3 vaginal births - how can I fix my vaginal opening? (Photos)

First, congratulations on bringing three children into the world! I’m proud of you for centering yourself and your intimate health - you deserve to feel comfortable and confident. Now, let’s get to your questions. First: Why does your vaginal opening look “meaty?” and your urethra now show? Pregnancy and often after childbirth, the vaginal tissues relax and prolapse (come down and out) contributing to the "meaty appearance which was previously hidden." This includes the urethra however urethral position can vary regardless of pregnancy status. Second: What can you do to fix this? Based on the photos and description provided, I would recommend perineoplasty to address the tissue around your vaginal opening. This in-office procedure can be completed with only local anesthesia. After the minimally invasive procedure, you can expect not to see inside your vaginal canal. Lastly: What is the recovery? I can’t speak for other practices, but at Labiaplasty of Los Angeles, patient recovery is usually quite short. Before you leave our office, you’ll likely take an OTC pain reliever, like Advil or Motrin. Usually, that’s all our patients need for the first few days post op though we can offer a narcotic if necessary. Most patients are back to work and “life” by Day 3 or 4, performing most of their normal tasks - with a few exceptions. Because the stitches placed are dissolvable, we ask that patients avoid baths, swimming pools and the ocean for 8 weeks. And, of course, nothing should go into the vagina during those six weeks, either - no tampons, no intercourse, no toys. Patients can resume running and jogging at Week 2, but should avoid horseback riding, motorcycles, bikes and “high stretch” activities like Pilates and yoga for the full six-week recovery. Patients need to avoid spreading their legs beyond about hip width. We send each patient home with special ice packs made for the intimate anatomy and a luxury collection of vaginal-surgery recovery products so that they feel nurtured and comfortable throughout the recovery process. I hope I have answered all of your questions in a way that helps you make an informed decision about your intimate health.Best wishes, ~Dr. Poucher

Hello Sjose , If vaginal opening is your only concern than all you need is a perineoplasty: removal of redundant skin at the introitus and reinforcement of perineum. As far as recovery, approximately 6 weeks. I do recommend a consult with a board certified gynecologist with additional training in cosmetic gynecology procedures. Best,

I would recommend a combination of procedures to help you achieve your goals. A vaginoplasty along with labiaplasty for both the inner (labia minora) and outer (labia majora) lips. The labiaplasty on the inner lips will reduce their size for a neater appearance. The outer lips can be made fuller and more youthful looking. The vaginoplasty will tighten the vaginal opening and the area just below it (the perineum), helping to reduce any looseness or gaping.

Hello Sjose,
Thank you for your question and accompanying photos. If you're finished having children you would benefit from reconstructive and cosmetic vaginal surgery to improve your appearance and sexual function.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Aging and childbirth is a bitch. Things look congested and all stretched out with both. You are actually not bad, I’ve seen a lot worse. If you are done with childbirth, and looking to improve your sex life, improve the appearance of the opening, then you would benefit from a vaginoplasty (which is tightening the length of the canal making sex more pleasurable for most) and perineoplasty (to make the opening not so gapping open and restore the perineal muscle). You happen to have an enlarged labia minora and excessive clitoral hood tissue. It’s not “abnormal” as many have the same. And many are happy and live with it. But if you are referring to the labia being “meaty” and you’re looking for a more tucked in look, then you’d benefit from a labiaplasty with a clitoral hood reduction. All the procedures put together can take between 2-3 hours, but a few months later, it is highly satisfactory. The labia and hood part of the surgery isn’t too bad and most would return to work within the week. But the vaginoplasty and perineoplasty requires a bit more down time. When done correctly, the muscles are all put back together and it can feel tense! Most of my patients find the intensity for 7-10 days. After that they usually start to resume work and day to day life. I hope that helps you answer your concerns and look for a surgeon that does all the procedures if you’re staying in your location. I can’t tell you how silly it is when I have a patient in consultation who had a labiaplasty elsewhere and then comes to me to do the clitoral hood. Or I’ll have a patient who will have a labiaplasty and hood reduction elsewhere but then come a few weeks later to me for vaginoplasty and perinoplasty. It can all be done at the same time. Make sure you find a qualified surgeon who can do it all! Good luck.

To address concerns regarding changes in the vaginal area after multiple vaginal births, several options can be considered:

Pelvic Floor Exercises: Strengthening pelvic floor muscles through Kegel exercises can help improve muscle tone and support in the vaginal area. This non-surgical approach may alleviate some concerns about appearance and function.

Vaginoplasty: This surgical procedure is aimed at tightening the vaginal muscles and surrounding tissue. It can help restore the vaginal opening's appearance and function. Recovery typically involves a few weeks of downtime, with complete healing expected in a few months.

Labiaplasty: If the appearance of the labia is a concern, labiaplasty can be performed to reshape the labial tissue. Recovery is generally faster than vaginoplasty, with most patients resuming normal activities within a few weeks.

Non-Surgical Options: Treatments such as laser therapy or radiofrequency can stimulate collagen production and enhance vaginal tightness and appearance without surgery. These procedures typically have minimal downtime.

Urethral Concerns: If the urethra is more prominent, it may be due to pelvic floor relaxation. Consultation with a urogynecologist may be beneficial to assess and address any functional issues alongside cosmetic concerns.

It is important to have a thorough consultation with a qualified gynecologist or plastic surgeon specializing in female genital procedures to discuss your specific concerns, evaluate your condition, and determine the best treatment plan tailored to your needs.

Given your history of three vaginal deliveries, it’s common to experience decreased friction, diminished tightness, and a wider vaginal opening. These concerns can be effectively addressed with a vaginal tightening procedure, which strengthens the pelvic floor and reduces the diameter of the vaginal canal.
We also typically perform a perineoplasty to restore and tone the perineal muscles, significantly tightening the vaginal entrance and eliminating any gapping or laxity.
In many cases, this is an ideal time to consider labiaplasty and clitoral hood reduction to create a more refined, petite aesthetic by reducing bulk and enhancing symmetry.
We pride ourselves on master-level surgical techniques combined with advanced recovery protocols designed to accelerate healing, preserve sensation, and deliver beautiful, functional results.

There are many non surgical options you can explore to address appearance and function of the labia and vaginal area. Empower RF offers three options including VTone, Morpheus8V and FormaV. These can also be combined with treatments such as Aviva which is a scarless labiaplasty and EvolveTite which stimulates collagen to give a more youthful appearance. You can learn more by visiting my website or a provider near you.