Vaginal Rejuvenation in London
Vaginal rejuvenation is a broad term covering surgical and non-surgical treatments that address changes to the appearance and function of the vaginal area caused by childbirth, the natural ageing process, hormonal changes, or weight loss. Both the internal vaginal canal and the external labial anatomy can be affected — leading to soft tissue laxity, reduced sensation, stress urinary incontinence, vaginal atrophy, or changes in the external labial appearance.
At Centre for Surgery, surgical vaginal rejuvenation procedures are performed exclusively by Mr Joe Daniels, a consultant gynaecological surgeon on the GMC Specialist Register, at our CQC-regulated Baker Street clinic. Non-surgical Fotona laser treatments are delivered by our clinical team in the same facility.
Vaginal Rejuvenation at a Glance
What is Vaginal Rejuvenation?
Vaginal rejuvenation encompasses a series of medical treatments aimed at improving the vaginal area for both functional and aesthetic reasons. This process has gained recognition as a means of addressing concerns that arise due to natural ageing, childbirth, or hormonal changes, which can affect the structural integrity and appearance of the vaginal tissue.
Treatments under this category vary widely. Surgical options include vaginoplasty (internal vaginal tightening), perineoplasty (perineal repair), and labiaplasty (labial reduction). Non-surgical alternatives use energy-based devices, specifically the Fotona laser, which aim to stimulate collagen production and may improve tissue elasticity and firmness without surgery or downtime, although results vary.
The surgical and non-surgical (Fotona laser) options that make up vaginal rejuvenation.
Benefits of Vaginal Rejuvenation
Key benefits of vaginal rejuvenation across surgical and non-surgical treatments.
Improved vaginal tone and function
Surgical vaginoplasty and non-surgical laser tightening are both used for vaginal laxity. Results of laser treatment vary, and improvements in sexual function after laser have not been confirmed in randomised controlled trials (Pereira et al., 2024). The appropriate approach depends on the degree of laxity and the patient’s preference for surgical or non-surgical treatment.
Relief from stress urinary incontinence
Pelvic floor support procedures — including perineoplasty and IncontiLase laser treatment — aim to reduce mild stress urinary incontinence by strengthening the perineal and urethral support structures. For laser, trials have reported mixed results, and longer-term results are not yet known.
Improved labial appearance and comfort
Labiaplasty and clitoral hood reduction address excess or asymmetric labial tissue — reducing discomfort during exercise, improving the appearance of the external genitalia, and alleviating irritation from tight clothing.
Treatment of vaginal atrophy and dryness
RenovaLase laser treatment aims to ease vaginal dryness, thinning and atrophy caused by oestrogen decline at menopause, without hormonal therapy. The evidence is uncertain, and results vary.
Surgical and non-surgical options available
Surgical methods tend to produce more dramatic and longer-lasting results. Non-surgical laser treatments are an option for patients who want to avoid surgery, downtime or anaesthetic, although results vary and the evidence is still developing. The most appropriate option will be recommended at consultation.
Am I Suitable for Vaginal Rejuvenation?
Vaginal rejuvenation treatments encompass both non-surgical laser treatments and surgical procedures. The most appropriate option is determined after a face-to-face consultation with Mr Joe Daniels or our clinical team at our Baker Street clinic.
Who is a suitable candidate for vaginal rejuvenation.
Ideal candidates for vaginal rejuvenation include:
- Patients in good physical and mental health
- Patients concerned about the appearance of their vaginal area, or experiencing functional symptoms such as vaginal laxity, reduced sensation, stress urinary incontinence, or vaginal dryness as a result of childbirth or advancing age
- Patients who have a good understanding of the proposed treatment and realistic expectations about what can be achieved
- Patients who have completed their family — or who understand the implications of future childbirth on surgical results
Vaginal Rejuvenation — Surgical Options
Surgical vaginal rejuvenation procedures at Centre for Surgery are performed by a GMC-registered consultant gynaecological surgeon, under TIVA or local anaesthetic with sedation, at our CQC-regulated Baker Street clinic.
The surgical vaginal rejuvenation procedures and what each one addresses.
