Here's an update. I had labiaplasty surgery done a month ago to remove excess skin from my labia majora. I chose to have the surgery done locally (Chicago) instead of going back to Dr. Chettawut in Bangkok. This despite he agreeing to do the revision free of charge. Since I'd be responsible for travel and lodging expenses, the cost penalty of having the surgery locally was minimal.
My surgeon's clientele are primarily natal women who seek mammoplasty/labiaplasty/abdominoplasty (tummy tuck), etc. At my initial consultation, I found him to be very transgender friendly, as well. He examined the GRS work that Dr. Chettawut did for me, remarking that aside from the faint scars that remain, and the excess skin in the outer labia, the appearance of my vulva looks very natural. He expressed considerable surprise that GRS surgery techniques in Thailand were able to achieve such excellent results, having seen the results of MTF GRS surgery results of surgeons here in the U.S. His comments made my day, of course.
He said I was an excellent candidate for labiaplasty, and although most natal women seek labiaplasty for the labia minora, surgery on my labia majora would be no different than for a natal woman. I had the surgery done at the same time as he did a tummy tuck, which together took 2-1/2 hours under general anesthesia. I stayed over night at the surgery center under the watchful supervision of a night shift RN. If I only had the labia surgery, it would have been done with sedation and a local anesthetic, and I could have returned home the same day.
The labiaplasty incisions were closed with dissolvable sutures, and have already healed nicely. Post-op discomfort has minimal. I could sit, stand, and even walk the next day. I had some minor blood spotting for a couple of days, but that was to be expected. I still have some swelling, however, but from what I can see today, I'm expecting a very satisfactory end result.