Vaginal Rejuvenation(Labiaplasty) & Vaginaplasty

Vaginoplasty, or vaginal tightening, is a genital surgery procedure to improve the feel and tightness of the internal area of the vagina rather than its outward appearance. Vaginoplasty tightens and narrows the vaginal canal and can restore the intensity of sexual sensation and satisfaction.

You might consider vaginoplasty(also known as Vaginaplasty) or labiaplasty(also known as Labioplasty) if:

  • your vagina has been stretched by childbirth, or
  • the muscles have weakened with age.
  • Sex is less satisfying for you or your partner because your vagina feels “loose” or weak.

Vaginoplasty and labiaplasty tighten and narrows the vaginal canal and can restore the intensity of sexual sensation and satisfaction. They also close the entrance to the vagina, so that it looks neater and feels tighter.

What is labiaplasty?

Cosmetic surgery of the genital area and more specifically of the labia is also called Labiaplasty or Labioplasty.

What does it involve?

First, you’ll have a consultation with ASAPS Member Dr Mark Kohout in his private consultation rooms in Sydney. There you’ll be able to tell him about the symptoms you are experiencing, such as loss of sexual sensation or urological problems. Dr Kohout is a very experienced female genital surgeon who will be able to put your mind at ease about any of your concerns about the surgery, and let you know if vaginoplasty or labiaplasty can help you.

The surgery takes around an hour and you will be under anaesthetic/sedation. A section of the vaginal lining is removed, and the muscles repositioned and tightened. Any tissue that may have been stretched or torn during childbirth can also be corrected. The lining of the vagina is stitched with dissolving stitches, and there is absolutely no visible scarring. Results are immediate – your vaginal canal will be narrower and the muscles will be noticeably tighter.

Genital Surgeon Dr. Mark Kohout

Post-surgery care and recovery time

After surgery, you’ll need a sanitary dressing to begin with, but the wound will settle within approximately 10 days. Dr. Mark Kohout recommend to rest in the first week, although you’ll be walking normally within a day or two. You may have some swelling and bruising and feel some discomfort when urinating in the first week, and we will recommend ways for you to relieve this. You’ll feel back to normal within two weeks, and can have sex after about six weeks. While you won’t need your stitches removed, you will have follow up care appointments at our clinic to talk about your recovery and results.

More FAQs by Plastic Surgeon Dr. Mark Kohout


Is Labiaplasty for me?

Women are often concerned about the appearance of their genital area. This may be a concern purely for aesthetic reasons or more functional reasons. The inner labia may actually protrude so far out of the outer labia that it produces functional problems. It may cause chaffing on underwear; it may cause folds which become irritated and painful. Large labia may also be visible through underwear or swimming costumes, causing embarrassment.

Initial and subsequent consultations

During the initial consultation, you may be asked about your concerns and what you would like to see improved. This will help your plastic surgeon to understand your expectations and determine whether they can be realistically achieved. You will be asked about your medical history including previous operations, past and present medical conditions and current medications. In order to provide you with the best information and safest options, it is important that you give your surgeon complete information. The medical conditions that may increase risks of surgery include high blood pressure, thyroid problems, diabetes and bleeding problems. Physical examination will be performed, usually with a nurse present. The labial anatomy and the extent of the problem will be assessed and a plan for a possible corrective procedure will be formulated by your surgeon. Preoperative photographs may be taken during your initial consultation or a subsequent visit with your consent. Your surgeon will discuss with you the details of the operation and the possible risks and complications associated with the procedure.

Preparation for Surgery

The goal of your plastic surgeon and the staff is to make your surgical experience as easy and comfortable for you as possible. Smokers must stop smoking 3 weeks before surgery. Aspirin and some anti-inflammatory drugs used for the treatment of arthritis can cause increased bleeding, so you should avoid taking these medications for 2 weeks before surgery. It is helpful to have the genital area shaven or waxed several days prior to surgery as you will find it easier to look after the stitches after surgery. Apart from a normal diet and hygiene, no special preparation is necessary. Labiaplasty is usually performed in a hospital or a day surgery under general anaesthetic or intravenous sedation. The operation is performed on a day surgery basis, meaning you can leave after the operation is finished and you have recovered sufficiently form the anaesthetic. If this is the case, make certain you have someone drive you home after surgery and to stay with you at least the first night following surgery.


The day of surgery

You will be admitted to the hospital or day surgery by the admissions staff. This requires about 15 minutes of paperwork after which you will be seen by the anaesthetist. This is the doctor responsible for putting you to sleep and keeping you safe during the operation. The anaesthetist will ask you again about your previous medical history to ensure that giving you anaesthetic is in fact safe. During the anaesthetic, various monitors are used to check your heart, blood pressure, pulse and the amount of oxygen circulating in your blood. Your surgeon will mark your skin before the operation and if you have not already done so, you will need to sign the consent form for your operation. You will also have the last opportunity to ask any last minute questions you may have. You will then be moved to the operating theatre. There, you will be placed on the operating table. The anaesthetist and his assistant will prepare you for the anaesthetic and put you to sleep. You will also be given antibiotics intravenously to minimise the chance of infection.

Mark Kohout clinic Sydney NSW

How Will i look and feel after the Labiaplasty procedure?

You will notice swelling and bruising, which is to be expected. The bruising and much of the swelling will disappear over a period of 2 weeks. However, it may be several months before all swelling subsides and you see the final result of your labiaplasty. Incisions will initially be red or pink in colour. They will gradually begin to fade till they are skin coloured or lighter after 12-18 months. Some numbness around the suture line may persist for months after surgery.


When can i resume my normal activities?

You may be able to return to light work anywhere from one to two days to a week after surgery. In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal. Severe pain should be reported to your doctor. You should avoid sexual activity for a minimum of two weeks.


Results of your surgery

Because of individual factors, not everyone will achieve the same results from labiaplasty. Your plastic surgeon selects the surgical technique that he feels will obtain the best outcome for you. Incision lines will fade over time but will be permanently present. It is important to realise that the amount of time it takes for recovery varies greatly among individuals and also depends on the extent of the operation. Since the healing process is gradual, you should expect to wait at least several weeks to get an accurate picture of the results of your surgery.

Maintaining a relationship with Dr. Kohout

Should there be any questions regarding Labiaplasty, be sure they are answered in advance. Well meaning friends are not a good source of information. Find out everything before proceeding with the operation - a well informed patient is a happy one. After surgery, you will return to your plastic surgeon’s office for follow-up care at prescribed intervals, at which time your progress can be evaluated. Post-operative photographs will form a part of the evaluation of your result. Once the immediate postoperative follow-up is complete, many surgeons encourage their patients to come back for periodic check-ups to observe and discuss the long-term results of surgery. Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.


How much does it cost?

Pick up the phone and call us on 1300 551 151 and speak with our team. We will be happy to answer your questions and book an appointment for a consultation.

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185-211 Broadway Ultimo, Sydney, NSW 2007