Would I need a vagina rejuvenation to fix this? (Photo)
Doctor Answers 14
Most Likely, Yes
Do I need my vagina rejuvenated ?
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Wide open, asymmetrical and "queefing:" Do I "need" Vaginal Rejuvenation?" "Vaginoplasty?" Labiaplasty? What should I do??
All of these factors: labial appearance, appearance and snugness of the opening, and tightness, "angle," and muscular strength of the "vaginal barrel" are eminently "fixable" by an experienced, well-trained gynecologic surgeon who specialized in pelvic floor surgery specifically for tightening, sexual enhancement, and aesthetic appearance. That is SO IMPORTANT- to find just the right surgeon to work with!
My recommendation is to consult with at least 2 experienced genital plastic/cosmetic surgeons. Do not be afraid to "travel" to fine the right person. The specific procedures that will help you, in my opinion, are: reductive labiaplasty with clitoral hood reduction; perineal reconstruction ("perineoplasty"), and vaginal/pelvic floor reconstruction (aka "vaginoplasty"0, followed up with a long series of pelvic floor therapy strengthening exercises. All together, these surgeries are sometimes referred to as "..Vaginal Rejuvenation."
The link below and other educational material on this site may help you. Very best wishes,
Michael P Goodman MD
Your story and concerns are in good company with almost ever other patient that undergoes vaginal rejuvenation. Based upon your photos, your anatomy as well is very typical of someone who seriously considers having these procedures and turns out to be an enormous (sexual) self-confidence booster thereafter.
Again, like most other surgery, the experience of and “attention to detail” (a.k.a. compulsiveness) by the surgeon is the most important element to achieving a good result. Although there is some merit to Kegal exercises, many patients with laxity after natural vaginal birth fail to obtain sufficient tightening. For these patients, vaginoplasty, tightening of the vaginal vault muscles from the introits (opening) up to the cervix is typically the best solution. The procedure is commonly done on an outpatient basis in about an hour under either deep intravenous sedation or general anesthesia. Recovery is gradual but probably the worst for the first 4-5 days until swelling starts to reside then patients feel better each day thereafter. Sexual activity is usually refrained for about 6 weeks. In a study I was involved in back in 2009, 87% of vaginoplasty patients were satisfied with their results and had an improved sexual experience post-operatively. Typical (all inclusive) fee at my office/surgery center is $8500. Glad to help.
Vaginoplasty might fix this
If you've had damage to the vagina from childbirth, you will most likely have damage to the supports of the vaginal walls (front, back and sides) which give many problems. The first step in determining whether you need a simple and straightforward vaginoplasty or a more involved procedure with pelvic reconstructive surgery is to get an exam with your gynecologist.
There are two issues here....
The gaping indicates that your muscle tone is much diminished; labiaplasty will do nothing for your muscle deficiency, and it is the latter that is allowing air to progressively become trapped in your vagina during sex; the entrapped air has to "get back out" and that causes your symptom of "queefing." At least until you have a corrective procedure please try not to be embarrassed by this because it is as much you husband's "fault" as it is yours! He's the one who is 'pushing' the air inside, right?
So, what you need (after a full and compassionate exam by a gyn specialist) is a labiaplasty (to trim/repair your inner labia and to restore symmetry) and a vaginoplasty/perineoplasty (to re-establish the tone, tension, tightness and appearance to your pelvic floor muscles). The goal here is to tension your vagina to the extent that the vaginal mucosa (skin) cannot be seen while looking at yourself at rest; functionally, this also means that your vagina will be tight again--perhaps as tight as you were before your first childbirth.
Don't be discouraged here! Start with your gyn specialist; if he or she cannot see what I see/cannot do what I suggest, then find someone in your area who can.
Another thought: repair of these defects are typically the province of a gynecologic surgeon--maybe your own 'gyn.' And the vaginoplasty is a procedure covered by insurance; the labiaplasty fee might also be covered as it was related to trauma and is not purely an aesthetic issue!
Best of luck to you!
Vaginal laxity and enlarged labia
There are two problems. One is enlargement of the labia minora which can be easily treated with a labiaplasty surgery. Most doctors just trim the excess tissue, but the healing times and scarring are much worse than from the extended wedge approach.
The second issue is vaginal laxity, which is leading to a lack of sexual satisfaction on your part, and air transfer in and out of the vagina during intercourse due to looseness which is no doubt the result of your perineal tear/episiotomy and failed repair. The treatment for this is a vagina tightening procedure called a posterior repair or perineoplasty. Some doctors also call this a vaginoplasty. It involves removing a portion of skin and vaginal canal, tightening the muscles of the perineal body, and closing down the caliber of the vagina. There are very few doctors who use just the right techniques for each of these surgeries... take your time and be very selective!
Vaginal Rejuvenation can help!
In order to even the labia minora, a labiaplasty may be recommended. I utilize the "C" technique under local anesthesia to craft a natural appearing labia minora that retains its original function, to protect the urethra (urinary opening).
The best way to find answers is to seek consultation of a local Gynecologist or Urogynecologist who has received training in these delicate procedures. Hope this helps!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.