Loose Skin Between Vaginal Hole and Anus? (photo)

Loose skin between the vagina and the anus can develop naturally. Sometimes it is an overgrowth of the labia minora and might require a specially-designed labiaplasty for correction, in other cases it might require a mini-perineoplasty, and in other cases it might require just a small skin resection. Any or all of these can be done under local anesthesia, with or without sedation, at your preference.

Based upon review of your photo this is a normal variant that can come about because of deliveries, aging or just the way you were made.  There is only a small defect and should be relatively straightforward to fix.

What you’re
describing is very common issue that should be pretty easily resolved. Without
any other concerns (such as loose muscles around the vaginal opening, for
example), your plastic surgeon can simply remove the excess skin. If you do
have additional cosmetic issues you’d like addressed (like undergoing
labiaplasty, for example­), this excess skin can likely be removed at the same
time. My only advice is to be sure and visit a board certified plastic surgeon
who performs a wide range of genital rejuvenation procedures, so you can be
sure you’re in experienced hands. Best of luck.