Vaginoplasty &
Perineoplasty

Restoring Comfort, Confidence, and Intimacy
— Inside and Out

Childbirth, aging, and hormonal changes can all lead to stretching or weakening of the vaginal tissues and surrounding support structures. Many women notice changes such as a widened vaginal opening, incontinence, decreased sensation during intimacy, or discomfort from scar tissue after childbirth or previous repairs. These are not only physical changes — they can also affect confidence, intimacy, and overall wellbeing.

At Columbia Shores Regenerative Health, Dr. Bahnmiller performs vaginoplasty and perineoplasty — procedures designed to rebuild and restore the vaginal canal and perineal area to their natural tone, function, and aesthetic appearance. Each treatment is customized to the patient’s unique anatomy and goals, helping women feel renewed from the inside out.

01

Labiaplasty

Trim · Hybrid · Level 3

02

Clitoral Surgery

Clitoroplasty · Clitoropexy · Hood Reduction

03

Vaginal Surgery

Vaginoplasty · Perineoplasty · Mons Reduction

Understanding the Difference
— and How They Work Together

Vaginoplasty focuses on tightening and repairing the internal vaginal canal, restoring tone and muscle support that may have stretched with childbirth or age. Women often report improved sensation, strength, and satisfaction with intimacy.

Perineoplasty addresses the outer vaginal opening and the perineum (the area between the vaginal entrance and anus). It corrects a “gaping” vaginal opening, releases painful scar tissue, and redefines the natural contour and support of the vaginal entrance.

While each procedure can be performed alone, combining them often provides the most complete rejuvenation — tightening the internal vaginal canal while refining the external opening for a balanced, natural result.

Common Concerns These Procedures Address

  • Widened or “loose” vaginal opening (gaping introitus)

  • Decreased friction or sensation during intimacy

  • Scarring or pain at the vaginal entrance after childbirth or episiotomy

  • Cosmetic dissatisfaction with the vaginal or perineal area

  • Loss of muscle tone or support in the vaginal walls and bladder affecting bladder continence and pelvic floor support

The Procedure

Both procedures are performed in a safe, private setting under local anesthesia with sedation or light general anesthesia as needed.

During a vaginoplasty, the stretched vaginal muscles are brought back together and the internal tissues are tightened for improved tone and support.

A perineoplasty is then performed to reconstruct and strengthen the tissue at the vaginal opening, restoring the natural contour and firmness of the perineum.

Recovery typically involves a few days of rest with gradual return to normal activity. Most patients resume intimacy in 6–8 weeks, with results that continue to improve as healing progresses.

Results You Can Feel — and See

  • Rejuvenated vaginal tone and tightness

  • Enhanced sensation and intimacy

  • Improved appearance and balance of the vaginal opening

  • Relief from pain or discomfort caused by scar tissue

  • Renewed confidence and wellbeing

Why Women Choose Columbia Shores

Dr. Bahnmiller is uniquely trained in both gynecologic and aesthetic surgical techniques, offering a thoughtful, relationship-focused approach to feminine rejuvenation. At Columbia Shores Regenerative Health, every procedure is performed with precision, artistry, and respect for each woman’s goals — whether restoring function, enhancing appearance, or both.

If you’ve noticed changes in tone, sensation, or confidence after childbirth or over time, schedule a private consultation to learn how vaginoplasty and perineoplasty can help you feel like yourself again — confident, comfortable, and renewed.

GAPING INTROITUS WITH WEAK MUSCLE

PELVIC FLOOR MUSCLE REPAIR

PELVIC FLOOR MUSCLE APPROXIMATION

PERINEAL SKIN CLOSURE

FINAL RESULT

Frequently Asked Questions

What is vaginoplasty?

Vaginoplasty is a surgical procedure that tightens the vaginal canal, reapproximates the pelvic floor muscles and surrounding tissue, most often to address laxity that develops after childbirth, with age, or due to genetics. It's designed to restore tone and structure, which can improve both physical comfort and sexual satisfaction.

Am I a good candidate for vaginoplasty?

Good candidates are generally healthy adults who are experiencing vaginal/pelvic floor laxity, urinary incontinence — often after vaginal childbirth — and who are not planning future pregnancies, since vaginal delivery after the procedure can affect results. The best way to know for sure is a one-on-one consultation, where we'll talk through your history, goals, and whether vaginoplasty (or a non-surgical alternative) makes sense for you.

How is vaginoplasty different from labiaplasty?

Labiaplasty reshapes the external labia, while vaginoplasty addresses the internal vaginal canal and muscle tone. Some patients choose to combine the two if they have concerns in both areas — we'll help you figure out what fits your goals.

What does the procedure involve?

Vaginoplasty involves tightening the vaginal muscles and removing excess lax tissue. Your surgeon will walk you through the specific technique and what to expect for your individual case during your consultation.

Is vaginoplasty painful?

Most patients experience some soreness and swelling in the days following surgery, similar to other pelvic procedures. This is generally well managed with prescribed pain medication and typically improves significantly within the first 3-5 days after the procedure.

What is recovery like?

Most patients take about one to two weeks off work and normal activities, with a longer window — usually six to eight weeks — before resuming intercourse or strenuous exercise. We'll give you a personalized recovery timeline and follow up with you at each stage of healing.

When will I see results?

Initial swelling takes a few weeks to resolve, and final results generally settle in around three months, once tissues have fully healed.

Are the results permanent?

Results are long-lasting for most patients, though natural aging and future vaginal childbirth can affect tightness over time. Many patients enjoy their results for years without further treatment.

What are the risks?

As with any surgical procedure, risks can include bleeding, infection, scarring, or changes in sensation, though serious complications are uncommon in the hands of an experienced surgeon. We'll go over your personal risk profile in detail during your consultation.

Will vaginoplasty affect sexual sensation?

Many patients report improved sensation and satisfaction after vaginoplasty due to increased tone and friction during intercourse. Everybody responds differently, so we'll talk through realistic expectations based on your anatomy and goals.

Does insurance cover vaginoplasty?

Vaginoplasty performed for cosmetic or sexual wellness reasons is typically considered elective and isn't covered by insurance. Our team can walk you through pricing and any financing options available.

Is there a non-surgical alternative?

Yes — non-surgical options, such as laser-based vaginal rejuvenation (MonaLisa Touch) can improve mild laxity without surgery, though results are generally more subtle and require maintenance treatments. During your consultation, we can help you decide whether a surgical, non-surgical or combination path is the better fit.

How do I get started?

The first step is a private consultation where we'll listen to your concerns, examine your anatomy, and talk openly about which options make sense for your body and your goals. Reach out to schedule a visit — we're here to help you feel confident and comfortable in your own skin.

Schedule Your Consultation

Choosing labiaplasty is a personal decision.

We're here to educate—not pressure.

During your consultation, you'll receive a private evaluation, discuss your concerns, learn about treatment options, and receive an individualized surgical plan designed specifically for your anatomy and goals.

Institute for Women's Intimate Surgery & Health

Expertise in Intimate Wellness & Surgical Precision.

Dr. Daniel Bahnmiller, DO

Women's Intimate Health & Cosmetic

Gynecologic Surgeon

Founder, IWish at CSRH

© 2026 IWish — Institute for Women's Intimate Surgery & Health. All rights reserved.

A Division of Columbia Shores Regenerative Health