Vaginoplasty & Perineoplasty in Akron, OH

Dr. Costas Apostolis is a double board-certified urogynecologist with over fifteen years of experience performing gynecologic surgery.  He can help you to achieve your desired aesthetic through vaginoplasty and perineoplasty procedures. Call (330) 953-3414 to schedule an appointment at our medical spa in Fairlawn or Poland, OH today!

What is a vaginoplasty?

Vaginoplasty (also known as posterior colporrhaphy) is a procedure designed to tighten the vagina. An alternative is noninvasive vaginal tightening through heating tissues with radiofrequency waves or laser. Patients with significant laxity may not experience a benefit from these treatments and may be better candidates for surgical tightening with vaginoplasty.

Vaginoplasty FAQ

The most effective way to find out what method is right for you is to schedule a cosmetic gynecology consultation with board-certified urogynecologist, Dr. Apostolis. During your consultation, Dr. Apostolis will take the time to fully understand your desired results in order to determine the cosmetic gynecology option that is right for you.

After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to sexual dysfunction.

A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance.

While a vaginoplasty can be done under local anesthesia, many opt to have it done under general anesthesia.

Patients are asked to do a bowel prep prior to surgery.​ All instructions will be provided by our team prior to your procedure.

Once the amount of tightening to be done is determined, a pie-shape wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. If there is external skin that protrudes, this can be reduced as well for a more aesthetic result.

Risks from vaginoplasty include infection, bleeding, pain, along with rare complications.

Patients may have one to two weeks of down time. They may feel a deep ache for the first few days, and there is no tampon use or intercourse for eight weeks. Depending on the amount of tightening performed, some patients may be instructed to use dilators.

This procedure typically results in a tighter vaginal canal, which can help enhance sexual satisfaction. Dr. Apostolis is dedicated to providing the highest quality of care to ensure you get your desired results.


Vaginoplasty is a surgical procedure designed to tighten and reconstruct the vaginal canal and surrounding tissues. It is commonly performed to address laxity or looseness of the vagina, often caused by childbirth, aging, or genetics.

People consider vaginoplasty to address concerns such as vaginal laxity, decreased sexual satisfaction, difficulty achieving orgasm, urinary incontinence, or dissatisfaction with the appearance of the genital area.

Candidates for vaginoplasty are typically individuals who experience vaginal laxity or looseness due to factors such as childbirth, aging, or genetics. It's essential to have realistic expectations and undergo a consultation with Dr. Apostolis to determine candidacy.

The vaginoplasty procedure involves tightening the vaginal muscles and tissues to reduce laxity and improve tone. This may include removing excess vaginal lining, repairing the perineum, and suturing the muscles to create a tighter vaginal canal.

Vaginoplasty is performed under general anesthesia to ensure the patient's comfort and safety during the procedure. Your surgeon will discuss the anesthesia options with you during the consultation.

Recovery after vaginoplasty typically involves some discomfort, swelling, and bruising in the genital area, which can be managed with pain medications and cold compresses. Patients are advised to avoid strenuous activities, sexual intercourse, and tampon use for several weeks after surgery.

Most patients can return to work and normal activities within a few days after vaginoplasty, depending on the extent of the procedure and individual healing. It's essential to follow post-operative instructions provided by your surgeon to promote proper healing.

Like any surgical procedure, vaginoplasty carries some risks and potential complications, including infection, bleeding, scarring, changes in sensation, urinary retention, and dissatisfaction with the aesthetic outcome.

Vaginoplasty is intended to improve vaginal tightness and may enhance sexual satisfaction for some individuals. However, there is a risk of temporary changes in sensation or discomfort during the healing process. Many patients report improved confidence and sexual function after vaginoplasty.

Vaginoplasty is considered a cosmetic procedure and is not covered by insurance. However, if the surgery is performed to address functional issues such as urinary incontinence or pelvic floor dysfunction, insurance coverage may be possible. It's essential to check with your insurance provider for specific coverage details.

During the consultation for vaginoplasty, your surgeon will discuss your concerns, goals, medical history, and expectations for the procedure. They will perform a physical examination and explain the surgical techniques, potential risks, and expected outcomes. It's an opportunity to ask questions and ensure you are fully informed before proceeding with surgery.

Schedule a Vaginoplasty and Perineoplasty Consultation!

If you are interested in learning more about vaginoplasty and perineoplasty, call (330) 953-3414 to request an appointment with Dr. Costas Apostolis today!