Vaginal Rejuvenation

Vaginal rejuvenation
Vaginal rejuvenation

Vaginal Rejuvenation

The term vaginal rejuvenation covers several different procedures.

It is sometimes called female genital plastic surgery, female genital rejuvenation surgery, female genital cosmetic surgery, vulvovaginal plastic surgery and designer vagina surgery, among other terms.

Among the procedures that comprise female genital plastic surgery are labiaplasty, clitoral hood reduction, labia majoraplasty, monsplasty and vaginoplasty.

Before the operation

During your vaginal rejuvenation consultation be prepared to discuss:

  • Your surgical goals
  • Medical conditions, drug allergies and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous surgeries

Your surgeon may also:

  • Evaluate your general health status and any pre-existing health conditions or risk factors
  • Take photographs
  • Discuss your options
  • Recommend a course of treatment
  • Discuss likely outcomes of vaginal rejuvenation and any risks or potential complications
  • Discuss the use of anesthesia during your vaginal rejuvenation procedure

It’s very important to understand all aspects of your vaginal rejuvenation procedure. It’s natural to feel some anxiety, whether it’s excitement for your anticipated new look or a bit of preoperative stress. Don’t be shy about discussing these feelings with your plastic surgeon.

The different procedures explained:

1. What is a Labiaplasty?

The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia. Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness.

The goal of the procedure is to reduce the labia minora so that they don’t hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit.

The procedure

Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia.

The most common type of labiaplasty is the trim procedure, in which the extra tissue is removed and sewn up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. Extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

After the operation

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.

Patients can resume wearing tampons or having intercourse after four to six weeks. Trim labiaplasty generally allows for a quicker recovery.

While the most distorting swelling is gone by 6 weeks, residual swelling may take six months to disappear.

The result

Labiaplasty typically results in shorter labia that no longer hang down below the level of the hair-bearing labia majora. Most patients who experienced symptoms from twisting and tugging of their labia generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of over 90 percent.

Imperfect results

The risks associated with labiaplasty include those of most surgical procedures, including bleeding, hematoma and infection. The most common complication is over-resection. While some women desire an aggressive reduction, this can result in chronic dryness, scarring at or near the vaginal opening and pain with intercourse. Healing problems are more likely to occur with a wedge procedure, particularly if the patient is exposed to substances that cause blood vessels to shrink.

2. What is a Clitoral Hood Reduction?

Excess folds of the clitoral hood, or prepuce, can be reduced with a clitoral hood reduction. The procedure is most commonly done along with a labiaplasty.

The extra folds can create a bulge that is exaggerated when the labia minora are reduced, and a clitoral hood reduction can improve the balance in appearance of the female genitalia.

The procedure

A clitoral hood reduction is usually done at the time of a labiaplasty under either local anesthesia with oral sedation or under general anesthesia.

The excess tissue is marked according to the individual’s anatomy. There is a wide variation in the shape and extent of folds. In some patients the excision is performed as a “Y” extension off the labiaplasty. Closure is usually done with absorbable sutures.

After the operation

There is a risk of bleeding, hematoma, infection, under-resection or over-resection. The recovery is primarily determined by the accompanying labiaplasty

The result

In some patients with a heavy clitoral hood, a labiaplasty without a clitoral hood reduction can result in a top-heavy look. A clitoral hood reduction can lend balance to a labiaplasty in such patients. Clitoral hood reduction is generally performed with labiaplasty, which has a high satisfaction rate of over 90 percent.

3. What is a Labia Majora Plasty?

A labia majora-plasty is a procedure designed to surgically reduce the size of the outer, hair-bearing labia majora.

Patients who feel their labia majora are too large or hang down may feel discomfort from such activities as cycling, or they may be embarrassed by the fullness.

The procedure

This procedure can be done under local anesthesia with oral sedation or general anesthesia, depending on the amount of tissue to be removed.

The plastic surgeon removes two slight crescents of skin from the inner portion of each labium. The amount to be removed depends on the amount of excess tissue. In some cases, when there is atrophy of fatty tissue, a small amount of fat can be transferred from another area of the body after liposuction. Closure is usually done with absorbable sutures.

Risks include bleeding, hematoma, infection, scarring, underresection, overresection.

After the operation

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient’s underpants and an elastic garment, like Spanx. This can be done “twenty minutes on, twenty minutes off.” The patient can also lie with her bottom elevated to reduce swelling.

Patients can resume wearing tampons or having intercourse after four to six weeks.

Swelling after a labia majora-plasty can last 6 months or longer, depending on the thickness of the tissue, although much of the swelling is gone by 6 weeks.

The result

This procedure typically results in smaller, tighter labia majora. In patients with excess skin, drooping of the labia majora when the patient is standing is usually improved. In patients with excess volume, this procedure can result in a lower profile.

