Vaginal Rejuvenation & Tightening

Vaginal Rejuvenation Surgery - Labiaplasty, Hymenoplasty, Perineoplasty, Urinary Incontinence

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Eliezer Livnat, MD, FACOGThe information on this page has been reviewed for medical accuracy by:
Eliezer Livnat, MD, FACOG, board certified gynecologist.

Many women explore Non-Surgical Vaginal Rejuvenation Options first.

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Aging, childbirth or the combination of both may cause anatomical changes that may affect normal function of the vagina. These changes could manifest in reduced sexual sensation during intercourse, affecting both the female and her partner. Aesthetic Gynecology, a fairly new surgical category that has been designed to correct any anatomical or functional changes, encompasses several types of procedures including Vaginal Rejuvenation, may include one or a combination of procedures listed below, depending on what the patients' needs are.

Aesthetic Gynecology includes Vaginal Rejuvenation and the following procedures:

Vaginal Rejuvenation (Vaginoplasty)
Labia Reduction or Labiaplasty
Stress Urinary Incontinence
G Spot Amplification
Rejuvenation of the Mons Pubis
Augmentation Labiaplasty
Hoodoplasty or Reduction of Excess Prepuce

  • Vaginal Rejuvenation (Vaginoplasty)
    Performed as an outpatient procedure, Vaginal Rejuvenation is a surgical procedure to tighten the vaginal canal and reduce the size of the vaginal opening. Not only does the procedure rejuvenate the lining of the vagina, it addresses the supporting tissues surrounding it - aiding in increased muscle tone, control and strength and possibly increasing sensation and pleasurable friction during sexual intercourse. Vaginal rejuvenation patients may expect to return to regular activity within a few days but physical exercise and intercourse should be resumed in 6-8 weeks. It is important to remember that vaginal rejuvenation surgery cannot cure sexual dysfunction or increase desire. This surgery is not covered by medical insurance and complications may include bleeding or scarring.
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  • Labia Reduction or Labiaplasty
    Aging, childbirth and/or injury can alter the size and shape of external genitalia, mainly the labia minora and majora, or inner and outer lips of the vulva. Over-sized labia may cause chronic irritation, potentially painful intercourse, and the inability to wear tight clothing. A surgical procedure, labiaplasty removes excess tissue from the labia and can dramatically transform the external appearance of the vagina. Not only can a labiaplasty reduce the size of the labia, this procedure is often used to correct asymmetry, achieving symmetry for previously uneven labia. An outpatient procedure performed under local or general anesthesia, labiaplasty patients are able to return to normal activity within a few days and sexual activity in 6-8 weeks.
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  • Perineoplasty
    After childbirth, some women may experience weakness in their perineum (the area between the vagina and anus) as a result of muscles stretching and tearing during the delivery. A weakened perineum may affect sensation during intercourse and affects the external appearance of the vaginal canal by making it look as if it is gaping or loose. A perineoplasty repairs and restores the perineal muscles. The end goal of this surgical procedure is to create a more snug feeling in the vaginal opening and sexual sensation may improve post-surgery. The perineoplasty is often performed in conjunction with vaginal rejuvenation (vaginoplasty).
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  • Hymenoplasty
    Hymenoplasty may be performed to repair a torn hymen, which is a thin membrane located at the opening of the vagina. Women request this surgical procedure for cultural, religious or social reasons but the effect is similar to that of a "second virginity." During the procedure, fine sutures are used to repair the torn remnants of the hymen. Performed under local anesthetic, hymenoplasty surgery is a relatively quick outpatient procedure. Recovery time is also short, normal activities may be resumed fairly quickly but patients should refrain from sexual activity for 8 weeks. Hymenoplasty surgery is relatively quick outpatient procedure and done under a local anesthetic. The recovery time is very short and the woman is able to resume regular activity. The woman should refrain from sexual activity for eight weeks.
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  • Stress Urinary Incontinence
    Aging, weight gain or childbirth may cause women to experience stress urinary incontinence. Depending on the severity of the case, coughing, sneezing, laughter or exercise may cause uncontrollable urine leakage. There are several causes of stress urinary incontinence. In some cases, the urethral sphincter may become weak, allowing urine to leak. Or injury, abdominal surgery or chronic coughing disorder may place enough pressure on the bladder to cause leakage problems. Pelvic prolapse occurs when weakened muscles allow organs to move and press against the vaginal canal. If the bladder is prolapsed, this could also lead to incontinence. While there are dietary, pharmaceutical and physical options to assist with stress urinary incontinence, depending on the cause and severity, these means should be first discussed with a physician. In the case of a bladder prolapse or cystocele, corrective surgery is available to move the bladder back into its correct position and attached to muscle, ligament or bone with a string or sling. An artificial sphincter around the urethra may be utilized as well.
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  • G Spot Amplification
    Name in honor of Dr. Ernst Grafenberg, the G-spot is a small, cushiony area on the anterior wall of the vagina. Dr. Grafenberg and others claim that this area, when properly stimulated, can lead to increased sexual pleasure. While some experts remain uncertain about this claim, a non-surgical technique has been developed to temporarily enlarge the G-spot. The G-Shot®, invented and patented by Dr. David Matlock, involves a collagen injection into the area, potentially increasing sexual pleasure and orgasms. Relatively simple and nearly painless, the procedure first requires the patient to assist the physician by locating her G-spot. The position is measured and recorded for future use. A topical anesthetic is applied to the vaginal wall and a 3.5" needle is used to administer human collagen into the G-spot, causing it to expand to the size of a quarter but not inhibiting sexual activity or the use of tampons. After approximately 4 months, the injected collagen is harmlessly reabsorbed into the body.
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  • Rejuvenation of the Mons Pubis
    Aging, childbirth or weight fluctuation may cause the mons pubis, which is the fat pad that protects the pubic bone, to sag or bulge. This may result in an unattractive appearance of the area when naked or clothed. Cosmetic surgeons can now remove excess fat from the mons pubis with liposuction. Typically performed under local anesthesia with sedation or general anesthesia, the mons pubis rejuvenation flattens and lifts the pubic area. A short recovery time is generally associated with this surgery.
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  • Augmentation Labiaplasty
    While some women feel their labia are too large, others may feel their labia are too small or thin. To improve the appearance and possibly sexual fulfillment, augmentation labiaplasty can transform the appearance of the labia by either reducing enlarged labia minora or augmenting sagging labia majora with the patient's own body fat. The procedure may also be used to correct asymmetry.
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  • Hoodoplasty or Reduction of Excess Prepuce
    Tissue surrounding the clitoris is called the prepuce or hood. Excess skin along the sides or the top of the clitoris may be aesthetically unpleasing the female patients as well as interfere with sexual sensation. Hoodoplasty is a surgical procedure designed to remove the excess skin, improving the appearance of the hood as well as improving sexual sensation. However, since the clitoris is such a sensitive area, extreme care must be taken to not remove too much of the prepuce.
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