Vaginal rejuvenation, or Labiaplasty, is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding a woman's vulva. There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who wish to alter the appearance of their genitals because they believe they fall short of a beauty ideal.
The size, color, and shape of labia vary significantly, and may change as a result of childbirth, aging, and other events. Conditions addressed by labiaplasty include congenital defects and abnormalities such as vaginal atresia (absent vaginal passage), Müllerian agenesis (malformed uterus and fallopian tubes), intersex conditions (male and female sexual characteristics in a person) and tearing and stretching of the labia minora caused by childbirth, accident and age.
The Journal of Sexual Medicine reported that 32% of women who underwent the procedure did so to correct a functional impairment. 31% to correct a functional impairment and for aesthetic reasons, and 37% for aesthetic reasons alone.
Vaginal rejuvenation can be performed under local anaesthesia, conscious sedation, or general anaesthesia, either as a discrete, single surgery, or in conjunction with another, gynecologic or cosmetic, surgery procedure.
Labial reduction occasionally includes the resection of the clitoral prepuce (clitoral hood) when the thickness of its skin interferes with the woman’s sexual response. The surgical unhooding of the clitoris involves a V–to–Y advancement of the soft tissues, which is achieved by suturing the clitoral hood to the pubic bone in the midline (to avoid the pudendal nerves); thus, uncovering the clitoris further tightens the labia minora.
Post-operative pain is minimal, and a woman is usually able to leave the hospital the same day and resume physically unstrenuous work three to four days after surgery.