Cosmetic Vaginal Rejuvination Surgery

There are many aspects of cosmetic vaginal surgery, and a variety of procedures to accomplish your objectives.

Vaginoplasty:  This procedure is a tightening of the vaginal opening.  Typically, from childbearing, the muscles and connective tissues can weaken.  This aesthetic vaginal surgery tightens lax muscles and tissues and remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter opening and vaginal canal. The tightening is done in the entire length of the vagina as well as the opening.

Perineoplasty: This procedure is lift or support this region between the vagina and the rectum which is called the perineum.  This is the region where episiotomies are cut and where tears during childbirth are most common.  The surgery is designed to make the perineum appear normal by excising excess skin, loose skin tags, and suturing the underlying muscles or the perineal body closer together to give a snugger feeling in the introitus or vaginal opening.


Minora:  This procedure is designed to reduce the size and length of the labial folds that may be excessively long, floppy or sag. Labia can grow large with estrogen stimulation at puberty and pregnancy and with the effects of gravity with aging. So, in effect, the surgery is to remove the removal of excess, floppy, or uneven labia minora (smaller interior vaginal lips) that often causes chronic irritation, rubbing, or discomfort during sexual intercourse. Many request this surgery to eliminate the appearance of a bulge with certain clothing such as wet swimsuits or leotards.

Majora: This procedure is designed to reduce the broader outer lips of the vulva which can be enlarged with excess skin and tissue. The labia majora may be enlarged secondary to childbirth, or due to aging. Many women also find quite a large and droopy labia majora after major weight loss particularly after bariatric surgery. This enlargement can cause an embarrassing bulge in pants, swimsuits, or leotard. It can also increase the discomfort of sweating in the vulva.

Clitoral hood reduction:  This procedure is designed to aesthetically remove the

excess skin on the sides of the clitoris which causes the clitoris to look enlarged or uneven. Factors such as genetics, estrogen, and testosterone exposure can make significant changes in the way the clitoral area looks.  A reduction of the labia itself may result in the appearance of a relatively larger clitoral area since the excess labia have been removed drawing the eyes to the clitoral region.

Dr. Pezzella is fellowship trained in Aesthetic Vulvovaginal surgery and is experienced in performing these cosmetic procedures to meet the needs for her patients. Every patient’s needs and desired outcomes are different and she tailors her procedure approach to match.

Cosmetic vaginal surgery includes the tightening and improving of the aesthetic appearance of the vagina. This is different from reconstructive surgeries that aim to improve the function and health. If this is the desired patient outcome you are looking for, contact us today at Southern Urogynecology to learn more about how we can help.