Diana:
Abdominal surgery shouldn't necessarily preclude the ability to have a vaginaplasty. Though, of course, that depends entirely on your overall health, the original surgery, and the surgeons opinion. So if you can, continue to follow up.
Usually, a cosmetic SRS, consists of an orchiectomy with scrotal excision and penectomy. The procedures produce a quite passable outer labia from the skin surrounding the penis and scrotum. However, cosmetic inner labiaplasty is usually not performed at that time since the creation of a cosmetic inner labia usually results in the donor tissue becoming necrotic. A touch up labiaplasty is usually performed 3-6 months following the first surgery after the other tissues have had time to heal. And actually, most women are satisfied with their original procedures and many times do not go for the touch up.
In most cases the scrotal tissue is used to increase the depth of the neo-vagina as part of the penile inversion technique that is performed by most surgeons today. Part of the preparation for vaginaplasty is that the patient must have all scrotal hair and hair surrounding the genital area removed through electrolysis. Additionally, the surgeon will scrape the inner walls of the scrotum to remove hairs once it has been excised. The roughness of the tissue is not an issue because over time the tissues of the inverted penis and scrotum will become less textured over time as they settle in as being the vaginal walls.
Were you to have a cosmetic procedure, much of this would pertain to you as well. So following your initial procedure, and healing, you would have a natural looking genital area with no visible inner labia, but the outer labia would be pronounced. After several months, should you so choose, the surgeon could create quite passable inner labia from the tissues the have developed from the formation of the outer labia. But realize the we women come in all shapes and sizes an you may find that you really don't need a follow up surgery.
There are sites on the net that have exclusively pictures of vaginas. These aren't salacious or intended to be pornographic and are usually maintained by women, to show that everyone is different. But you could view these and be able to judge for yourself if you think a follow up labiaplasty is right for you.
Also most surgeons have pictures of the results of their procedures, both before and after cosmetic labiaplasty. Keep asking about your options with the surgeons. Many of them get dozens of requests during the week and it may have gotten lost. Dr Reed is the only one I have found to be so very active in responding. As a matter of fact I'll be accompanying a friend of mine to him in just a couple of weeks for her SRS. My surgeon was Dr. McGinn and she was very involved early on, as I was one of her initial patients, but I know she has been very busy since then.
-Sandy