Vaginoplasty (vaginal tightening)
A surgical procedure that tightens the vaginal walls by reconstructing the posterior vaginal wall and repairing the levator ani muscles. Addresses vaginal laxity following childbirth or ageing.
Perineoplasty (perineal repair)
A surgical procedure that repairs and tightens the perineum — the area between the vaginal opening and the anus — most commonly following childbirth injury, episiotomy, or perineal tearing. Commonly combined with vaginoplasty in the same session.
Labiaplasty (labia reduction)
A surgical procedure that reduces or reshapes the labia minora (inner vaginal lips) and, where needed, the labia majora (outer lips). Addresses labial excess, asymmetry, and discomfort.
Clitoral hood reduction (hoodectomy)
A surgical procedure that removes excess clitoral prepuce tissue to reduce the clitoral hood. Most commonly combined with labiaplasty in the same session.
Labiaplasty revision and reconstruction
Corrective surgery addressing unsatisfactory results from a previous labiaplasty — over-resection, asymmetry, scarring, or under-resection.
Vaginal Rejuvenation — Non-Surgical Options
Non-surgical vaginal rejuvenation at Centre for Surgery uses Fotona SMOOTH® laser technology — a patented laser mode delivered by the Fotona SP Dynamis Pro laser. These vaginal laser treatments deliver controlled laser energy to the vaginal tissues with the aim of stimulating collagen and elastin production, without surgery, incisions or downtime. Results vary, and the evidence is still developing.
The four Fotona SMOOTH laser treatments for non-surgical vaginal rejuvenation.
IntimaLase — vaginal tightening
Non-surgical vaginal tightening using Fotona laser energy, which aims to stimulate collagen production in the vaginal walls and may improve tone, although results vary. Appropriate for mild to moderate vaginal laxity. No anaesthetic, no downtime. Each session takes 15 to 30 minutes.
IncontiLase — stress urinary incontinence
Non-surgical treatment for mild stress urinary incontinence using Fotona laser energy, which aims to strengthen the urethral support structures and pelvic floor tissue and may reduce leakage during coughing, sneezing or exercise. Trials have reported mixed results.
ProlapLase — pelvic organ prolapse
Non-surgical treatment for mild pelvic organ prolapse using Fotona laser energy, which aims to tighten the vaginal and supportive pelvic tissues. Any improvement in symptoms may not be lasting.
RenovaLase — vaginal atrophy and dryness
Non-surgical treatment for genitourinary syndrome of menopause — vaginal dryness, atrophy, burning, and discomfort caused by oestrogen decline. Fotona laser energy aims to stimulate tissue regeneration and may improve lubrication, although the evidence is uncertain.
How is Surgical Vaginal Rejuvenation Performed?
All surgical vaginal rejuvenation procedures at Centre for Surgery are performed by Mr Joe Daniels, consultant gynaecological surgeon on the GMC Specialist Register, at our Baker Street day surgery facility.
Anaesthesia
Surgical procedures are usually performed under TIVA (total intravenous anaesthesia) for vaginoplasty and complex or combined cases, and under local anaesthetic with sedation for straightforward perineoplasty, labiaplasty and clitoral hood reduction cases. TIVA is preferred over gas-based general anaesthesia for its lower rate of postoperative nausea and faster recovery.
Vaginoplasty
An incision is made along the posterior vaginal wall. The stretched levator ani muscles are identified, brought together, and sutured to reduce the vaginal diameter and restore pelvic floor support. Excess vaginal mucosal lining is trimmed and the wound closed with dissolvable sutures. Takes approximately one to two hours as a standalone.
Perineoplasty
A V-shaped incision is made at the lower vaginal opening. Painful scar tissue from previous tears or episiotomy is excised. The weakened perineal muscles are sutured to reconstruct the support structure of the vaginal opening. The skin is closed with dissolvable sutures. Takes approximately one to two hours as a standalone.
Labiaplasty
Excess labial tissue is removed using the trim, wedge, or de-epithelialisation technique, depending on anatomy and goals. All incisions closed with dissolvable sutures. Takes approximately one to two hours for bilateral labia minora reduction.
