VOTED Best OB/GYN * Best Surgeons * Top Docs * Mom-Approved OBs and Certified Nurse Midwives in Atlanta

Types of Vaginal Rejuvenation

Vaginoplasty and labiaplasty are two of the most common vaginal rejuvenation procedures. Some women may wish to have their vagina tightened, while some women may wish to have a procedure to correct the shape of their labia. These procedures are separate. However, they may be performed together or individually, depending on the woman’s choice. Below we explain the different types of vaginal rejuvenation procedures.



Vaginoplasty (or Vaginal Rejuvenation Surgery) is the Tightening and Rejuvenation of the Vagina

Vaginoplasty is a vaginal surgery aimed at tightening lax muscles to achieve a narrower and tighter vaginal canal and smaller opening. A widening of the vaginal area is often a result of aging or childbirth. Therefore, you may experience reduced sexual pleasure due to reduced friction during intercourse. This procedure typically takes about 60 minutes and can be done under general anesthesia or a local anesthesia with some sedation. By using a laser devise, greater precision can be achieved with minimal incisions.


Labiaplasty (or Vaginal Cosmetic Surgery) is the Reduction and Beautification of the Labia

Labiaplasty is an aesthetic procedure used to reshape and transform the appearance of the labia minora (small inner lips) or the labia majora (larger outer lips). Labiaplasty is performed to remove excess skin or to correct misshapenness or irregularities. Large labia can cause discomfort during sexual intercourse, cause friction while exercising or make it uncomfortable to wear swimsuits. Labia reduction will transform the shape of the labia and achieve symmetry. Both procedures typically take about 60 minutes and can be done under general anesthesia or a local anesthesia with some sedation. The recovery period is relatively short and most patients can return to work in 3-4 days. Sexual activity can be usually be resumed in 6-8 weeks.

Dr. Litrel discusses the differences between vaginoplasty and labiaplasty.

Why Choose Cherokee Women’s Health for Vaginal Rejuvenation?

Female genital cosmetic surgery is a demanding surgical field and few surgeons are skilled enough to perform the delicate procedures with good results. Our surgeons at Cherokee Women’s Health offer a combined experience of over 35 years of performing vaginal rejuvenation procedures. This knowledge and experience empowers patients with the most comprehensive knowledge base of information in the North Georgia area to help ensure a successful outcome. And because our surgeons are board certified OB/GYN surgeons with the highest professional qualifications and credentials in performing such procedures, they fully understand a woman’s body — inside and out — which means you will receive the best treatment with the best outcome.

Dr. Litrel Explains Why Choosing the Right Surgeon for Your Vaginal Rejuvenation is Important

There is a lot of confusion surrounding vaginal rejuvenation. Here, Dr. Litrel explains why it’s important to choose a female health expert when considering surgery.

Dr. Litrel says, “Well-reputed medical authorities describe it incorrectly on national television. It’s not a cosmetic operation that only improves a woman’s appearance, it also improves a woman’s sexual functionality. Vaginal rejuvenation is indeed cosmetic and makes a woman appear like she did before childbirth or even before becoming sexually active, but a well-performed operation will dramatically improve a woman’s sex life and certainly her partner’s as well.

There is a reason why there is so much confusion about vaginal rejuvenation. General plastic surgeons with hardly any knowledge of pelvic anatomy have historically botched the operation. They have only addressed the physical appearance of a woman’s genitalia without correcting the underlying problem. Thus, it has become known as a cosmetic operation that does not fix anything but physical appearance.

And it will also improve other things.

Even most obstetricians and gynecologists who specialize only in caring for women and who generally have a much better understanding of vaginal anatomy wind up spending so much time delivering babies or performing annual exams, he or she doesn’t develop the surgical expertise to address the complicated anatomical injuries that result in sexual dysfunction.

The fundamental problem is that a woman suffers damage to her vagina as a result of giving birth to a baby. This is not a complicated idea. A baby’s head is big and it causes damage when it comes out. Any lacerations are fixed right after the delivery by the obstetrician. The bleeding is stopped and the wounds to the vagina and labia are repaired. But this does not repair all the damage to a woman’s body. Think about what just happened; the mother spend nine months growing a human being inside her body and then an exhausting twelve hours or so pushing the baby out. It’s not possible to fix all the damage done to a woman’s body with the repair of an episiotomy. So a woman’s problems do not stop when she is discharged from labor and delivery.

Other things happen later.

