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What is Vaginal Rejuvenation, and how do I know if I need it?

Published on 02 Feb 2023

As the aging process naturally progresses, women experience vaginal changes, which can be exacerbated by childbirth. Changes in the vaginal area can cause embarrassment for women who want their vaginal appearance to be more youthful and appealing. Other negative effects include a loss of vaginal muscle tone and elasticity, which can lead to a decline in sexual satisfaction. These concerns are what vaginal rejuvenation is designed to address.

What will vaginal rejuvenation entail?

Vaginal rejuvenation encompasses a range of different procedures; the procedure or combination of procedures that are right for you depends on your vaginal concerns. Based on your goals for vaginal rejuvenation, you may have a single procedure or more than one procedure and treatment. Your vaginal rejuvenation is precisely tailored to suit your needs. 

What are the different types of vaginal rejuvenation treatments?

There are a variety of different types of vaginal rejuvenation treatments available. These include the following:


Vaginoplasty, sometimes referred to as vaginal tightening, improves the vaginal area by tightening stretched or lax muscles due to childbirth or aging. Vaginoplasty is less invasive than other procedures and takes only a few minutes to complete. During vaginoplasty, Dr. Vitenas will reduce the size of the vaginal opening and remove some excess tissue.

How the vaginoplasty procedure works

Vaginoplasty is an outpatient surgery that will last between one to two hours. The length of time varies based on the needs of each individual. The procedure is performed under general anesthesia, or in some cases, with IV sedation and a local anesthetic.

Dr. Vitenas will make a small incision on the rear floor of the vagina. He will use this incision to remove a portion of the vaginal wall and tighten the vaginal muscles. 

Recovery after vaginoplasty

Recovery after a Vaginoplasty will last for about two weeks or a bit less. You may experience some light bleeding, mild swelling, and bruising, and you will feel sore. These effects usually fade within 24 to 48 hours.

Labiaplasty and/or labia majora reduction

Labiaplasty is performed for women who have larger labia or whose labia have stretched or is sagging due to childbirth, age, or other factors. Labia that are larger than usual can cause women to experience pain during sexual intercourse, when exercising, when wearing fitted clothes, and at other times. Aside from discomfort, larger labia can cause embarrassment for women or cause them to feel unattractive in intimate situations or in certain clothing. 

How the labiaplasty procedure works

Labiaplasty is performed to reduce the size of the labia minora, the inner lips, and the labia majora, the outer lips. Labiaplasty removes excess skin and creates an attractive shape, eliminating pain during intercourse or while exercising and boosting confidence.

The procedure is usually completed in about one hour. Most patients are comfortable with a local anesthetic, but some patients prefer general anesthesia. Dr. Vitenas will make incisions on incisions on the labia minora or labia majora, or in some cases, both. The technique he uses will depend on what’s best for your specific needs and goals. He will then use these incisions to extract excess skin folds and shape the area appealingly.

Recovery after labiaplasty

You will experience some soreness, mild swelling, and bruising in the treatment area. These side effects can be treated easily with prescription pain medications provided by Dr. Vitenas, and they will gradually dissipate after a few weeks. 

Patients should plan to take about one or two weeks off from work, and not have sex or exercise vigorously for at least 4-6 weeks.

Clitoral hood reduction

Clitoral hood reduction is commonly performed as a part of a labiaplasty procedure. In some cases, the side and shape of the clitoral hood are too large, causing discomfort and irritation and reducing sexual sensation. 

How clitoral hood reduction works

Clitoral hood surgery usually takes about one hour and is performed under local anesthesia. Once the anesthesia takes effect, an incision is made in the clitoral hood. This incision is used to reduce the projection of the hood by removing excess tissue.

Recovery after clitoral hood reduction

There will be some mild swelling and bruising and some discomfort after your 
clitoral hood reduction. Take a few days to a week at most off from work to let yourself heal. 

Wait for one month before resuming sexual intercourse or any activity that will include rigorous contact in the area, such as biking or horseback riding.


Perineoplasty is often performed in combination with a labiaplasty to improve the appearance of the lower section of the vagina and to tighten the area. Perineoplasty tightens the vaginal opening and achieves a more youthful-looking, attractive appearance.

What happens during a perineoplasty procedure

During a perineoplasty, local anesthesia is used to numb the area. Once this takes effect, an incision is made at the vaginal opening. Excess skin or scar tissue is removed, and the deeper layers of the muscle are repaired and tightened. The edges of the incision are then closed with stitches.

Recovery after perineoplasty

Rest for several days to a week after your perineoplasty procedure. There may 
be some discomfort, swelling, and minor bleeding. Wear a sanitary pad to help catch any bleeding.

Don't have sex or insert anything into your vagina, such as a tampon, for at least six weeks. Avoid heavy lifting or vigorous exercise for at least four weeks. 


A monsplasty is a surgical procedure that decreases the size of your mons pubis, the mound of tissue in front of your pubic bones. This is the area that is usually covered in pubic hair. This procedure removes extra skin and fatty tissue from your mons pubis to create a more sleek and sculpted shape.

What happens during a monsplasty procedure

Monsplasty is usually performed with a local anesthetic, but in some cases, general anesthesia is used. During monsplasty, fat is removed, and in some cases, excess skin is also removed.

Recovery after monsplasty

You will need about one week or more to recover enough after a monsplasty 
procedure to return to work. You may have drains placed, and these will be removed after the first several days. Do not exercise or do anything strenuous until about 4-6 weeks have passed.

Pubic liposuction

Some women are genetically inclined toward having more fat in the pubic area, while for others, it comes with weight gain or other hormonal changes. 

Monsplasty and liposuction are similar procedures that are often performed together. However, they have key differences. During monsplasty, excess fat and skin is cut away, while pubic liposuction uses, of course, liposuction. Liposuction removes fat, but it can’t remove sagging skin.

What happens during a pubic liposuction

Pubic liposuction is performed using very small incisions. A cannula is inserted into the incisions to break up and then suction out the fatty tissues in the area. This procedure is most commonly performed with local anesthesia.

Recovery after pubic liposuction

Recovery after pubic liposuction includes some swelling and bruising for several 
days. It’s important to take a week off of work and any activities to allow yourself to heal. After about a week, most patients can return to light or sedentary activities. Wait for at least a month before you return to any vigorous activities, including sex.

Vaginal rejuvenation with Dr. Vitenas

As a woman, vaginal rejuvenation should be an experience that is completely personalized, understanding, and empowering. Dr. Paul Vitenas is a board-certified plastic surgeon who is known for his understanding, compassionate approach with his patients, and his dedication to achieving their desired results. He truly listens to his patients and does everything he can to help them achieve their aesthetic goals and experience newfound confidence.

Dr. Vitenas’ ultimate purpose as a plastic surgeon is to help every patient feel happy and comfortable in their own skin. He uses safe, advanced techniques to achieve ideal results. 

His plastic surgery center is a welcoming environment where patients can feel at home. Dr. Vitenas and his staff make every effort to ensure you’re comfortable and confident during your vaginal rejuvenation experience. Please call or contact us today to learn more about vaginal rejuvenation with Dr. Vitenas.

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