Can Labiaplasty and Vaginaplasty be Performed Together and What are the Costs?

I want to remove excess tissue and also repair the vagina. After having a baby vaginally with an episiotomy my vagina just doesnt look the same. What is an estimate for these procedures? What about downtime?

Doctor Answers 30

Labiaplasty and vaginoplasty done at the same time

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Thank you for the photos. Labiaplasty is done mainly for cosmetic reasons and occassionally for functional reasons. There's a wide variety of shapes and sizes of the labia minora which all fall within the category of normal. It is hard to estimate how much redundant tissue you have from the photos, but this can be trimmed to be more appealling to you . A vaginoplasty is done for functional reasons, i.e. a wide vagina which leads to less or no satisfaction with penile vaginal intercourse. You can do Keigel exercises to strengthen the pelvic floor and improve muscle control of the vaginal canal. Based on a physical examination, your surgeon can decide if you would benefit from a vaginal tightening procedure by suturing the posterior wall muscles and removing some of the stretched out lining. This can lead to better or more satisfying sexual intercourse. The cost for these procedures can run between $6,000-8,000.

Labiaplasty and vaginoplasty

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The two procedures can be done at the same time. Labiaplasty is cosmetic with rare exceptions and reshapes the labia minora. Vaginoplasty is an internal gynecologic procedure that is not cosmetic. While many women request "vaginoplasty", most of the time all they require based on their complaint and anatomy is just a more extensive variation of labiaplasty. An exam would be necessary to assess whether or not a true vaginoplasty is right for you. It is also very important to rule out other anatomic problems, as those may require functional treatment by a urologist/urogynecologist.

Orna Fisher, MD
Palo Alto Plastic Surgeon
4.4 out of 5 stars 14 reviews

Labiaplasty with vaginoplasty

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Labiaplasty and vaginoplasty are often combined. The labiaplasty can be done for discomfort or for cosmetic reasons, The vaginoplasty can vary depending on your needs.  You may need your vagina tightened, since the muscles and vaginal canal could have stretched with childbirth.  You might also have a bulge in the vaginal floor from your rectum or urinary leakage.  The perineum, which is the area between the vaginal opening and the anus, can be repaired after childbirth or episiotomy to give a more cosmetic appearance or to tighten the opening. 

Gary J. Alter, MD
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 25 reviews


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Yes is the simple answer, The two procedures can be done together, and it is advantageous to do so as there will be only one recovery period and one trip to the operating room. The recovery from Labiaplasty is very quick, you will be comfortable after just a few days in general. The Vaginoplasty is a little more worrk and a little more invasive, it will take you a week to recover. In general you will have to abstain from sex for 6-8 weeks after surgery. The total cost ranges between 6500-8500. A caveat for all who look into these procedures, make sure your surgeon is well trained, this is a relatively new field of plastic surgery. Good Luck

Johan E. Brahme, MD
San Diego Plastic Surgeon
4.3 out of 5 stars 20 reviews

Double the procedure

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Labiaplasty and vaginoplasty can be performed at the same time and oftentimes patients will combine the procedures so they can go through recovery at the same time.  The cost to combine these procedures in our office is $8,000 and includes pre-op/post op appointments, anesthesia, and operating room fees.

David L. Robbins, MD, FACS
West Des Moines Plastic Surgeon

Vaginoplasty and Labiaplasty

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The two procedures can be performed together. Vaginoplasty is a generic term and generally involves tightening the vaginal canal for "rejuvenation" purposes. There are gynecological indications as well which may involve bladder or rectal prolapse repairs etc...  and labiaplasty refers to altering the inner or outer lips (minora or majora). Downtime is about 6 weeks total but you should be able to move around day 1. Costs vary widely for both of these procedures. Thank you. 

Rikesh T. Parikh, MD
Bellevue Plastic Surgeon

Combo Labiaplasty and Vaginoplasty

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Labiaplasty and Vaginoplasty can be performed at the same time.  A vaginoplasty procedure is little more involved and can lengthen the recovery time.  A labiaplasty procedure is primarily performed for cosmetic reasons (with rare exceptions), where excess labia minora tissue is reduced using either the edge trim or the wedge resection techniques.  I personally prefer the wedge resection technique.  Sometimes fat grafting to the labia majora can also be performed for optimal results.  A vaginoplasty is performed primarily for functional reasons by tightening the muscles and resecting excess lining tissue, thereby tightening the vaginal opening.  Obviously, not all patients require both procedures, but if they both are necessary, having them done simultaneously could save you the additional cost of facility and anesthesia fees.  Costs typically range from $6000-$9000 and are highly variable based on geographic location, surgeon experience, and extent of the repair.

Lohith Bose, MD
Valparaiso General Surgeon
5.0 out of 5 stars 29 reviews

Labiaplasty and concomitant vaginoplasty

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Both labiaplasty and vaginoplasty can be performed during the same procedure. Labiaplasty is indicated for aesthetic indications; therefore may vary in time since every surgeon may take different time to correct it. It also depends on the technique used. As far as the vaginoplasty is concerned, it is usually combined with perineoplasty ( correction and tightening of the vaginal opening), both indicated for functional reasons. The cost depends on multiple factors, including the geographical area, the physician performing the procedure, the extend of surgical correction, location ( hospital vs surgery center ), as well as the length of the procedure.

Yvonne Wolny MD

Can Labiaplasty and Vaginaplasty be Performed Together and What are the Costs?

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Yes, labiaplasty and vaginaplasty can be performed together. Labiaplasty removes excess skin and tissue from the labia. This procedure can be elected for cosmetic or functional reasons. Vaginaplasty is performed for functional reasons to tighten the muscles and to remove the stretched out lining. It is possible that your plastic surgeon will work in tandem with a gynecologist if you are considering both procedures at once.
The cost of labiaplasty and vaginaplasty will depend on a variety of factors that include:

  • Your geographical location
  • Surgeon’s experience
  • Surgeon’s expertise
  • Anesthesiologist’s fee
  • Facility fee

Where you live will be a key factor that determines how much your procedure will cost. The price will generally run higher in major metropolitan areas due to the increased cost of overhead. Surgeons with more experience and higher expertise may charge more due to their specialized training. Generally, labiaplasty and vaginaplasty typically averages between $6,000 and $8,000. However, this is only a rough estimate and will fluctuate based on the various factors stated above. 

Scott Chapin, MD, FACS
Philadelphia Plastic Surgeon
4.8 out of 5 stars 25 reviews

Cost of repair and downtime?

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Recommendations need to be individualized based upon physical exam and patient plans and priorities (e.g. plans for additional children). In short, if you were to do both procedures simultaneously, the cost would usually run between $5-8000 and would require 1 week for recovery (usually 5-7d of soreness requiring pain medicine), but 3-5wks of significant swelling. Normal activities can be resumed around 3-4 wks, but sexual intercourse needs to be delayed for 6-8 wks. I hope this is helpful.

Bryan Correa, MD
Houston Plastic Surgeon

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.