All surgical procedures are day cases — you go home the same day. We recommend a two-week cooling-off period before any surgical procedure.
How is Laser Vaginal Rejuvenation Performed?
Fotona SMOOTH® laser treatments at Centre for Surgery are performed using the Fotona SP Dynamis Pro laser — a medical-grade device specifically engineered for non-surgical gynaecological laser treatments. Each session takes 15 to 45 minutes depending on the treatment (15–30 minutes for IntimaLase, IncontiLase and RenovaLase; 30–45 minutes for ProlapLase) and requires no anaesthetic, no incisions, and no downtime.
Laser vaginal tightening (IntimaLase)
A specialised applicator delivers controlled laser energy inside the vaginal canal. The energy aims to stimulate collagen and elastin production in the vaginal tissue, with the goal of tightening the vaginal walls over a series of sessions. Most patients have two to three sessions, and results vary.
All Fotona laser procedures are performed on an outpatient basis. Most patients return to normal activities the same day. Sexual activity should be avoided for approximately 72 hours after each session.
Recovery after Vaginal Rejuvenation
Recovery varies significantly depending on the procedure performed: vaginoplasty recovery takes longer than labiaplasty recovery, and laser treatment involves no downtime.
Recovery after vaginal rejuvenation compared between surgical and non-surgical laser treatments.
Surgical procedures — vaginoplasty, perineoplasty, labiaplasty
Most patients in desk-based roles return to work from one week (vaginoplasty, perineoplasty) or three to five days (labiaplasty). Avoid strenuous exercise, swimming, baths, tampons, and sexual activity for six weeks. A nurse-led wound check is included at seven to ten days and a surgeon review with Mr Daniels at six weeks. Final results visible at three to six months.
Non-surgical Fotona laser treatments
No downtime. Most patients return to normal activities immediately. Avoid sexual activity for 72 hours after each session. A course of two to five sessions is typically recommended, four to six weeks apart for IntimaLase and about a month apart for the other treatments, and results vary.
Risks of Vaginal Rejuvenation
The risks associated with vaginal rejuvenation depend on the specific procedure. Surgical procedures carry higher risks than non-surgical laser treatments.
The risks of vaginal rejuvenation compared between surgical and non-surgical laser treatments.
Surgical risks (vaginoplasty, perineoplasty, labiaplasty)
- Bleeding or haematoma formation
- Surgical site infection
- Wound dehiscence — particularly at the perineal incision site
- Dyspareunia — painful intercourse, temporary or rarely persistent
- Over-tightening or under-correction requiring revision
- Altered or reduced sensation in the treated area
- Scarring
- Rectovaginal fistula — rare but serious
- Anaesthetic complications — minimised by TIVA
Non-surgical laser treatment risks
- Temporary discomfort or warmth during treatment
- Mild swelling or discharge for 24–48 hours after treatment
- Insufficient improvement requiring additional sessions
All risks specific to your procedure will be discussed in full by Mr Daniels or your treating clinician at consultation before any decision to proceed.
How Much Does Vaginal Rejuvenation Cost?
Vaginal rejuvenation at Baker Street
From£1,200per session
One clear price, agreed at your consultation before anything is booked. No obligation.
What your price includes
- Consultation and personal treatment plan
- Treatment at our CQC-regulated Baker Street clinic
- A named patient coordinator throughout
- Aftercare advice and a follow-up review
No anaesthetic needed
The cost of vaginal rejuvenation depends on the procedure or combination of procedures required. All prices are confirmed in writing at consultation with no hidden additions. Any compression garment or prescribed medication you need is bought separately, and histology is charged separately where a sample is sent for analysis; your coordinator confirms these in advance.
Call 020 7993 4849 to speak with a patient coordinator.
Procedures available
- Labiaplasty — labia minora reduction, unilateral or bilateral
- Clitoral hood reduction — standalone or combined with labiaplasty
- Vaginoplasty — vaginal tightening surgery
- Perineoplasty — standalone or combined with vaginoplasty
- Labiaplasty revision — priced above primary surgery
- IntimaLase laser vaginal tightening — £1,200 per session
- RenovaLase vaginal atrophy treatment — £1,200 per session
- IncontiLase laser treatment for incontinence — £1,200 per session
- ProlapLase non-surgical prolapse treatment — £1,200 per session
The £100 consultation fee is redeemable in full against your procedure cost.
