Would I benefit from vaginal rejuvenation? 31 y/o (photo)

Thank you for your questionIt is important to communicate accurately to answer your question. There is no procedure called vaginal rejuvenation. It is the result of any one or more of a number of procedures that can make the vagina " more youthful". There are two categories: nonsurgical and surgical. The nonsurgical are radio frequency (eg. Thermiva) and laser (eg. Mona Lisa). Both do the same things: increase collagen and increase blood supply. This is helpful non four condones: stress incontinence, urge incontinence, vaginal dryness , and vaginal stiffness which although does not narrow the vagina, the stiffness can make it feel tighter.The surgical is more complicated, and again, the terms can be confusing. The vagina is connected on six sides:n the entrance or orifice, the apex, the anterior or bladder side, the posterior or rectal side, and the two lateral sides. Each has different issues and different treatment modalities.Your photo indicates defects on the entrance and the posterior side. The rest can not be evaluated by your photo. Your complaint of looseness is what is called "an acquired sensation of smooth/wide vagina". My best analogy is a steel belted tire where the steel belt is torn and you get bulging of the tread which increases the size and smooths out the grooves. There are several ways to approach this but I believe the most solid ,reliable and long lasting technique is called "site specific defect repair". You should definitely find someone knowledgeable with this procedure. IN addition, the entrance or posterior orifice and perineum needs it's own technique as well as the anterior vagina and apex which needs to be evaluated. Yes you can benefit from the appropriate procedures but you need to do your homework and find a surgeon who understands the anatomy and is experienced in the various techniques to give you the best results. Avoid surgeons who have a one size fits all approach.Look at before and after photos and multiple reviews

Thank you for sharing something so personal — many women experience similar changes after childbirth, and it’s completely understandable that this has affected your confidence. Pregnancy and vaginal delivery can stretch the pelvic tissues, and it can take time to feel comfortable in your body again, both visually and functionally.

Vaginal rejuvenation can absolutely be beneficial for the concerns you described, and it’s much more common than many people realize. The options generally fall into two categories:

1. Non-surgical tightening treatments
These use energy-based devices like radiofrequency or CO2 laser to stimulate collagen, tighten the vaginal canal, and improve tone. Many women find that these treatments help with looseness, sensation during intercourse, and overall confidence without downtime.

2. Surgical options (vaginoplasty or labiaplasty)
If the tissue laxity is more significant or you’re very unhappy with the external appearance, surgery can provide the most dramatic and permanent improvement. It can:

Tighten the vaginal opening and canal

Improve the visual appearance

Enhance sexual satisfaction for some women

These procedures are customized based on your anatomy and goals, and don’t necessarily change the look drastically unless that’s what you want.

Both approaches are valid, and which is best depends on how much change you’re looking for, how invasive you’re comfortable going, and your expectations.

The most important message is this:
What you’re feeling is incredibly common, and you’re not alone. There are effective treatments to restore both physical changes and confidence — and many women find that even discussing it is a relief after holding in their concerns for so long.

You deserve to feel comfortable and confident in your own body again.

Thank you for your inquiry! A Vaginoplasty procedure can be performed to increase vaginal tightness and Labiaplasty to reduce the size of your labia minora / labia majora. Both procedures can be combined and done together in one surgery. We would love to meet with you in person! Schedule a consultation with a Board- Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

Hello, there are a few options one could explore for vaginal rejuvenation. If you're hoping to address "loose" skin, you may want to look into a labiaplasty which involves the excision of labial tissue and tightening of the labia. If you're looking strictly for tightening, there are surgical as well as non-surgical options available. Be advised that while non-surgical vaginal tightening can help with improving sensation during sex, it won't do much for appearance. I recommend consulting with a board-certified plastic surgeon to determine the most suitable treatment for you.

Hi! Yes, you are a great candidate for surgical correction. Without an exam, based on the pictures, I would say a vaginoplasty with a perineoplasty would greatly boost the pelvic support, your sex life and your self confidence. However, if you planning another pregnancy anytime soon, you risk destroying the surgical correction. There is also downtime when the muscles are put back appropriately. And having a 2 year old would mean you’d need some help for the first 7-10 days. But it is one of the most satisfactory surgeries amongst my patients. I hope that helps and I wish you the best of luck!

Dear conscious mother
after every pregnancy and vaginal delivery, the vagina undergoes some changes which makes the vagina different than before, so what you are describing is completely normal.
As far as what is available to you, there are surgical and nonsurgical options.

As you are young and most probably will want to have more children I would stay away from any surgical corrections as with future deliveries they will be ruined.

you have none surgical options like using fractionated Co2 laser-like Femi Lift and or Morpheus 8 V microneedling for vaginal tightening and management of mild urinary stress incontinence if these are an issue for you.

I hope I have been helpful to you.

Best of health

Your photo shows several issues besides looseness. These include sagging of the anterior wall of the vagina (aka cystocele), sagging of the posterior wall of the vagina (aka rectocele), gaping of the vaginal opening, and a damaged, shortened perineum. Correcting your looseness issue and improving the appearance to a pre-childbirth state will require a combination of vaginal rejuvenation techniques and pelvic floor repairs. This is expert level work and you will also require an examination in person to assess the vagina and muscles internally. Feel free to schedule a virtual consultation to discuss all of the details.

Hello, you probably had a difficult birth and had a lot of stitches, and as a result, you seem to have a very open vaginal entrance. It is difficult to understand its inner width without examining it, but in any case, surgical vaginoplasty seems suitable for you. Don't worry. As a result of the operation, you can return to your prenatal state and regain your self-confidence. I wish you a good day

Thank you for your post and photo. I'm sorry about the effects your one vaginal delivery has had on your vaginal function, appearance and self confidence. You have significant vaginal prolapse and a gaping introitus which is why you have looseness. The most important thing for you to do is identify a Urogynecologist with expertise in vaginal rejuvenation. I have many questions and options for you which would be best addressed during a consultation.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Simply put Yes. However I will go on to say “vaginal Rejuvenation” needs to be defined and self-confidence also needs to be explored in terms of the outcome of surgery. If you are often Constipated this needs immediate attention first