What is the Difference Between Labial Rejuvenation and Vaginal Rejuvenation?

Labial rejuvenation typically refers to a reduction of the labia minora or labia majora. This is also referred to as a labiaplasty. Labiaplasty can be done of the labia minora, the labia majora or both. At Austin Urogynecology, we perform labial rejuvenation of both the labia minora and the labia majora. If both procedures are desired by the patient for optimal results, they are typically performed is separate settings. We usually recommend treating the more bothersome area first. After the initial area is given time to heal, the second procedure is then performed. Patients usually take one week off from work. The only restriction following labiaplasty is vaginal rest (no intercourse) for 6 weeks, to all the incisions to heal.

Vaginal rejuvenation usually refers to a tightening of the vagina, often done to enhance sensation during intercourse. Women seeking vaginal rejuvenation typically present to the clinic with a complaint of “vaginal looseness” with intercourse or an overall lack of sensation for herself and or her partner. Often this occurs after multiple vaginal deliveries. Contributing factors to a relaxation of the pelvic floor muscles resulting in the feeling of looseness with sex include age, genetics, vaginal deliveries and also personal or family history of prolapse. Vaginal rejuvenation is a surgical procedure in which the muscle is brought together near the opening to the vagina.

Some women with pelvic floor relaxation also develop pelvic organ prolapse (POP). When prolapse is also present, there be a feeling of a bulge or dropping of the supporting walls into the vagina. Vaginal rejuvenation can be and is often done at the same time as a prolapse repair. Prolapse surgery is a little more extensive than vaginal rejuvenation alone. The repair involves both a lifting of the vagina to restore the anatomy, combined with a tightening of the distal vaginal opening using stitches. Patients usually take one to two weeks off from work. Restrictions include vaginal rest for 6 weeks while the area heals and often limiting exercise right after surgery.