Labiaplasty first or laser vaginal rejuvenation?

Thank you for your questionLaser vaginal rejuvenation is a trademark name for a surgical procedure (anterior/posterior repair) which uses a laser to reduce bleeding which typically is not significant. What you are looking at is a procedure which uses hundreds of tiny burns to create more collogen and improve blood supply in the vagina.( I tend to prefer radio frequency as with Thermiva which creates the same effect). Waiting six weeks after labiaplasty procedures should be sufficient. Labiaplasty can be done anytime after the ultra femme or Thermiva is completed.

They can be done together and don’t add any significant recovery time. If done separately, wait about 3-4 weeks after labiaplasty for the laser vaginal rejuvenation.

Hello and thank you for your question.

I would recommend to wait 2-3 months in between the procedures to allow for sufficient wound healing to take place. Some patients choose to undergo Labiaplasty first, followed by vaginal tightening later. Others do vice versa.

I suggest that you seek an in person consultation with a Board-Certified plastic surgeon specializing in Labiaplasty to further discuss your options, specific techniques, concerns and expectations.

I hope this helps.
Best regards, Dr. Karanetz

Dr. Irena Karanetz
Fellowship-Trained
Board Certified Plastic Surgeon

Whether you choose to proceed with lasers or surgery is entirely up to you; you can opt for either one before or after the other. However, it's important to note that vaginal laser treatments do require ongoing maintenance and typically last between 8-12 months, their effectiveness can vary based on factors such as age, number of deliveries, overall laxity, and genetic components. When you choose to undergo labiaplasty surgery, this option provides a more permanent solution and the downtime is typically 6-8 weeks. Good luck on your journey!

After a labiaplasty, tissue that has recently undergone laser does not mend as effectively as tissue that has not. It would make sense to postpone any laser therapy in that location until full healing is achieved because of this.

The two procedures can be performed simultaneously, so that laser vaginal tightening effects begin to appear during wound healing. But if you are going to have it done separately, my opinion is to do vaginal tightening first and then labiaplasty.

Dear patient as you have mentioned you are treating 2 different areas of female Genitalia.
and of course, you have 2 different issues.
I would suggest performing Labiaplasty first and once you are healed you can do your laser vaginal rejuvenation.
Depending on how extensive is your Labiaplasty there is a procedure which is called Aviva in which the physician uses a Morpheus 8 radiofrequency machine to treat the vulva area, at the same the physician can use a different probe and treat the vaginal area.
Good luck and best of health

Tissue that has been cooked recently with laser doesn't heal as well from labiaplasty as tissue that hasn't been recently cooked. For that reason, it would make sense to defer any laser therapy in that area until healing is complete. At least 6 weeks. Preferably 12 weeks. However, UltraFemme is not a laser treatment. It is a radiofrequency treatment and doesn't generate as much heat as a laser, but the same recommendation would still apply.

I guess my response is too late and you have already taken others advice and done as you see fit. I would have suggested reviewing the long-term cost of both in achieving your goals. I assume you will be due for another Ultra Femne soon

Ultra Femme is a non-evidence-based "Energy-Based Device" treatment that had mild to modest temporary effects on the skin of the area(s) of treatment. There is absolutely no evidence that it works long-term and, with a price tag of ~ $3000 for a series of 3 treatments that may provide modest exterior tightening for 6-8 months, you will be going to the doctor's office 5-6 times a year and paying $4000-$6000/year-- for what? That elusive "Vaginal Rejuvenation...? What the heck is that? My recommendation: have the labiaplasty first. Find a surgeon who is skilled at V-wedge labiaplasty, a surgical procedure that BOTH minimizes labial size and "lifts" and tightens the exterior. If internal laxity is also an issue, a "Vaginoplasty" (vaginal reconstruction) by a cosmetic gynecologist well-trained & experienced in this procedure is, in my opinion, your best bet. Yes, you will pay more initially, but your procedure is virtually "forever," and you don't continually need to return (the "gift that keeps on giving" for the practitioner, but a drain on both your pocketbook & your time. RealSelf's web reference below will help educate you. Do your "homework," don't be swayed by industry ads and non-scientific "White Papers." You will find, believe me, loads of practitioners not trained in either the proper LP technique to "lift & tighten" in addition to diminishing labial size, or to do a true muscle-approximating internal procedure, who instead take the easy way out with "machines" that sorta work short-term & keep you coming back... Short answer: do the proper surgical technique for your anatomy and functional/aesthetic wishes first, then see if the expense of a Laser or RF treatment is warranted as an adjunct later...Best wishes, Michael P Goodman, MD, FACOG, IF, AAACS. Sacramento, CA, USA