Female Rejuvenation Rehoboth DE


Female genital rejuvenation covers several different procedures including labioplasty, clitoral hood reduction, labia majoraplasty, mentoplasty, and vaginoplasty.

External anatomy of female genitalia

The mons pubis is the hair-bearing skin and soft tissue over the pubic bone at the upper portion of the female genitalia. The hair-bearing outer lips are called the labia majors and the inner lips, labia minora. The upper portion in the center is the clitoral hood which covers the clitoris just below. Below the clitoris is the urethral opening and then the vaginal opening.

What is a labioplasty?

A labioplasty is a surgical procedure that reduces an abnormally enlarged labia minora on one or both sides, reshapes, and restores the labia minor to a more youthful and rejuvenated appearance. Women would request a labioplasty to reduce the discomfort of twisting and tugging of the labia during physical activity such as exercise or intercourse; irritation and itching from more form-fitted clothing or bathing suit and self-consciousness. This can be performed either in-office under local anesthesia and oral premedication or twilight anesthesia.

The most common type of labiaplasty procedure is the trim or edge method where excess tissue is carefully removed to recreate a more youthful appearance. The wedge technique is the next most common which maintains a natural border with a little less sagging after a pie-shaped piece of tissue has been removed.

What is a clitoral hood reduction?

Excess folds of the clitoral hood can be reduced with a clitoral hood reduction and are commonly performed at the same time along with a labioplasty. The extra folds of the clitoral hood can create a bulge that is exaggerated when the labia minora are reduced. A clitoral hood reduction performed at the same time as a labiaplasty can improve the balance in the appearance of the external female genitalia.

The excess tissue of the clitoral hood is marked according to the individual anatomy since there is a wide variation in both the shape and the number of excess folds. In some patients, excess clitoral hood tissue is trimmed according to the individual anatomy into a shape of a “Y” extension off the labioplasty below.

What is a labia majoraplasty?

Labia majoraplasty is a procedure that will reduce the size of the outer hair-bearing labia majora. Women will request this procedure for reasons of the large size or sagging of the tissues causing discomfort with physical activity, exercise or form-fitting clothes as well as self-consciousness. It is recommended to have this procedure done at a separate time from a labioplasty in order to have optimal healing and results. This procedure can also be performed under local anesthesia or twilight sedation.

Depending upon how much excess tissue is present, this procedure involves removing two crescent shape pieces of skin and tissue from the inner portion of the labia major. In cases where there is deflation and loss of adipose tissue, a small amount of fat can be transferred with liposuction from another area of the body. The closure is done with dissolvable sutures.

What is a monsplasty?

A monsplasty is a procedure aimed for reducing excess skin and fat from an enlarged bulging mons pubis, the upper portion of the hair-bearing part of the vulva. This bulging deformity may cause discomfort with exercise or wearing more form-fitting clothes. In addition to local irritation, women may self-conscious of the bulging appearance either in clothing or out of clothing. The goal is to create a rejuvenated lower profile mons pubis that does not bulge out in clothing. In cases with a sagging mons pubis, removing excess will create less hanging and a more youthful mons.

During a monsplasty, the excess fat can be removed and the mons pubis can be reshaped with direct liposuction. In some cases of severe skin sagging, excess skin may be surgically removed and dissolvable sutures placed.

What is a vaginoplasty?

Vaginoplasty is a procedure designed to tighten up the loose tissues of the vagina. Noninvasive vaginal tightening through heating the tissues with laser or radiofrequency is offered as an alternative to surgery. Patients with significant laxity may not respond to noninvasive devices and may be a better candidate for surgical tightening with a vaginoplasty. After childbirth, women may complain of looseness of the vagina as a result of stretching of the muscles and surrounding tissues where the loss of tone and firmness can contribute to sexual dysfunction.

A vaginoplasty is very similar both in technique and functional outcome seen with an abdominoplasty. With a tummy tuck, the loose muscles are tightened and extra hanging skin is removed to give an appearance of a flatter belly as well as improve core strength of the torso. A vaginoplasty brings the separate muscles together and the extra mucosa skin is removed from the backside of the vagina to produce a smoother surface. Other techniques of labioplasty and labia majoraplasty will relieve discomfort and irritation on the outside as well as improve the overall outside appearance of the genitalia.

Am I a good candidate for female rejuvenation procedure?

  • You need to be well informed of what are your specific concerns, what are your options for treatment and what are the expected outcomes
  • You need to be in good medical condition, stable body weight and nonsmoker
  • You need to have a positive outlook on having the procedure with realistic expectations
  • What would I expect at my consultation?

  • Listening to concerns, goals and expected outcomes
  • Evaluation of general medical conditions, medications, allergies, previous surgeries, smoking history, height and weight
  • Examination of external genitalia with photographs to assist in the discussion of treatment options and plan
  • Discussion of options for treatment and outline a surgical plan
  • Discussion of details, risks, recovery and expected outcomes
  • What are the risks for female rejuvenation procedure?

    Risks include bleeding, poor healing around incisions, scars, infection, unevenness, chronic dryness, pain with intercourse

    What should I expect from my female rejuvenation procedure – labioplasty?

  • Labioplasty is commonly performed as an office-based procedure under local anesthesia lasting under one hour. If clitoral hood reduction performed, the procedure will take closer to one hour
  • After full understanding of details, risks, recovery and expected outcomes are discussed, patient premeditated with an oral antibiotic and relaxation pill
  • Avoid aspirin or blood thinners 7-10 days prior to procedure
  • Surgical markings are made with the patient positioned in stirrups
  • Numbing cream followed by local anesthesia injection through a small sharp needle with burning discomfort for less than one minute
  • Remainder of the 30-45 minute production will experience no discomfort, only touching and pulling sensation
  • Any bleeding will be controlled with an electrocautery device followed by placement of dissolvable sutures
  • Recovery for one hour to observe for any bleeding
  • Discharge home with responsible adult with discharge instructions
  • May shower or sit in warm sitz bath same day
  • Wear sanitary napkins for 1-2 weeks and change as needed
  • Avoid tight clothing or physical activity next 3 weeks
  • Return office 2 weeks to trim any remaining sutures
  • Resume full activity including sexual intercourse after 6 weeks
  • Schedule an Appointment