Surgical Vaginal Rejuvenation is designed to modify your anatomy in the intimate areas in a way that your cosmetic appearance is enhanced and your comfort and pleasure during sexual activity is improved. Your cosmetic surgeon will external or internal vaginal rejuvenation.
An “external” vaginal surgery will be performed on the areas outside the vaginal introitus, and will include restructuring of your labia majora and minora, mons pubis, vaginal vestibule, clitoral hood, and clitoral glans. An “internal” vaginal rejuvenation surgery, on the other hand, will be performed inside the vagina, and tighten the slack tissue and muscles in the vaginal canal.
Together these procedures are also known as vaginoplasty. If your internal vaginal structure is fairly tight and firm, but you are bothered by the loose, enlarged or asymmetrical labia minora (inner vaginal lips) or labia majora (outer vaginal lips), your plastic surgeon may perform only a targeted labiaplasty surgery. Labiaplasty is designed to enhance the size and shape of the labia in order to make them smaller or improve symmetry. At present, vaginoplasty and labiaplasty rank among the fastest growing cosmetic surgery procedures for women
Reasons patients want a labiaplasty
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.
What does a labiaplasty do?
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.
Anesthesia for a labiapasty
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.
Reasons patients want 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.
What does a vaginoplasty do?
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.
Anesthesia for a vaginoplasty
While a vaginoplasty can be done under local anesthesia, many opt to have it done under general anesthesia.
Preparing for a vaginoplasty
Patients are asked to do a bowel prep prior to surgery. Vaginoplasty procedure. 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.
What are the risks of a labiaplasty?
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.
Recovering from a labiaplasty
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 Spandex. 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.
What are the results of a labiaplasty?
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.