Plastic Surgery Partners
Michael Law, M.D

Vaginal Rejuvenation and Feminine Rejuvenation
Restore tone and tightness, improve symmetry, and more of your vagina.

Vaginal Rejuvenation in Raleigh – What is Vaginal Rejuvenation?

The term vaginal rejuvenation is a broad term that can be used to encompass several procedures with the overall goal of improving the appearance of the vaginal area.

What are options of Vaginal Rejuvenation near me?

Labiaplasty: Removal of excess tissue of the labia minora (inner lips) and sometimes also the clitoral hood and/or labia majora (outer lips). This helps improve the aesthetic appearance of the labia and can also alleviate functional problems such as discomfort with intercourse and certain clothing.

FUPA (Fat in the Upper Pubic Area) or Mons Pubis Liposuction: Some women have unwanted fat in the upper pelvic area. Fat located just above the pelvic bone is sometimes referred to as ‘fupa’ and can be difficult, if not impossible, to eliminate naturally through diet and exercise. Liposuction as part of vaginal rejuvenation to reduce this fullness can have dramatic results. The fat in the upper pubic area, below the belly button and above the vagina can be very fibrous. Even very thin people may find that they have a FUPA that will not budge. The FUPA is very common in women after pregnancy. It can also be a side effect of hormones. Women undergoing fertility treatment will often have a plethora of side-effects, the FUPA sometimes being one of them. Men too can have a FUPA.

Edge Trim Labiaplasty: The outer rim of the labia minora is removed, placing the scar along the edge of the labia. This technique is best for removing darkly pigmented tissue of the labia or improving asymmetric labia.

Wedge Resection Labiaplasty: A pie-shaped wedge of tissue is removed from the labia minora, placing the scar vertically and heading into the vaginal canal. The natural edge of the labia and pigmentation is maintained. This technique is best for patients with redundancy that is located mostly in the central part of the labia.

View Labiaplasty photos here.

The best technique, however, depends on the patient’s individual anatomy. Removing this extra tissue makes the labia appear neat and tidy without labia minora tissue hanging down below the labia majora. It can also reduce darkly pigmented tissue or improve asymmetrical labia. Many older women have atrophic deflated labia majora that have a saggy appearance and can sometimes make sexual intercourse uncomfortable.

Clitoral hood reduction: Removal of excess tissue from the clitoral hood. This can be done with linear incisions on either side of the clitoris or with an inverted V incision over the clitoris.

Emsella: A non-invasive solution that strengthens the pelvic floor muscles and provides a solution for urinary incontinence and tightening of the vagina. For optimal solutions, six sessions are recommended, however some patients and their partners notice a difference they can feel during sexual intercourse after just one session.

Am I a good candidate for vaginal rejuvenation surgery?

Several treatments and even a combination can be performed for a vaginal rejuvenation. Many women are born with large or darkly pigmented labia and some find that they experience unwanted changes in the appearance of their labia after childbirth. Labiaplasty is both a functional and a cosmetic procedure that reduces the size of the labia. While some patients want labiaplasty purely for cosmetic reasons, others seek to alleviate symptoms of discomfort such as, irritation or pain during intercourse or exercise, inability to wear certain clothing and bathing suits, multidirectional urine stream, odor, hygiene issues, and embarrassment that inhibits sexual activity. For some, especially in people who have gained and lost a lot of weight, the pelvic area may be full due to unwanted fat, or excess and bulging skin. In this case, fat removal exclusively can take away one problem, while creating another. If loose skin exists in the upper pelvic area, removal of fat combined with skin excision may be the ideal way to have a smooth contour in the upper pelvic area without excess fullness. FUPA correction can sometimes be a component of tummy tuck surgery. But not everyone who has a tummy tuck has fullness in the pelvic area, and certainly not everyone with fullness in the pelvic area would benefit from a tummy tuck. However, if you’re looking for a solution to incontinence and vaginal tightening then Emsella at Blue Water Spa, a non-invasive treatment, may be the right fit for you. Emsella, also known as “The Kegel Throne” or “The Vagina Gym” utilizes High-Intensity Focused Electromagnetic technology (HIFEM) to cause deep pelvic floor muscles stimulation and restoration of the neuromuscular control and stimulation of the entire pelvic floor area. Patients sit on the Emsella chair and let it do the work for you. A 28 minute treatment is equal to 69 hours of kegels, strengthening the pelvic floor muscles and increasing vaginal tightness.

Why should I choose a vaginal rejuvenation?