So what exactly happens to a woman’s anatomy? Essentially, after having a baby the vagina loosens and drops. This is why so many experience changes in sexual pleasure after they become mothers.

And other things occur as well.”

Changes that occur in the vagina

Dr. Litrel continues, “Changes to a woman’s vagina falls under the category of pelvic organ prolapse. As the direct result of childbearing, the bladder, rectum and uterus lose their structural support. These are the organs that lie underneath the vagina. The external appearance of a woman’s genitalia change as the vagina loosens and these pelvic organs begin to drop down.

There are functional problems that many women experience that go far beyond just sexual dysfunction and changes in appearance. A hernia of the bladder can result in leakage of urine when jumping or sneezing. Urine leakage even occurs for some unfortunate women during sexual intercourse. Herniation of the rectum results in severe vaginal looseness that decreases sexual sensation for the woman and her partner. Some women even have to touch their genitalia in the bathroom to get stool out. Herniation of the uterus or intestine can result in pelvic discomfort or pressure that worsens as a woman gets older or just towards the end of the day or during menstrual cycles. And pelvic pain and discomfort can obviously have a bad effect on sexual response. Who wants to be sexually active if intercourse causes discomfort?

As a specialist in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), it’s my goal with all my patients to fully understand the problems they are experiencing and offer the easiest solutions that resolve their issues in the best way possible. Vaginal rejuvenation is a cosmetic operation that improves the appearance of a woman’s genitalia. A woman can look like she did before she had children. But vaginal rejuvenation not only addresses changes in sexual response for the woman and her partner but the surgery also helps a woman feel much better physically.”

The FPMRS Surgeons at Cherokee Women’s Health are Vaginal Rejuvenation Experts and Are Here For You

Many women live with reduced sexual pleasure or pain and embarrassment due to a loosening of their vagina or an enlarged or misshapen labia, often due to aging or childbirth. While a growing number of women are motivated to improve their sex lives and feel better about themselves, many don’t know where to turn or may feel too embarrassed to discuss the issue with their care provider.

The surgeons here at Cherokee Women’s Health want you to know that your health and sense of well-being are their top priority. With more than a combined 35 years of experience performing vaginal rejuvenation procedures, they have the experience, sensitivity and knowledge to help you.

For more information on vaginal rejuvenation or to request an appointment, please call 770.721.6060.

Vaginal Rejuvenation Articles

FPMRS urogynecologists photo

Vaginal Procedures: The Vital Role of Double Board-Certified Surgeons

The presence of board-certified surgeons in vaginal procedures should be an absolute prerequisite, without room for compromise. Vaginal procedures has ...

How Old is My Vagina?

Have you ever looked ‘down there’ and wondered if your vaginal age is in line with your actual age? Does ...

Vaginal Reconstruction Changed My Life

"I want to start by saying that if you're thinking about vaginal reconstruction, do not hesitate. I'm so glad I ...
Senior VR Woman_479510197

You Are Never Too Old for Vaginal Rejuvenation

Cora got vaginal rejuvenation while in her 60s, thirty years after giving birth to her children. Here, she shares in ...

3 Reasons Gina Got Vaginal Rejuvenation

We recently sat down with Gina, a patient of Cherokee Women's Health, and asked her why she decided to seek ...

Sex Can Improve Sleep

Sex can improve sleep, according to the latest studies. While more research is needed, the findings have shown that a ...
VR womens health image

A Loose Vagina and Painful Sex Treated with Vaginal Rejuvenation

A loose vagina, painful sex and incontinence are all symptoms that can be corrected with vaginal rejuvenation (VR). VR is ...
Michael Litrel, MD, FACOG, FPMRS

Hymen Repair – Watch How it’s Done

Watch as Michael Litrel, MD, FACOG, FPMRS performs a hymen repair, also known as hymenoplasty. Watch more Vaginal Rejuvenation videos ...
vaginal laxity procedure

Treating Vaginal Laxity – A Patient’s Procedure and Results

Michael Litrel, MD, FACOG, FPMRS repairs vaginal laxity and shows the results of a labiaplasty procedure before, during, and after ...
michael litrel, md, facog, fpmrs

Vaginoplasty and Bladder Repair Video

Watch a vaginoplasty procedure and bladder repair with Michael Litrel, MD, FACOG, FPMRS. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...
michael litrel, md, facog, fpmrs

Vaginoplasty, Bladder & Rectocele Procedures

Watch a vaginoplasty, bladder and rectocele repair surgery with Michael Litrel, MD, FACOG, FPMRS. Dr. Litrel shows the laxity before ...
Hymenoplasty photo

Reasons Why Women Choose Hymen Repair

Hymen repair (hymenoplasty) is sought after for many reasons. They range from physical to cultural. Whatever the reasons, it's a ...
Carina VR Patient Story sq_92217730

“Is This as Good as It Gets?”

