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Labiaplasty / Vaginal Rejuvenation

Conveniently located to serve Washington DC, Arlington, Bethesda

What is vaginal rejuvenation?

Vaginal corrective surgery can be performed before or after childbirth.  We can improve the aesthetics of your vaginal area and correct functional issues.  The most common procedure is labia minora reduction, however vaginal tightening after childbirth or modification of the labia majora can also be performed.  Revisions of poorly healed episiotomy incisions or vaginal tears during childbirth are also common. 

Will insurance cover the procedure?

In almost all cases, this procedure is considered cosmetic by your insurance company. We can give you a quote at the time of your consultation.

How is the procedure performed?

For labia minora reduction, local anesthetic is injected.  The extra hanging skin is removed and the incision closed in layers.  Most patients are back to work in a  day or two and healing is complete by 2-4 weeks.  Sex can be reinitiated at the 4 week mark.  Risks include slow healing/wound opening, bleeding, pain.  Most of these spontaneously resolve, but in some cases, revision may be needed.

Vaginal tightening is most often done under general anesthesia.  A strip of muscosa (lining) and extra muscle is removed along the entire length of the vagina. This is closed which decreases the space inside the vagina for a tighter feel.  Sex can be resumed at the 1 month mark and most patients are back to work in 1-2 days.  This procedure can be combined with labia minora reduction.

Episiotomy incisions or spontaneous tears – sometimes these heal poorly after vaginal birth and can cause cosmetic deformity or pain. These can often be revised under local anesthetic in the office procedure room.


  1. Bleeding – some oozing is common after surgery and usually resolves spontaneously
  2. Pain – pain with intercourse is possible, however usually resolves with time
  3. Under/over correction – may require a revision
  4. Wound healing issues – due to thin tissue in this are, wound healing problems can occur
  5. Need for revision – any surgical procedure has a possibility for revision

Your Vaginal Rejuvenation will be performed in Dr. Praful Ramineni‘s surgery center located in Washington, DC.

This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!

- Sally T.

Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.

- Saiyyaed A.

Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!

- Katie C.

Dr. Praful Ramineni



Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.

Dr. Praful Ramineni

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