Picture Gallery

Vaginal rejuvenation before
Vaginal rejuvenation after
Vaginal rejuvenation before
Vaginal rejuvenation after

4. What is a Monsplasty?

Some women struggle with a bulge of excess skin and fat in the mons, the upper part of the hair-bearing part of their vulva. The bulge can result in women feeling too embarrassed to wear a bathing suit or tight pants.

The purpose of a monsplasty is to reduce the amount of fatty tissue and/or skin, depending on the cause of the bulge.

The procedure

Depending on the amount of tissue to be removed, local anesthesia with oral sedation may be used for some procedures, but general anesthesia may be preferable in others.

Sometimes the amount of skin removed can be extensive, while in others, liposuction is sufficient.

Risks of monsplasty include bleeding, hematoma, infection and scarring.

After the operation

Recovery takes about a week, with physical activity restrictions for two to six weeks, depending on the extensiveness of the procedure. If skin is removed, a drain or two may be placed, with removal typically scheduled within the first few days.

The result

This procedure results in a lower profile mons that typically projects less in clothing. In some patients with a mons that hangs, removal of excess skin can result in less hanging.

5. What is a Vaginoplasty?

After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to sexual dysfunction.

Vaginoplasty (also known as posterior colporrhaphy) is a procedure designed to tighten the vagina. An alternative is noninvasive vaginal tightening through heating tissues with radiofrequency waves or laser. Patients with significant laxity may not experience a benefit from these treatments and may be better candidates for surgical tightening with vaginoplasty.

A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance.

The procedure

Patients are asked to do a bowel prep prior to surgery.

While a vaginoplasty can be done under local anesthesia, many opt to have it done under general anesthesia.

Once the amount of tightening to be done is determined, a pie-shape wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. If there is external skin that protrudes, this can be reduced as well for a more aesthetic result.

Risks from vaginoplasty include infection, bleeding, pain, along with rare complications.

After the operation

Patients may have one to two weeks of down time. They may feel a deep ache for the first few days, and there is no tampon use or intercourse for eight weeks. Depending on the amount of tightening performed, some patients may be instructed to use dilators.

The result

This procedure typically results in a tighter vaginal canal, which can help enhance sexual satisfaction.

6. Reconstruction following Female Genital Mutilation

What is Female Genital Mutilation?

 Female Genital Mutilation (FGM), also known as Female Circumcision, is the partial or complete removal of the external genitalia or other intentional injury to the female genitalia for nonmedical reasons. Despite global outrage over the issue, it is still widely in practice. An estimated 200 million women worldwide have been mutilated.

In more than 30 African, Middle Eastern, and Southeast Asian countries where it is a custom, the ritual mutilation is intended to convey purity, beauty, cleanliness, and marriageability. But it is also meant to curb what is perceived as otherwise unchecked sexual desire and ensure that women will be faithful wives. The practice is not linked to any specific religion. Christian, Muslim, and Jewish women, and practitioners of indigenous religions, are among the victims.

Female genital mutilation can take many forms. It can include removal of the external clitoris and/or the clitoral hood; removal of the internal and/or external labia; stitching the vaginal opening almost completely closed (a procedure called infibulation), leaving a small opening for menstrual blood and urine to pass; or any combination of these.

The procedure

In close collaboration with an Obstetrician-Gynecologist specialized in FGM, we can reconstruct the clitoris, Labia Minora and Majora, and “defibulate” a closed vagina, using highly sophisticated techniques of Reconstructive Plastic Surgery.

The result

The specific procedures can truly provide “A New Life” to the unfortunate victims of Female Circumcision.

Possible Complications of the above procedures

Vaginal Rejuvenation surgery, even if performed for aesthetic reasons, is a genuine surgical procedure, with the consequent risks related to all medical acts. There are surgical and aesthetic complications. Concerning anesthesia, the anesthesiologist will inform you about all the anesthetic risks. You must be aware that anesthesia can sometimes cause unpredictable body reactions that can be difficult to control. The presence of an experienced anesthesiologist, in a surgical environment, means that the risks are statistically practically negligible.

My Way ….  “Metron Ariston”

My extensive experience allows me to individualize procedures and techniques to the particularities of each case:

Labia Minora: In cases that the wedge resection is confined to the mucosa without disrupting the submucosa, the arterial supply is preserved. I opt for designing the wedge toward the anterior portion of the protuberant labial redundancy. This is done to avoid damage to the main blood supply, which is posterior dominant. It also promotes more consistent and rapid healing.

Labia Majora: I perform augmentation with the use of Dermal Fillers and/or Autologous Fat Grafting.

G-Point: I perform Submucosal augmentation using Dermal Fillers.

This webpage aims to provide some information about the subject. Individual patient circumstances may differ, which might alter both the advice and course of therapy given to you by your doctor.



American Society of Plastic Surgeons, British Association of Plastic, Reconstructive and Aesthetic Surgeons, French Society of Plastic, Reconstructive and Aesthetic Surgery