After giving birth to three children, Carina was left with some challenges that she did not expect. While she absolutely ...
Dr. Michael Litrel photo

Before and After Video of Vaginal Tightening Procedure

Michael Litrel, MD, FACOG, FPMRS shows the labia before surgery, during, and after as he removes the excess skin throughout ...
Brandy_30s woman-happy_86189830-1

How Tightening My Vagina Changed My Life

"Tightening my vagina changed my life. Sex after three children was never the same, but after vaginal rejuvenation and labiaplasty ...
doctor talking to patient photo_134700038

Your Vagina – Our OB/GYNs Answer 12 Common Questions

OB/GYNs hear many questions from women about their vaginas and most doctors would say there isn’t a question they haven’t ...
vagina photo

Is Your Vagina Too Loose, Too Tight, or Just Right?

Do you have pain with sex? Do you feel too loose after having a baby? Is your vagina considered "normal"? ...

Is Painful Sex Caused by a Shallow Vagina?

Why is Sex Painful? Is My Vagina Shallow? Am I Normal Down There? As OB/GYNs, we are often asked questions ...
Vaginal Rejuvenation photo of patient

Robin’s Vaginal Rejuvenation Journey – 18 Months Later

18 Months after Robin's Vaginal Rejuvenation procedure: Robin's excited to share her Vaginal Rejuvenation benefits 1-1/2 years later. Sign up ...
Watch a Labiaplasty Procedure

Watch a Labiaplasty Procedure

Michael Litrel, MD, FACOG, FPMRS shows the labia before surgery, during, and after as he removes the excess skin throughout ...
Vaginoplasty, Labiaplasty and Bladder Repair Surgery

Vaginoplasty, Labiaplasty and Bladder Repair Surgery

Michael Litrel, MD, FACOG, FPMRS performs vaginoplasty, labiaplasty and bladder repair procedures. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...
A Patient's Vaginoplasty Results

A Patient’s Vaginoplasty Results

Dr. Litrel shows a patient's results after performing vaginoplasty. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...
michael litrel, md, facog, fpmrs

Dr. Michael Litrel Shares Photos of a Patient’s Vaginoplasty

Dr. Michael Litrel shares photos of his patient's vaginoplasty results. Watch more Vaginal Rejuvenation videos below. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4u1dCTqo8wcXI73lFlEm2Lg&layout=gallery ...
vaginal rejuvenation robin white photo

Robin’s Vaginal Rejuvenation Journey – Episode 6

Episode 6: Robin's thrilled with her Vaginal Rejuvenation results, as well as the unexpected benefits. Watch as she and Dr ...
Julie Vaginal Rejuvenation Patient Photo

Vaginal Rejuvenation Gives Julie Multiple Benefits

Vaginal rejuvenation helped restore Julie’s self-esteem. A wife and mom in her early forties, Julie had been self-conscious about her ...
Vaginal Rejuvenation Robin White photo

Robin’s Vaginal Rejuvenation Journey – Episode 5

Episode 5: After Vaginal Rejuvenation, Robin's excited to go on a second honeymoon with her husband of 30 years! See ...
Episode 4 Robin's VR Journey Photo

Robin’s Vaginal Rejuvenation Journey – Episode 4

Episode 4: Robin shares how she's feeling during her post-op recovery and offers tips to help other women in their ...
VR Patient Robin Photo

Robin’s Vaginal Rejuvenation Journey – Episode 3

Episode 3: Surgery day! Robin travels to Atlanta for vaginal rejuvenation. See All Videos of Robin's VR Journey Below https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4ui2RMHkpBFxcSY3iqPwBIW&layout=gallery ...
VR Patient Robin Photo

Robin’s Vaginal Rejuvenation Journey – Episode 2

Episode 2: Robin meets Dr. Litrel on her journey to Vaginal Rejuvenation and feels hope for the first time. Episode 1 ...
vaginal rejuvenation patient robin

