I want a new vagina! Help

Firstly, Congratulations on your significant weight loss journey! The changes you've described in the vaginal area are not uncommon following such a dramatic weight change. Your interest in addressing the volume loss in the mons pubis, enhancing the labia, and vaginal tightening can all be part of a comprehensive genital rejuvenation plan.
The procedure you are considering typically involves a combination of mons pubis liposuction and monsplasty, Labium Majus Augmentation with Fat injection(transfer), and a vaginal tightening procedure, which could be surgical or non-surgical depending on your specific needs and the degree of laxity.
In medical terms, this combination can be referred to as a "Vaginal Rejuvenation with Mons Pubis Liposuction and Labial Fat Grafting." It's indeed possible to perform these procedures simultaneously, which can provide a harmonious result and reduce the total recovery time compared to having separate surgeries.
However, In some cases, when fat is transferred to the outer lips, further sagging may occur. Depending on the degree of sagging of your skin, Labium Majus Lifting surgery may also be required before the fat injection.
Holistic approach, combining the latest surgical techniques with personalized care to ensure optimal results and satisfaction is very important.
Best wishes for a successful transformation.
Sincerely,
Dr. Mehmet Bekir ŞEN

First congratulations on your weightloss! There are two procedures to address the lack of volume and tightening. First is a Vaginoplasty, this procedure will tighten the vaginal canal and the vaginal opening. The result when done correctly should help you feel more sensation and more friction during intimacy. Second, if you desire more volume, your surgeon could also perform a Labial Puff procedure, this is a form of fat grafting where your surgeon liposuctions fat from one area, like the mons pubis area or other areas of your body where you would like to have fat removed, and then the purified fat is carefully reinjected into your labia majora to restore volume and give a fuller appearance. Wishing you all the best on your journey!

Hello, we would like to help you with years of experience, you may check our results (before/afters). We can do all in one session; vaginoplasty with tightening from inside and outside, and monsplasty with Lipo, We can her fat tissues from your mons and transfer to your labia majoras for a fuller look

I have been doing these types of procedures for over twenty years. Without photos, it sounds like you probably need a mons pubis lift, possible labia majora fat injections with or without skin excision, and vaginal tightening. You may also need your inner lips reduced. All these procedures can be done at the same time. You can read about them on my website.

The mons treatment depend on the your anatomy. I have published extensively on mons pubis reductions and invented some of the techniques. If you have a fat deposit with no excess skin, then you can just have pubic liposuction. However, liposuction will only reduce 50% of the bulge. If you have skin excess or you want a more dramatic reduction of the bulge, then you need a pubic lift with fat removal and stabilization of the pubic skin to the abdominal muscles. The incision is usually like a caesarean incision. The potential complications are over lifting the pubic area, concavities, and unnatural scars, so be careful of your choice of surgeon,

Many women with a large mons also complain of labia majora enlargement, so this can be doneat the same time. Many women with sagging or wrinkling of the majora have stretching of skin and normal fat. In that case, the skin only can be removed. If the skin only is saggy due to fat loss, then only fat can be injected. However, over-injection can cause a large bulge in the genitalia, which can be unsightly. If skin is excessive and fat is diminished, then skin can be excised and fat injected at the same time. If you only have slight wrinkling, then a laser can tighten the skin. ​If your labia majora skin and fat are excessive, then skin and fat can be excised to make them smaller and less protruding. The skin excision technique I pioneered leaves a scar on the inside of the majora in the concavity between the majora and the minor and clitoral hood. I have published and lectured extensively on this procedure in textbooks and throughout the world. Many physicians are not comfortable or trained in this procedure resulting in poorly placed scars, asymmetry, and poor results. You need to have the surgeon show photos of his past patients.

Vaginal tightening can also be performed at the same time.

You did not mention your inner labia, but that can also be addressed at the same time with a labiaplasty.
A labiaplasty must be performed by a surgeon with experience. One of the two most common techniques is the central wedge technique, which I invented in 1995 and published in the plastic surgery textbooks. It is also known as the "V" or wedge technique. Gynecologists and most plastic surgeons perform a labioplasty very differently. They essentially trim the labia minora (inner vaginal lips) and leave a long suture line instead of the normal labial edge. Their technique is the same whether a scalpel or a laser is used. This can lead to scallops and irregularities. In contrast, the central wedge removes triangles of tissue and bring the normal edges together. Thus, the normal labial edges, normal color, and normal anatomy are preserved, but the darkest labial tissue is usually removed. If you have extra tissue on your clitoral hood, it can be reduced it at the same time. No matter the technique, an inexperienced or unskilled surgeon can lead to a high rate of complications, chronic scar discomfort, labial deformities, and further surgery. About 40% of the female genital cases I perform are revisions of labiaplasties and clitoral hoods botched by other doctors.
Gary J. Alter, M.D.

Beverly Hills, CA - Manhattan, NY