Spread the cost — finance available
You can pay in full or spread the cost with finance through Chrysalis Finance, subject to status. Plans and a representative example are on our finance options page, and a patient coordinator can talk you through them on 020 7993 4849.
Why Choose Centre for Surgery for Vaginal Rejuvenation?
Mr Joe Daniels — gynaecological surgeon on the GMC Specialist Register
All surgical vaginal rejuvenation at Centre for Surgery is performed exclusively by Mr Joe Daniels, a consultant gynaecological surgeon on the GMC Specialist Register with subspecialist experience in cosmetic gynaecology and pelvic floor reconstruction. Mr Daniels conducts every consultation personally and performs every procedure himself. The person you consult with is the person who operates on you.
CQC-regulated facility with a Good rating overall
Our Baker Street clinic is regulated and inspected by the Care Quality Commission (CQC) ↗, rated Good overall. You have your surgeon’s direct number for the first 24 hours after surgery, and our nursing team stays in contact over the first two weeks.
Surgical and non-surgical options under one roof
Centre for Surgery offers the full spectrum of vaginal rejuvenation in a single CQC-regulated facility — from Fotona SMOOTH® laser treatments requiring no downtime, to major surgical reconstruction. All options are assessed honestly at consultation and the most appropriate route recommended for your anatomy and goals.
TIVA as standard for vaginoplasty
Vaginoplasty and complex or combined cases, including combined perineoplasty, use TIVA — not gas-based general anaesthetic. TIVA produces less postoperative nausea, faster recovery, and a lower risk of airway complications.
Recommended two-week cooling-off period
We recommend waiting at least two weeks after consent is given before booking surgery. You will not be pressured at any stage.
Book your consultation
- Phone: 020 7993 4849
- Address: 95–97 Baker Street, London W1U 6RN
- Book a consultation online
What To Expect
Your consultation
A face-to-face consultation to decide whether your concern is best treated with surgery or with Fotona laser.
- Surgery: vaginoplasty, perineoplasty, labiaplasty and clitoral hood reduction are all performed by Mr Joe Daniels, consultant gynaecological surgeon, who sees you at consultation himself.
- Laser: four non-surgical treatments for mild to moderate laxity, mild bladder leaks or prolapse, and dryness. Results vary.
- Family plans: for surgery, waiting until your family is complete is generally advised.
- No pressure: we recommend a two-week cooling-off period before any surgery.
Before your procedure
For surgery, our pre-operative team confirms you are fit for your operation. Laser treatment needs no anaesthetic, so these steps apply to surgery.
- Smoking: stop at least four weeks before and four weeks after surgery.
- Medicines: stop aspirin two weeks before surgery.
- Combining procedures: labiaplasty with clitoral hood reduction, or vaginoplasty with perineoplasty, can be done together, with a single recovery.
- Getting home: arrange a responsible adult to take you home and stay with you for 24 hours.
On the day of your vaginal rejuvenation
All treatments take place at our Baker Street clinic. Surgery is a day case, so you go home the same day.
- Anaesthetic: TIVA for vaginoplasty and combined procedures, or local anaesthetic with sedation for straightforward perineoplasty, labiaplasty and clitoral hood reduction.
- Surgery: each procedure takes about one to two hours, closed with dissolvable stitches.
- Laser: a session takes 15 to 30 minutes (30 to 45 minutes for ProlapLase), with no anaesthetic or incisions, and you can return to normal activities the same day.
After your procedure
After surgery, you have your surgeon’s direct number for 24 hours, and our nursing team stays in contact for two weeks.
- After surgery: desk work from three to five days after labiaplasty, or one week after vaginoplasty or perineoplasty. No strenuous exercise, swimming, baths, tampons or sex for six weeks.
- Follow-up: a nurse wound check at seven to ten days and a review with Mr Daniels at six weeks.
