I have a lot of concerns with my vagina. Can you give me reassurance/treatment options?
Doctor Answers 8
Childbirth has not been kind to you
Vaginal laxity and hirsutism issues after childbirth
Labia and vaginal changes after childbirth
You also need vaginal tightening and a perineal repair as you have lost sensation during intercourse. This is commonly done at the same time as the labiaplasty.
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Your labia appear normal to me.
Stretch marks: Will continue to fade over time (how long since childbirth?). As elsewhere stated, some of the redness can be pulled out of the stretch marks, while time will reduce the color to a slightly silvery flesh color over time.
Gaping/loose feel to vagina during sex: Again, how old is your baby? The vagina tightens back up considerably during the first year. It does take time. Kegels work if you do them properly. If looseness continues past one year, a vaginal tightening (vaginoplasty) would be a definitive game-changer for you (best considered if your family is completed).
Labial size: Your labia are not abnormal. Mild asymmetry is the rule and, while a labiaplasty can be applied to any woman with any degree of dissatisfaction, having examined many thousands of women, I can state that you are normal.
Hair: The pattern is probably the same, though the thickness may increase due to hormonal influences. Permanent hair reduction can go a long way to giving you back your confidence.
Please do not jump right into a labiaplasty without giving time to think on all of the suggestions you have received here. Take your time, tone your body with exercise, eat well and enjoy life.
Best of luck.
Treatment options for vaginal laxity and labial enlargement
It's not so much about "abnormality" (you certainly are very "normal!") as it is about your aesthetic desires. Others in this thread have answered your questions about your stretch marks; I will focus on your labial perceptions, your feelings of being "...open..." and your vaginal/pelvic floor laxity, and WHO-- which surgeon- can best help you in a skilled way with your issues.
It reallly revolves around your vaginal laxity issues. The ONLY person who can help you in all of your vagino-vulvar issues (labial size, gaping vaginal opening, widened vagina) is either a COSMETIC GYNECOLOGIST, or plastic surgeon who also is skilled in SURGICALLY tightening the vagina. Do not let anyone use either ThermiVa or FemiLift as a vaginal tightening procedure if they also do not do intra-vaginal surgical tightening, so that they fairly can counsel you as to the proper procedure for YOU, since although ThermiVa and FemiLift will gently tighten the vagina, it is not permanent, and in no way do these procedures tighten the MUSCLES and fascia, which is the key to successful vaginal tightening.
Yes! you can accomplissh what you desire with a combination internal Vaginoplasty, Perineoplasty, Labiaplasty and possible clitoral hood reduction. In our office we can do all of these procedures at the same time under local anesthesia, so you don't need to be "put to sleep" , have the difficulty of recovering from a general anesthetic, and the extra expense of an anesthesiologist and surgicenter facility. The stretch marks may be dealt with at a separate time by a good laser specialist with the equiment to treat the marks as noted in other answers. For more cogent information, please click on the link below.
Michael P Goodman MD
Vaginal concerns after childbirth
Labiaplasty, which most commonly involves surgical reduction of the labia minora (inner/thinner lips), has become a relatively common procedure over the last ten and even more so last five years. Most commonly it is done under light sedation (aka twighlight sleep) with local anesthesia, in which case the patient should feel no pain during the operation. Whether the surgery is done using a laser, scalpel, or scissors does not really matter but what does matter is "symmetry". Symmetry is the most important aspect to the final aesthetic result. Most women, just like yourself, prefer to have as much of the darker pigmented edges removed as possible. Also, it's not how much tissue is removed but how much is left remaining because a certain amount is necessary to maintain proper form and function - typically ~10 mm or so. To achieve these three most important elements, I have found that the "Trim Method" satisfies best. It is extremely important to consult with a board certified plastic surgeon that specializes in this operation (does at least 1 - 2 per week). It may cost you a bit more but it is this type of result you will want to live with for the rest of your life. Typical (all inclusive) fee at my office/surgery center is $4500.
Although there is no guarantee, women frequently do seek clitoral hood reduction (Hoodectomy) to improve exposure of the clitoris and hence better stimulation during sexual activity. By removing some of the excess &/or redundant skin concealing the clitoris, it becomes more readily exposed to sexual stimulation and hence a heightened sexual experience/orgasm is possible. Sometimes I recommend adding hoodectomy to labiaplasty to better harmonize the aesthetic outcome. Again, the key is seek consultation with a board certified plastic surgeon or gynecologist who performs this procedure regularly (>2-3 x/month) so that just the right amount of tissue is removed and just the right amount remains such that the clitoris is not constantly exposed and rubbing on clothing, etc... Typical fee for a hoodectomy is ~$3000 but reduced to about half that price if done along with a labiaplasty.
Now for recovery, because the labia tissue is so robust with blood supply it has an amazing ability to heal relatively quickly. Most patients are sore for 4-5 days before things start to get a lot better from there. Some patients can resume work before this time depending upon their occupation. No exercise for two weeks, no baths/jacuzzi or swimming for 3 weeks, and no sexual activity for typically 4 weeks. My patients are given an oral pain medication such as Vicodin or Percocet but icing the area for the first 48 hours and applying some custom made take-home topical local anesthetic cream seems to work the best. Glad to help.
Labiaplasty options in Los Angeles
Am I normal?
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