The Original Poster says: “Before and after labia and clithood removal”.
PMG has tried to produce some larger photo extracts of the point of particular interest. The butterfly tattoo proves that both are of the same person.
From the top, she has a Christina piercing, VCH, HCH, and four outer labia piercings. More difficult to see the detail, but she appears to have a Fourchette piercing.
Here her inner labia and clit hood have been removed, meaning that her clit is always exposed and her pussy is always open. She has two piercings in her outer labia.