Robin’s Vaginal Rejuvenation Journey – Episode 1

Episode 1: Robin decides to get a 'vagina facelift'. https://www.youtube.com/embed?listType=playlist&list=PLywUpPl4OC4ui2RMHkpBFxcSY3iqPwBIW&layout=gallery ...
Happy Blonde Woman Looking at Camera Well Woman Cosmetic GYN Photo sq102228474

Labiaplasty – Choosing a Specialized Surgeon

Labiaplasty is not a plastic surgery fad; it can be a medically necessary procedure with functional benefits. Labiaplasty is a ...
woman holding newborn baby

Vaginal Changes After Childbirth

Vaginal changes after childbirth can cause a number of challenges for new moms. After all, giving birth basically means pushing ...
woman vaginal laxity photo

Why Does Your Vagina Feel Loose?

Vaginal laxity affects many women, especially after childbirth. Not only does pregnancy affect a women’s physical body and weight, but ...
Cherokee Women's Health providers photo

Local Doctors, National Reputation

Cherokee Women's Health was featured in Around Woodstock magazine in September 2019 Most metro Atlantans are used to long commutes, ...
older happy couple sq_81224748

Sexual Desire After Fifty – Treatment Options for Low Libido

Loss of sexual desire after fifty does not have to be the norm. If you find yourself uttering “not tonight” ...
Michael Litrel, MD, FACOG, FPMRS

Vaginal Rejuvenation: Dr. Litrel’s Top 10 Questions Answered

Vaginal rejuvenation questions are answered by Dr. Michael Litrel of Cherokee Women's Health. Dr. Litrel believes the best patients are ...
vaginal rejuvenation photo

Are You Normal Down There?

Physical imperfections are usually visible to the naked eye. Flaws can range from minimal irregularities such as a receding hairline ...
vaginal rejuvenation

Vaginal Obliteration

You’ve just been informed that you need a procedure called vaginal obliteration. If anything your doctor said after that became ...
thermiva woman_137384803

Cosmetic and Reconstructive Surgery – Repair vs. Aesthetics

At Cherokee Women’s Health Specialists, we offer women the most modern, up-to-date solutions to gynecological problems that were formerly considered ...
cosmetic gyn

The Top GYN Procedures: Dr. Litrel Explains Cosmetic GYN & GYN Terms

Have you ever wondered what the difference between vaginoplasty and labiaplasty is but have been to embarrassed to ask? Never ...

Why Is My Sex Drive So Low?

by Michael Litrel, MD, FACOG, FPMRS Every week women ask me why their sex drive is so low. “Help me ...
woman in pain

What is Vaginal Shortening?

Vaginal Shortening Vaginal shortening, or iatrogenic vaginal constriction, is a condition that occurs in women usually as a result of ...
Vaginal Rejuvenation Patient Photo

Clitoral Hood Reduction

Clitoral hood reduction, also known as clitoral unhooding, clitoral hoodectomy, or clitoridotomy is a cosmetic surgical procedure which reduces the ...
Dr. Litrel Pelvic Reconstruction Graphic

Dr. Michael Litrel on Pelvic Reconstructive and Cosmetic GYN – Part 1

An Interview With Michael Litrel, MD, FACOG, FPMRS - Part 1 of a 3 Part Series Links to Part 2 ...
James Haley, MD, FACOG, FPMRS

Vaginal Rejuvenation

By James Haley, MD, FACOG, FPMRS It’s never too late for vaginal rejuvenation. Women should not have to feel insecure ...
happy content woman

Is My Vaginoplasty Healing Process Normal?

Many women spend weeks, months, or even years reaching the decision to have vaginal surgery. Each woman has her own ...

Labiaplasty Healing: What’s “Normal”?

When a woman chooses labiaplastic surgery, she spends weeks preparing. She discusses her concerns with her doctor, follows her physician’s ...
Dr. Litrel in surgery

How to Choose a VR Surgeon

Choosing a doctor is a highly personal decision. Patients must weigh credentials and experience alongside bedside manner and comfort levels ...
Michael Litrel, MD, FACOG, FPMRS

Vaginal Rejuvenation Surgery: Three Common Questions

by Dr. Michael Litrel, FACOG, FPMRS Michael Litrel, MD, FACOG, FPMRS Our vaginal rejuvenation patients continue to be extremely happy ...
happy content woman

How VR Helps Women Reclaim Sexual Confidence

Increased sexual pleasure is one major reason women choose vaginal rejuvenation surgery. After childbirth takes its toll, bedroom activities often ...