Do Mommy Makeovers Include Vaginoplasty?

Question

After having 3 children my wife has lost desire for sex. Always claiming that having children caused her desire to lessen. Is there a procedure within the mommy makeover that can return the vagina to how it was pre-baby and increase desire for sex again?

Richard J. Bruneteau, MD · Answer

The classic mommy makeover procedure includes
abdominoplasty, cosmetic breast surgery and liposuction of the hips and
thighs.  The procedure doesn’t typically
include vaginoplasty, but there’s no reason why vaginoplasty can’t be performed
in combination with mommy makeover surgery. 
Unfortunately, these procedures probably won’t have any effect on your
wife’s sex drive.  This problem will
probably require consultation with your wife’s gynecologist.

If your
wife is interested in addressing changes that have occurred in her body
following pregnancy, consultation with a board certified plastic surgeon is
appropriate.  This surgeon should be able
to formulate a treatment plan that addresses her anatomic findings and achieves
her aesthetic goals.

Larry S. Nichter, MD, MS, FACS · Answer

#LabiaplastyandVaginoplaty or myoplasty are outpatient operations to repair stretching, tears or damage to the labia (opening to the vagina) and vagina which may occur during a normal vaginal delivery.This can be performed at the time of other Mommy Makeover procedures. Pregnancy and motherhood are wonderful and exciting times in a woman’s life. Many women, however, will experience unwanted permanent physical changes that are not always desirable. All too often, women find it emotionally and physically difficult to adjust to these new changes in their bodies affecting their self-esteem and personal self-image. These changes vary greatly and range from stretch marks and varicose veins to the more significant changes such as, smaller and sagging breasts, enlarged waist with redundant skin and larger hips.Fortunately, there are many treatments available to correct or improve these common post-pregnancy changes. Many of these procedures are non-surgical or relatively simple outpatient surgeries. Some treatments are possible because of new technology such as lasers and liposuction developed in just the last few years. These surgeries are commonly known as the “mommy makeover”. Follow the links to more detailed information on each procedure.

J. Jason Wendel, MD, FACS · Answer

Mommy Makeover is a catch phrase used to describe a combination of procedures designed to restore the youthful shape a women's body sometimes loses after childbirth, especially after multiple pregnancies.  The combination of procedures usually includes breast lift with or without implants and a tummy tuck.  Liposuction and vaginal rejuvenation (vaginoplasty) may also be included as part of a Mommy Makeover.

	Whatever combination of procedures a women chooses depends on her particular desires and what bothers her the most.  This decision is made after consideration of all the possible options and consultation with a board-certified plastic surgeon familiar and skilled with these types of procedures.

	Choose your doctor carefully and don't be afraid to ask a lot of questions.

Richard H. Tholen, MD, FACS · Answer

Mommy makeover is a general term, not a specific combination of procedures. Generally mommy makeover consists of breast surgery (implants only, or implants plus lift) and tummy tuck (extended, "standard," or "mini"), and sometimes includes liposuction of the hips, thighs, or other areas. Vaginoplasty is certainly another possible surgical option, and can be done together or separately with the other operations.

	You must first understand, however, that your wife may be telling you that she wants no more children, not no more sex. This topic requires at least heart-to-heart discussion with your wife, and perhaps counseling about contraception options, help at home, and the 3 children you already have. Vaginoplasty does not restore sex drive anyway, it only restores some degree of vaginal tone. And no matter how much it is advertised to accomplish, it cannot restore pre-baby conditions to the vagina . . .

	 . . . or the mother's everyday life with 3 children! You want sex, and she just wants time off (and no more children).

Tom J. Pousti, MD · Answer

Thank you for the question.

	There is no reason why vaginoplasty  surgery cannot be done at the same time that other procedures are performed.

	Obviously, you should be aware that the vaginoplasty  surgery will not necessarily increase your wife's &ldquo;desire for sex again&rdquo;.

	Be careful:  plastic surgical procedures to not necessarily improve relationships.

	Best wishes.

Glenn Vallecillos, MD, FACS · Answer

Hello and thank you for the question.

	Mommy Makeover refers to a series of procedures used to rejuvenate the female contour following child rearing. Typically, the procedures may include, but are not limited to,  some sort of breast rejuvenation procedure ( breast augmentation, breast lift, or a combination of both), a tummy tuck or abdominoplasty, and possibly lipoplasty.  A vaginoplasty may be included in a mommy makeover procedure. I would recommend seeking consultation with a OB/GYN for a proper evaluation regarding this procedure.

	Kindest Regards,

	Glenn Vallecillos, M.D., F.A.C.S.

Craig Harrison, MD · Answer

Plastic surgery can alter your shape but not correct your relationships. Your wife probably start with an evaluation by her OB/GYN. They may suggest counseling if appropriate. Best wishes

Steven Turkeltaub, MD · Answer

A mommy makeover is a generic term to describe rejuvenation of a woman's body following having children. Most commonly it includes a tummy tuck along with some sort of breast rejuvenation surgery that could be an enlargement with or without a lift or even a breast reduction. Liposuction is another procedure that may be performed concurrently.

	Vaginoplasty can be performed concurrent with the above procedures and indeed can be considered to be a rejuvenative one also related to having had children. The results can be quite positive. However, this procedure has absolutely nothing to do with desire to have sex unfortunately. If it did, this would be an easy solution to a difficult and frustrating problem. Loss of sexual desire is related to many things such as hormonal changes, stress, motherly issues, psychological issues, etc. that don't have a surgical solution.

	Good luck!

Samir Shureih, MD · Answer

Mommy Make Over refers to a group of procedures to repair the problems created by having had a family. So it can include any part of the body that is affected.

	Desire for sex is hormonally driven (Mainly testosterone), There are also a psychological factors, as well as physical factors. Therefore the lack of sexual drive havs to be investigated hormonaly , psychlogically and physically.

	As  for surgery to repair the laxity of the vagina from stretching of the muscles from delivery or not repairing the muscles after episiotomy, The vagina can be tightened, it is called vaginoplasty or anterior repair plus some times posterior repair. and may also include a perinioplasty. These procedures tighten the lax loose vagina.It does not affect the sex drive.

Aaron Stone, MD · Answer

You are equating the vaginal condition after 3 pregnancies with a loss of a desire for sex. That is not always the case. The loss of desire can be due to psychological reasons or physical reasons such as anemia, hormonal changes resulting from disease or aging etc. She needs to get a full medical workup to rule out these other causes before you do any surgery in an attempt to treat the complaint.

	To answer your question- some mommy makeovers can include vaginoplasty. Mommy makeover covers a number of different procedures and not all of them are indicated in every patient.

	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Do Mommy Makeovers Include Vaginoplasty?

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