Could a labiaplasty make my lower vaginal opening look better? (photo)

The tissue that bothers you is a band of loose skin at the perineum. It needs to be excised and the the area needs to be reshaped and realigned so that it looks smooth and doesn't tear with sex. The procedure that accomplishes this is called a modified perineoplasty. It is not a standard perineoplasty and it is not a labiaplasty. It's expert level work. Start by scheduling a virtual consultation. You may fly home the same day. The video shows a much larger version of a perineoplasty. Yours would not require any muscle work.

You may need to consider not only labia-perineumplasty but also colpo-perineumplasty that we perform in conjunction with a Board Certified Gynecologist. This will surely result in both aesthetic and functional results.

Thank you for your inquiry! Labiaplasty can be not only performed for aesthetic purposes but also for functionality. I recommend scheduling a consult with a Board-Certified Plastic Surgeon like myself to create a surgical plan with the goal of eliminating your discomforting and providing you with aesthetically pleasing results.

You can get rid of the soreness, ripping, and loose skin with a perineoplasty. This frequently results from a prior injury, like a vaginal rip from vaginal delivery, or from other trauma and necessitates muscle repair. It is not necessary to have a labiaplasty. Consult a qualified Cosmetic Gynecologist or Urogynecologist

Your photo shows concerns addressing the posterior labial commissure and fourchette area. This most likely will require a commisuroplasty, perineoplasty and/or a vaginoplasty. Often times this is due to a previous injury such as a vaginal tear during pregnancy or from other trauma and requires muscle repair as well.

Based on the photos, there doesn’t seem to be a significant issue with labial or excess tissue. However, the changes between September and December 2024 are noticeable. This could be due to recent tissue trauma, but repeated trauma and slow healing raise a slight concern for skin malignancy. I recommend taking a break from vaginal intercourse for 4 weeks. If there’s no improvement in the appearance by then, a biopsy may be helpful to rule out skin cancer or other as yet unidentified process, although the chances are very low. A cautious approach feels reasonable here.

– Dr. B

Hello, the thinned and folded tissue appearance at the entrance to your vagina can be improved with perinealplasty. However, painful intercourse that has been going on for years may be due to a disease called lichen sclerosis. It would be appropriate to have this disease investigated for you. I wish you a speedy recovery.

Thank you for your question The posterior orifice (lower vaginal opening) can be trimmed and smoothed out to achieve a more aesthetic appearance without treating the entire labia and will save you a lot of money

It looks like you had an injury during intercourse which did not heal? It would be in your best interest to allow this area to heal and become more resilient to a trauma of intercourse. I am not sure that surgical intervention in this area would create much of the protection since it will result in the new wound which needs time to heal. In person evaluation with a board certified plastic surgeon or gynecologist familiar with this type or problem is recommended. Good luck.

Thank you for sharing your question and photographs. It is possible to reduce the amount of tissue bulk present in order to hopefully limit pinching during intercourse, although this is not assured. Seek out in-person consultations for the best advice.