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Vaginal Rejuvenation

Vaginal rejuventation refers to a variety of procedures designed to improve the appearance and function of the vagina. The labia are the folds of skin that are located outside your vagina. Occasionally after pregnancy or from genes the labia minora (on the inside) extend significantly past the labia majora (on the outside). This can cause discomfort and changes in the aesthetic appearance of your labia. Reduction of the labia is commonly referred to as a labiaplasty. Tightening of the vagina is commonly referred to as a vaginoplasty. A number of new techniques have been published on vaginal rejuvenation. These studies have shown a significant increase in quality of life.

How Labiaplasty Procedure is Performed

Typically the procedure is done under general anesthetic. There are a number of different surgical techniques that could be used to help you achieve your goals. As the labia are a three dimensional structure, Dr. Robin Evans—our board-certified plastic surgeon—performs a carefully designed wedge excision with a multiple layer closure to address excess labia minora. The labia are often asymmetric and this is addressed with the excision. Excess clitoral hood can also be adjusted to be proportional to the labia minora. Occasionally liposuction or excision is used to address labia majora excess. Vaginal tightening can be performed at the same or future operation.

Who is a Good Candidate for Vaginal Rejuvenation?
If you have a healthy lifestyle and are a nonsmoker you are a good candidate for vaginal rejuvenation.

What is the Typical Recovery for Vaginal Rejuvenation?
Total recovery time is 8 weeks. Dr. Evans will have you place ice packs for two days after the operation. He will ask you to avoid exercise for 3 weeks. Any Yoga, horseback riding or motorcycle riding should not be done for 8 weeks. Sexual intercourse can be resumed at 6 weeks when 80% of the swelling has gone away. All sutures are dissolvable.

What are the Risks of Labiaplasty?

A labiaplasty carried the same risks as any procedure under general anesthetic. Risk of infection is reduced by antibiotics through an intravenous at the time of your operation as well as postoperatively. Antibiotic cream as often applied postoperatively. 2% of patients will have a slight separation at the labial edge that will resolve over a few months. Dr. Evans performs a multiple layer closure to help reduce the risk of this. A major dehiscence is possible but rare. There always exists asymmetry preoperatively and there will be some amount of asymmetry postoperatively as well. Occasionally patients will have some persistent discomfort lasting a number of months. This tends to resolve with the use of a steroid cream.