- After laser: mild swelling or discharge for 24 to 48 hours; no sex for 72 hours. A course is usually two to five sessions, four to six weeks apart for IntimaLase and about a month apart for the others.
FAQs
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Vaginal rejuvenation is an umbrella term for surgical and non-surgical treatments for changes to the vagina and vulva after childbirth or with age. Surgical options include vaginoplasty to tighten the canal, perineoplasty to repair the opening and labiaplasty to reduce the labia. Non-surgical Fotona laser treatments aim to help laxity, mild bladder leaks, mild prolapse and dryness. See the different types of vaginal rejuvenation.
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Vaginal rejuvenation works in one of two ways. Surgery repairs tissue directly: vaginoplasty brings together stretched muscle beneath the back wall of the vagina, perineoplasty rebuilds the perineum and labiaplasty removes excess labial tissue. Fotona SMOOTH laser instead delivers controlled laser energy to the vaginal lining, aiming to stimulate collagen without incisions or anaesthetic, usually over two to five sessions, and results vary. Read about non-surgical vaginal rejuvenation.
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No. Vaginal rejuvenation is the umbrella term, and vaginoplasty is one operation within it, which tightens the vaginal canal by repairing the muscle beneath its back wall. Rejuvenation also covers perineoplasty for a widened opening, labiaplasty and clitoral hood reduction for the external tissue, and laser treatments.
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No. Labiaplasty reduces or reshapes the labia on the outside of the body, so it does not change the vaginal canal or how tight it feels. Tightness depends on the canal, which vaginoplasty treats, and on the opening, which perineoplasty treats. Labiaplasty and vaginoplasty can be done in the same operation if you have concerns about both.
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It depends on what feels saggy, and a lot of variation is normal. If it is the inner lips, labiaplasty can reduce them, and if the outer lips have lost volume, fat transfer or filler can restore fullness. If the vagina itself feels loose, pelvic floor exercises come first, then laser for mild laxity or vaginoplasty for stretched muscle. A gaping opening after birth is treated with perineoplasty, and a bulge needs a prolapse assessment.
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To a degree, yes. The tissues recover over the months after birth, and pelvic floor exercises improve muscle tone, so they are worth trying first. Where the muscles have separated or a tear has healed with a widened opening, exercises cannot rejoin them: vaginoplasty repairs the canal and perineoplasty the opening, ideally once your family is complete. Laser aims to help mild laxity, though results vary. Read about vaginal rejuvenation after pregnancy.
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Not as its main aim. Prolapse surgery restores support for a bladder, bowel or womb bulging into the vagina, although repairing the back wall can make the vagina feel narrower. Cosmetic vaginoplasty also rebuilds the back wall but is planned around laxity, not a bulge, so a bulge or dragging feeling needs a specialist assessment first. For mild prolapse, ProlapLase laser treatment aims to support the tissues, though any improvement may not last.
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It depends on the treatment and the problem. Surgery makes a structural repair and tends to give a more noticeable, longer-lasting result, though it cannot guarantee better sex. The evidence for laser is weaker: a 2024 systematic review and meta-analysis of 38 studies in The Journal of Sexual Medicine ↗ by Pereira and colleagues found laser and radiofrequency improved sexual function in observational studies, but not in randomised controlled trials. See vaginal laser treatment.
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Vaginal rejuvenation has no single price, because it covers several different treatments. The cost of vaginal rejuvenation depends on which procedure you need, whether procedures are combined, and whether surgery is done under local anaesthetic with sedation or TIVA. Every quote, including laser treatment, is confirmed in writing at consultation. Finance is available through Chrysalis Finance, subject to status.
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Vaginal rejuvenation is generally safe when the right treatment is done by a qualified surgeon in a CQC-regulated facility, but no option is risk-free. Surgery can cause bleeding, infection, wound breakdown, scarring, altered sensation or pain during sex, and rarely a rectovaginal fistula. Laser can cause temporary discomfort and mild swelling or discharge for 24 to 48 hours, and its benefits are less certain. Your own risks are explained at consultation before you decide.
