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 25

Labiaplasty and vaginoplasty done at the same time

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 with vaginoplasty

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
5.0 out of 5 stars 16 reviews

Vaginoplasty/Labiaplasty

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
4.5 out of 5 stars 18 reviews

Cost of repair and downtime?

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
5.0 out of 5 stars 7 reviews

#Labiaplasty and #Vaginoplasty together

Costs for #CosmeticLabIa and #CosmeticFemaleSugery
Costs will depend upon the specific surgery that is requested, type of anaesthesia, experience of the surgery, and geographic location.
Estimated fees can be found on Real Self, and the American Society of Aesthetic Plastic Surgery website.
These procedures can be done together

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 50 reviews

Labiaplasty and Vaginoplasty

Labiaplasty can be performed alone or together with vaginoplasty. The cost of the procedures depends on the surgeons experience, location of the procedure. The average cost in the Atlanta area is $6000 - $8000. Recently many patients are opting for the less invasive options for total vaginal rejuvenation such as ThermiVA. It offers other benefits not possible with vaginoplasty. Make sure to do your homework well.

Stanley Okoro, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 123 reviews

Done together

Labiaplasty and vaginoplasty are frequently performed together. The costs for both depend on the surgeon, but may be less than having the two procedures performed separately (simply because you'll be saving on surgical facility costs and such, having to pay only once for them rather then twice).

Your recovery will be a little longer and intense than having one procedure performed. You should expect to refrain from intense physical activity and sexual intercourse for at least 6 weeks or so.

Labiaplasty and ThermiVa

I would start with those two procedures and determine if you want to proceed with vaginoplasty if there is not enough tightening not from thermiVa. Gyn's perform vaginoplasty in most cases but you need to find one that also knows how to perform labiaplasty. This is harder than it sounds as most Gyn's perform amputation labiaplasty. It's all about the training. Cost for labiaplasty is around $4000 and vaginoplasty close to the same. Downtime is 4-6 weeks until resuming intercourse. 

Labiaplasty and vaginoplasty

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
Las Vegas Plastic Surgeon
4.5 out of 5 stars 8 reviews

Urogynecology and Cosmetic Surgery

Absolutely, complete vaginal and vulvar rejuvenation may be performed at the same time.  As a Board Certified Urogynecologist and Cosmetic Surgeon I perform this combination at least 50 times per year. If you have bothersome urinary or fecal incontinence, which are common complaints following vaginal deliveries, then these symptoms need to be fully evaluated and addressed at the time of your surgery. You may need vaginal prolapse addressed with vault suspension or incontinence addressed with a sling, or a hysterectomy for abnormal bleeding or uterine proplapse. Following any reconstructive pelvic procedure you will need to allow 6 weeks to fully heal before any sexual activity.  If you undergo a proper vaginoplasty then your recovery will be much more uncomfortable and you should be able to return to work, part-time at 4 weeks and full time at six weeks. Since there is a 6 week recovery period many of my patients also undergo Abdominoplasty, Breast Augmentation, VASER Liposculpture and Brazilian Butt Augmentation during the vaginal rejuvenation procedure or a week apart. This way you have one recovery period as you complete your Real Mommy Makeover, a term I've trademarked. Learn more about combining these procedures by clicking on the links below.

Costs depend on what you choose to do.  Since many procedures are performed at once we do offer a multiple procedure discount as well as financing.  The value of having only one 6 week recovery period is priceless. 

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.