Anyone have Labiaplasty or labia fat transfer?

Okay so this is super awkward for me to talk about. But after having 2 kids I've lost like all volume in my labia majora. And now my inner labia arnt as protected which has led to extreme pain during horseback riding and bicycling so I can't do them anymore or my labia minora will swell up and become extremely irritated. I also need a perineum revision due to being sewn too tight with my last child. So my doctor had offered me a perineum revision, a labia minora reduction(as they're sticking out a bit far) and a small fat transfer into my labia majora to basically inflate them again and give me more padding. Just wondering if anyone has had similar procedures and what your outcome was? And again this is purely because I am not able to do activities I used to enjoy and it's causing pain not for aesthetic reasons. Thanks!
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I will also add for more info. I've been in pain since I had my last 4 years ago and have gone through 6 months of Pelvic PT and estrogen cream and neither helped. So this seems to be my last option for improving things.

Have you tried the padded riding shorts?

@SquishyMommy1 yes I've tried padded shorts, padded seats. Different saddles. Everything. And it's just got to the point where I can't wear any close fitting clothes without causing discomfort. And unfortunately going commando and wearing loose skirts for my whole life doesn't seem realistic.

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