Vaginal rejuvenation surgery including labiaplasty helps women feel more comfortable and confident and improves intimacy with their partners as a result of those feelings. Patients have the freedom to wear whatever they want without wondering if someone will notice their prominent labia or having discomfort from tight-fitting clothing. Patients who are interested in FUPA surgery or FUPA correction, having liposuction in the mons pubis area may make them feel more comfortable during the summer months, or while on vacation if they are spending timein a bathing suit or even wearing certain jeans. If a patient is struggling with incontinence and vaginal laxity, Emsella has been proven to help with both by tightening and strengthening the pelvic floor. During a consultation with our board certified plastic surgeons we can discuss the different options and which of these procedures may be the best fit for you.

What is FUPA and can I fix it with FUPA surgery?

Fat located just above the pelvic bone is sometimes referred to as ‘fupa’ and can be difficult, if not impossible, to eliminate naturally through diet and exercise. This area is a common concern of women and a procedure performed regularly at Blue Water Spa Plastic Surgery Partners. Be assured that you are not alone in a desire to remedy this area.

Dr. Alexandra Schmidt often performs liposuction to reduce fullness of the lower abdomen or around the waistline to help this area. Another common concern among patients is their want to be more comfortable in tight fitting clothing like skinny jeans or yoga pants. Liposuction of these areas also combined with liposuction of the upper pelvic area can increase a woman’s confidence and comfort in clothing. This procedure can be combined with an abdominoplasty or more commonly known as a tummy tuck procedure.

View our Tummy Tuck before and after photos

How do I know if vaginal rejuvenation is right for me?

It is important to find the right fit for any surgical procedure. By viewing before and after photos
you can get a sense of the surgeon’s experience and work and how that fits your specific
concerns.

What is the recovery like after vaginal rejuvenation surgery?

Most labiaplasty procedures are performed under local anesthetic in our outpatient facility at Blue Water Plastic Surgery Partners. Most patients are eager to return to driving and other daily activities immediately after surgery, although some prefer sedation for their procedure and require a driver afterwards. The procedure takes about an hour. Dissolvable stitches are used, so no uncomfortable suture removal is necessary. Most patients are very comfortable after surgery and only take Tylenol for pain control. We ask patients to limit exercise and physical activity during the initial phases of healing, but most patients are able to return to their normal routine quickly. Sexual intercourse can resume after 6 weeks. FUPA surgery is typically a quick surgery that usually consists just of liposuction, but on occasion, skin excision. Liposuction is the most frequently performed aesthetic surgery procedure, and it is the cosmetic procedure most commonly performed by physicians with absolutely no formal surgical training.

How to choose a surgeon for vaginal rejuvenation surgery?

Any physician can call themselves a cosmetic surgeon! A cosmetic surgeon may be a family practice physician, a dermatologist, or even a pediatrician. When considering correction of a FUPA or any aesthetic surgery procedure, have consultations with board-certified plastic surgeons. A board-certified plastic surgeon will have had many years of formal surgical training. A plastic surgeon who has completed a fellowship in aesthetic surgery will have added training. Accomplished plastic surgeons will typically have a photo gallery that is easy to find on their website with before and after images they are proud to share. Start by looking at tummy tuck results as a way to evaluate a surgeon’s skills in managing treatment of a FUPA. Ideally, the contour of the abdomen will be smooth, the scar will be even, thin, and positioned so it can easily be covered by a swimsuit.

Labiaplasty involves removal of excess tissue of the labia minora, clitoral hood, and/or labia majora and may also include fat grafting of the labia majora. There are two common techniques called “wedge resection” and “edge trim”. When possible, Dr. Schmidt prefers to use the wedge resection technique to hide the scar and prevent “scalloping” of the labia, which is a firm wavy scar along the edge. The best technique, however, depends on the patient’s individual anatomy. Removing this extra tissue makes the labia appear neat and tidy without labia minora tissue hanging down below the labia majora. It can also reduce darkly pigmented tissue or improve asymmetrical labia. Many older women have atrophic deflated labia majora that have a saggy appearance and can sometimes make sexual intercourse uncomfortable. Fat grafting of the labia majora restores volume and turns back the clock, making the labia majora appear more plump and youthful. Dr. Alexandra Schmidt’s philosophy is rooted in finding the right fit for you and your surgery, as well as educating patients on the details of each surgical procedure.

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    Bluewater
    Plastic Surgery Partners

    10941 Raven Ridge Road
    Suite 102
    Raleigh, NC 27614

    (919) 870-1052

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