Is a Labiaplasty procedure different from a Vaginoplasty procedure?

The answer is yes. A Labiaplasty involves the removal of the extra or uneven labia minora (inner vaginal lips). A vaginoplasty is a reconstructive procedure of the vagina that is performed when the vagina is shortened, either congenitally or from prior vaginal surgery.

A perinorrhaphy (sometimes referred to as perineoplasty) is an important part of vaginal prolapse repairs in patients who have a relaxed vaginal opening. The relaxation of the vaginal opening is the result of tearing and/or stretching of the perineum. During a perinorrhaphy, the perineal body is reconstructed by suturing the perineal musculature to its original attachment point and thereby restoring the normal vaginal opening.

Another term that causes confusion is vaginal rejuvenation. Some surgeons refer to a perinorrhaphy as vaginal rejuvenation. For other surgeons, a vaginal rejuvenation is a variation of a posterior colporrhaphy and involves the removal of excess tissue in the vagina. This variation of a posterior colporrhaphy could result in shortening and narrowing of the vagina which could lead to dyspareunia, or painful intercourse. If there is excess tissue in the vagina that causes symptoms, the procedure of choice is a formal vaginal prolapse repair that elevates and restores the normal anatomy of the vagina.