36 y.o. w/ 3 kids. - Vaginoplasty

Was this photo helpful? {{ voteCount + ' other' + (voteCountOthers == 1 ? '' : 's') }} found this helpful

Patient presented with significantly enlarged, very stretchy, lax labia and a quite widened & lax vaginal opening & inner vagina. She had many folds coming into the outer labial surface, and a lot of loose skin at and below the vaginal opening, a real technical and procedure design challenge. My specific design for her was a Y-modification of a V-wedge to take up all the folds & produce a "natural" appearing vaginal opening, a wide excision on the perineum to take up the redundancy in that area, and a perineal and inner vaginal repair designed to both well-tighten the vaginal barrel, re- configure the muscles together in the midline both for strength and to repair her rectocoele, and a firm elevation of her perineum to press her husband's penis anteriorly against her clitoris and G-spot. Her post-op pic is only 1 month. She will begin pelvic floor physical therapy in a week, but she needs another month before all is healed. By the way, her entire procedure was performed in the office under local anesthesia.

By uploading this photo, Michael P. Goodman, MD, FACOG has agreed with RealSelf.com policy that they've secured proper patient consent.