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

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.