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The Most PERSONAL PROCEDURE BY DR. CHET MAYS

For many women, the aftereffects of childbirth, weight changes, and the natural aging process leave the vagina and surrounding tissues stretched, torn, and lacking elasticity. Many women during puberty or after childbirth may see their labia minora become unusually large or misshapen. Other women may develop a loss of fullness in the labia majora after menopause. Just like other areas of the body the effects of aging can be seen in the female genitalia. Vaginal rejuvenation is a term that describes both surgical and non-surgical treatments of the vagina and labia. When treating vaginal laxity, we often perform a vaginoplasty which is more of a functional or reconstructive surgery. It is designed to address the effects of childbirth and aging on the vagina.

The surgical treatment typically includes repairing stretched and separated vaginal muscles, tightening and narrowing the vaginal opening, and removing excess laxity in the vaginal lining. The tightness of the vagina can be tailored to the patient’s specific goal. The vaginoplasty, when performed on select individuals, can renew self-confidence, and possibly enhance sensation and sexual satisfaction for the patient and their partner. The anatomy of the female genitalia can vary significantly. Like breast sizes, the desired appearance of the labia will vary with individual preferences. In some individuals, the labia minora (the inner frond of tissue) can be quite large and redundant creating both a cosmetic and sometimes even a functional concern. Some women develop hypertrophic or enlarged labia minora after multiple childbirths or as the result of aging.

The best candidates for labiaplasty (surgical reduction of labial tissue) are healthy women who have oversized, sagging, or asymmetrical inner or outer labia. Improvements from this procedure include relieving irritation and discomfort during sexual activity and athletics (such as bicycling, spinning, and running), and while wearing fitted pants or bathing suits. Labiaplasty can repair damage caused by childbirth or treat redundancy caused by hormonal changes. There are some patients who describe laxity in the labia majora (the outer frond of tissue) or loss of volume in this area. Just like with the labia minora, the labia majora can be reduced by removing the excess tissue. If the problem is deflation of the labia majora we can use our fat grafting procedures to inject fat into the majora for rejuvenation.

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