Vaginoplasty

The pre-operative aspect (left), and the post-operative aspect (right) of a labial reduction. Vaginoplasty is a reconstructive plastic surgery and cosmetic procedure for the vaginal canal and its mucous membrane, and of vulvo-vaginal structures that might be absent or damaged because of congenital disease (e.g. vaginal atresia) or because of an acquired cause (e.g. childbirth physical trauma, cancer). As such, the term vaginoplasty generally describes any such cosmetic reconstructive and corrective vaginal surgery, whilst the term Neovaginoplasty specifically describes the procedures of either partial or total construction or reconstruction of the vulvo-vaginal complex. Sometimes referred to as “vaginal rejuvenation”, “aesthetic vaginal surgery” or “cosmetic vaginal surgery”, various results aim to strengthen the function of the vulvo-vaginal area, firm up and reshape tissue for youthful appearances. Vaginal rejuvenation is often two combined distinct surgeries of labiaplasty and vaginoplasty, to restore or enhance the vagina’s cosmetic appearance or function. Labiaplasty is a labia reduction and cosmetic enhancement genital surgical procedure to reduce or change the shape of the labia minora (small lips) on the outside of the vagina. Some surgeries are needed for discomfort occurring from chronic labial irritation that develops from tight clothing, sex, sports or other physical activities. Vaginoplasty surgery is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. The post-operative outcome of vaginoplasty is variable; it usually allows coitus (sexual intercourse) after a week, although sensation might not always be present. In fertile women, menstruation and fertilization are assured when the uterus and the ovaries have preserved their normal functions; in a few cases, vaginal childbirth is possible.

In male-to-female sex reassignment surgery, some trans women patients undergo vaginoplasty as part of their physical (sex) transition. Sexual activity is also possible, although with a much longer post-operative delay (usually around six weeks). Sensation is usually very good. One important difference regarding vaginoplasty on trans women is the need to dilate the vagina. A few days after surgery, the vaginal stent is removed and a long series of vaginal dilation begins. A set of dilators is used during each dilation, each one with an increasing large width. For roughly the first week or two, and sometimes up to a month, dilation is performed several times a day using the smaller dilators. It can then be tapered off gradually, becoming once per day, then every other day, and then once per week, all while working up to the larger dilators. Eventually, it can be slowed down to once per month, and use of only one dilator (of the larger widths from the set) is the goal. Some trans women find they require dilation even less, even once every couple of months, depending on experience and individual physiology. However, it is important to note that waiting too long between dilations (the exact time depending on post-operative time and individual physiology) leads to increased difficulty restarting dilation. Vaginal dilation is also required for life, and sexual activity (including intercourse) in place of dilation may not be sufficient. The physical factors that limit vaginal dimensions are the rectoprostatic Denonvilliers’ Fascia (depth) and the Levator ani muscle (diameter); thus, in trans women patients, the narrowness of the male pelvis can reduce the available area to use for vaginoplast.

HAVE A QUESTION ABOUT THIS?

Why do women choose labiaplasty surgery?

Genetics, sexual intercourse, childbirth or the normal aging process can cause the labia to become elongated or misshapen. This can lead to pain or discomfort when wearing tight pants and during some physical activities. It can also lead to embarrassment during intimacy, which can affect sexual relationships and self esteem.

Who is a candidate for labiaplasty surgery?

Women who are fully developed, in good health and have labia that cause pain or embarrassment are ideal candidates for labiaplasty. Clinique Aesthetica offers free consultations to women who would like to discuss their candidacy further. Labiaplasty is becoming an increasingly popular procedure as more women are aware of the option, and are more comfortable with the idea of plastic surgery.

Are there risks involved with labiaplasty surgery?

As with any surgery, there is risk of bleeding, scarring and infection. However, this is only seen in rare cases. Dr. vinod vij will discuss all the risks of labiaplasty during your consultation.

Will labiaplasty surgery affect my ability to experience sexual pleasure?

Labiaplasty is not designed to enhance sexual pleasure or satisfaction. It is purely cosmetic. However, women who experience embarrassment from their misshapen or enlarged labia may become more comfortable with intimacy after labiaplasty surgery. Please contact the plastic surgery offices of Clinique Aesthetica today to schedule a private consultation with Dr.Vinod Vij. We have offices located in Navi Mumbai Only.