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 so much for reaching out and sharing your concerns. From what you’ve described, it sounds like the main changes you’re noticing are at the vaginal opening (introitus) — and in many cases like yours, a small perineoplasty may actually be more effective than a labiaplasty minora in restoring both appearance and function.

A perineoplasty focuses on repairing and reshaping the tissue between the vaginal opening and the rectum, which can become stretched, uneven, or scarred after childbirth. This subtle but highly targeted procedure can help tighten the vaginal entrance, improve symmetry, and enhance overall comfort and confidence — especially during intimacy.

While a labiaplasty minora reshapes the inner labia, it may not fully address the specific changes at the introitus that you’re experiencing. In your case, a perineoplasty may give you a more natural and aesthetically pleasing outcome, with the added benefit of improving function and sensation in the area.

I’d love to invite you in for a consultation so we can assess your anatomy and goals in detail and build a personalized plan. This is a procedure we perform often — with beautiful results and very satisfied patients.

Let us know if you'd like to schedule a visit — we're here to support you every step of the way.