was removed during the first surgery?
Available surgical options depend on remaining anatomy. In cases where significant tissue was removed, revision options may be limited. What is surgically achievable varies between individuals and is assessed during consultation. There is no guarantee specific concerns can be addressed through revision surgery.
What type of anaesthesia is used for revision labiaplasty surgery?
Revision labiaplasty surgery is performed under local anaesthetic with sedation. Post-operative discomfort may occur and is managed with prescribed medication. Individual pain experiences vary.
What is the recovery timeline for revision labiaplasty surgery?
Most individuals take approximately one week off work. Recovery progresses over six weeks. Final tissue healing and sensation changes may take three to six months. Individual recovery timelines vary.
What does the surgical outcome look like after revision surgery?
Surgical outcomes depend on individual anatomy, previous surgical method, scar tissue, and healing characteristics. The surgical approach addresses concerns discussed during consultation. Individual results vary. There is no guarantee of specific aesthetic outcomes.
Can surgical results change over time?
Removed tissue does not regenerate. However, factors including aging, weight changes, and pregnancy can affect labial anatomy over time following revision surgery. Individual outcomes vary.
Where is revision labiaplasty surgery performed?
Dr Georgina Konrat performs revision labiaplasty surgery at Double Bay Day Hospital, an accredited Sydney facility. Procedures are performed with an all-female surgical team.
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Any surgical or invasive procedure carries risks. Individual results may vary. The information on this website is general in nature and does not constitute medical advice. A consultation with a qualified health practitioner is required to determine suitability.
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