Surgical Vaginal Rejuvenation
Women’s bodies undergo a variety of changes caused by the hormonal fluctuations of adolescence, pregnancy, and menopause, along with the physical demands of carrying and delivering children. The female genitalia are made up of delicate tissue, making this area especially susceptible to these influences, which often cause physical and emotional discomfort. Dr. Marc DuPéré offers a variety of surgical vaginal rejuvenation procedures in Toronto to help women enhance their confidence, sexual enjoyment, and feelings of femininity.
Parts of the Female Genitalia
To understand the procedure options for rejuvenating the vaginal area, it is important to clarify the basics of the female genitalia.
- Vulva refers to the entirety of the external genitalia, which is often incorrectly referred to as the vagina.
- Labia majora, also known as the “outer lips”, are the larger lips that are naturally covered with hair and protect the other genital structures. Some patients wish to decrease volume and/or excess of skin of the labia majora, while others want just the opposite.
- Labia minora are the thin, hairless “inner lips” that encircle the opening of the vagina. Elongated, often hyperpigmented or irregularly shaped labia minora can cause self–consciousness and physical discomfort during exercise or sex.
- Vagina is the muscular canal that connects the uterus to the cervix then to the exterior of the body.
- Clitoris is located at the front of the vulva where the labia minora meet. The external “clitoral head” is approximately the size of a pea and is typically at least partially covered by the clitoral hood, which can be surgically reduced for functional and aesthetic reasons.
- Hymen is the thin membrane that partially covers the opening to the vagina
- Perineum is the area of tissue between the vagina and the rectum.
- Mons pubis is the triangular, hair-bearing mound of soft tissue right above the vulva that protects the pubic bone. Dr. DuPéré can add or reduce volume to this area.
Childbirth, weight fluctuations, and certain medical conditions, among other things, can cause the vaginal muscles to become lax, and in some cases, cause the surrounding tissues to protrude out of the vaginal opening. Vaginoplasty is an effective, surgical solution for these concerns.
How Can a Vaginoplasty Help?
Women choose vaginoplasty to correct a number of issues. The benefits may include:
- Creating a tighter and narrower vaginal canal and opening
- Reducing excess vaginal lining
- Alleviating pressure and discomfort through improved support of the pelvic floor
- Enhancing sexual satisfaction
- Improving self-confidence
During the consultation, Dr. DuPéré ensures that patients have realistic expectations about the results of vaginoplasty. There is no guarantee that sexual pleasure and performance will be heightened with this procedure.
Dr. DuPéré’s Vaginoplasty Technique
Dr. DuPéré performs vaginoplasty as an outpatient procedure. Though the surgery can rarely be performed under local anesthesia, most patients choose to be placed under general anesthesia. Dr. DuPéré performs vaginoplasty through an incision in the perineum and posterior or lateral vaginal wall, allowing him to tighten the underlying muscles and supporting tissues (a 2-layer repair). During this process, he also tightens the opening of the vagina and the perineum.
Recovering from Vaginoplasty
Rest and relaxation after surgery are imperative for a smooth recovery. It is not uncommon to feel a deep ache for the first couple of days; however, this discomfort can be minimized with prescribed pain medication. Additionally, ice packs can be used to manage swelling.
While experiences vary, most patients are ready to return to work or school within 2-4 days. For the first 4 to 6 weeks, patients must refrain from vigorous exercise, sexual intercourse, and the use of tampons.
Weight fluctuations, pregnancy, and menopause can cause the mons pubis to sag or become enlarged creating self-consciousness and discomfort. Monsplasty is a surgical procedure that addresses these concerns.
How Can a Monsplasty Help?
Women often choose monsplasty for one or more of the following reasons:
- Tightening sagging skin
- Lifting the mons pubis
- Reducing fullness
- Restoring comfort during exercise and intercourse
- Regaining confidence when wearing tight fitting clothes and swimsuits
Dr. DuPéré’s Monsplasty Technique
Dr. DuPéré performs monsplasty using either local anesthesia with sedation or general anesthesia depending on the extent of the surgery and whether it is being combined with other procedures. He places a low, horizonal incision where the scar can be concealed by clothing. When possible, the incision may be placed over a C-section scar, or incorporated into a tummy tuck or lower body lift. Dr DuPéré occasionally performs the vertical techniques of mons pubis reduction with serious obesity and massive weight loss. Through the incision Dr. DuPéré removes excess soft tissue and skin. He reduces fat with tumescent liposuction and restores a youthful triangle shape with liposculpting.
For more information, visit our Monsplasty Blog page.
When patients have excellent skin elasticity without excess skin, Dr. DuPéré may use only liposuction and liposculpture to provide the desired results. However, this less extensive procedure is usually reserved for younger patients.
Recovering from Monsplasty
Patients should wear a compression garment for 3 weeks after the surgery. If monsplasty performed on its own, patients can gradually return to normal activity within 1–2 weeks. If it is combined with a tummy tuck or body lift, recovery will be longer.
Labiaplasty is a surgical procedure that may be appropriate for women who have concerns about the appearance of their inner labia or outer labia. Many women choose to undergo labiaplasty to correct physical concerns as well, such as hygienic problems or pain during intercourse and physical activities.
For more information, visit our Labiaplasty page.
Clitoral Hood Reduction
This procedure is often combined with labiaplasty (then called Horseshoe Labiaplasty) to reduce excess folds of the clitoral hood. These extra folds can create a bulge, causing the female genitalia to look unbalanced. Dr. DuPéré will create a customized surgical plan that will fit the specific anatomy of the patient. The surgery can be done under local or general anesthesia and the recovery is dependent on whether the patient is combining her clitoral hood reduction with another procedure.
While the hymen most often breaks the first time a woman has intercourse, some women are born without a hymen altogether. Dr. DuPéré performs hymen reconstruction, also called hymenoplasty, using a flap of vaginal lining to reconstruct a broken or nonexistent hymen. Although bleeding is not guaranteed, there is an 80 to 90% possibility that there will be a small stain when the patient has intercourse the next time. Women usually consider this procedure because of cultural, ethnic, or religious beliefs.
Childbirth can create tears in the perineum, which may cause uneven scarring or a disfigured appearance when healed. The scarring and damage may make intercourse painful. Perineal repair, also called perineoplasty, addresses the damage, resurfaces the tissue, and tightens the muscles. This procedure is often combined with vaginoplasty or another restorative vaginal procedure.
Potential Risks and Complications for Surgical Vaginal Rejuvenation
Every procedure comes with some inherent risks. Although very rare, Dr. DuPéré educates all his patients about potential risks.
Those risks can include: opening of the wounds and infections (extremely rare), fatty cysts after fat grafting to the labia majora (which will often reabsorb), excessive reabsorption of the fat grafts (possibly requiring a second fat grafting procedure), scar retraction, painful scars and loss of tissue due to vascular compromise (extremely rare), hematomas (rare) and increased or decreased sensitivity (always a possibility when manipulating tissue with such specialized nerve endings).Back to Top