Hello, I have gone through your and can understand your difficulty. Your description suggests that you have had an episiotomy that gave away due to improper healing, and perhaps infection also. In this scenario, you need secondary suturing of the episiotomy. The wound should be properly examined by a specialist, the amount of repair needed is assessed, any infection treated, general condition improved, tests are done to detect any latent diabetes and once the wound is clean enough, repair is done. Skin tags are removed as well as tissue induration is treated by adding enzymes to the treatment. Hope this information is helpful to you. Wish you good health.