The vaginal, vulvar, and pubic regions undergo meaningful changes across a woman’s lifetime — through puberty, childbirth, menopause, weight changes, and simply the passage of time. For many women, those changes affect appearance, comfort during intercourse, clothing fit, and confidence in ways that are rarely discussed openly. The category of procedures broadly known as vaginal rejuvenation covers the full range of surgical and non-surgical options designed to address those concerns, from labial reduction to vaginal canal tightening to clitoral refinement to pubic contouring. What these procedures have in common is a discretion most patients deeply appreciate, and an impact that extends well beyond the physical.

Dr. John Anastasatos performs vaginal rejuvenation and genital cosmetic surgery at his Athens, Greece practice with the combination of clinical expertise, aesthetic judgment, and discretion that these procedures demand. Board certified by the American Board of Plastic Surgery and a Fellow of the American College of Surgeons (FACS), he has served as an Expert Reviewer for the Medical Board of California — a role that reflects the level of peer trust placed in his surgical judgment and standards. He was the plastic surgeon interviewed by BuzzFeed News in an in-depth feature on clitoral enlargement surgery, and he has developed his own refined approach to clitoroplasty over more than two decades of practice. Named by The Luxe Insider as one of the Top 10 Plastic Surgeons in the World, recognized as a Castle Connolly Top Doctor, featured across Reuters, the Boston Globe, FOX News, Forbes, LA Confidential, Vogue Greece, and Elle Greece, as well as on the plastic surgery series Nip/Tuck, Dr. Anastasatos brings to these sensitive procedures the same caliber of surgical skill he brings to every aspect of his practice. His dual offices in Beverly Hills and Athens welcome patients from across Europe, the Middle East, and the United States seeking care that is as thoughtful as it is technically refined.

Understanding Vaginal Rejuvenation

Vaginal rejuvenation is an umbrella term covering multiple distinct procedures, each designed to address a specific concern. Some focus on the external genitalia — the labia majora and minora, the clitoral hood, the mons pubis. Others address the internal vaginal canal. Still others are designed to enhance sensation or sexual experience. Dr. Anastasatos offers the full range of surgical and non-surgical options at his Athens, Greece practice, with each plan built around the patient’s specific anatomy and goals.

The motivations patients bring to this area of surgery are personal and varied. Some seek aesthetic refinement. Others are responding to functional concerns — pain during intercourse, tissue laxity after childbirth, dryness or looseness after menopause, or visible protrusion through clothing. Many patients report a combination of both. What unites them is the desire for a procedure performed by a surgeon who treats the subject with seriousness rather than novelty.

“The genital area remains one of the last truly taboo subjects in cosmetic surgery — and yet the impact of these procedures on a patient’s confidence, comfort, and intimate life can be profound. My job is to create a consultation where every question can be asked, explain every option clearly, and tailor the surgery to what each patient genuinely needs. When that is done thoughtfully, the physical and emotional results can be remarkable.” — Dr. John Anastasatos

Why Patients Seek These Procedures

Patients pursue vaginal rejuvenation for reasons that combine physical, aesthetic, and emotional motivations. Common concerns include:

• Enlarged or Asymmetric Labia Minora: Congenital, anatomical, or stretched labia minora that cause discomfort in clothing, during exercise, or during intercourse.
• Post-Childbirth Changes: Stretching, widening, and relaxation of the vaginal canal and surrounding tissues following vaginal delivery.
• Menopausal Tissue Changes: Decreased estrogen causes loss of tissue elasticity and dryness, affecting both appearance and sexual comfort.
• Dyspareunia: Pain during intercourse from stretched, enlarged, or sensitive external genital tissues.
• Clitoral Concerns: Enlargement from genetic factors, testosterone supplementation, or athletic training — or conversely, lack of clitoral prominence.
• Pubic Area Fullness or Laxity: A protruding mons pubis from fat deposits or skin laxity, particularly after pregnancy or significant weight change.
• Aesthetic Appearance in Clothing: Visible protrusion through swimwear or athletic wear that affects confidence in public settings.
• Sexual Satisfaction: Concerns about intimate confidence or sexual experience that are often intertwined with physical changes.

Labial Reduction (Labiaplasty)

Labial reduction is designed for women with enlarged or asymmetric labia minora — the inner vaginal lips. The most common causes include congenital anatomy, stretching and relaxation due to aging, trauma, prior surgery, or childbirth. The procedure is appropriate for women of all ages who are unhappy with the appearance of the labia.

Dr. Anastasatos performs labial reduction in approximately one hour using only absorbable sutures, eliminating the need for suture removal — a meaningful comfort consideration for this sensitive area. The procedure reshapes and reduces the labia minora to create a more youthful appearance. As a secondary benefit, the vaginal canal opening often becomes tighter at the same time.

Recovery is generally quick, with most patients reporting only mild discomfort. Return to sexual activity is typically possible within approximately two weeks. Many patients report increased sexual pleasure and satisfaction following the procedure.

Vaginal rejuvenation can also be performed using laser and radio-frequency technologies. These alternatives are discussed during consultation, though Dr. Anastasatos notes that the rate of complications with these energy-based technologies is higher than with the minimally invasive surgical techniques he performs.

Labia Majora Reduction and Tightening

The labia majora — the outer vaginal lips — can also be addressed surgically. Many women feel that larger labia majora interfere with intercourse, cause discomfort (dyspareunia), affect how they look in swimwear, or detract from overall genital aesthetics. Smaller labia majora that lie flat with the pubis are often associated with a younger appearance.

Menopause brings particularly pronounced changes to this area, as decreased estrogen causes tissue relaxation throughout the vaginal region, including looseness and dryness of the labia majora. Reduction or tightening can be performed through direct surgical reduction, laser-assisted techniques, or a combination. The procedure typically takes thirty to forty-five minutes, with recovery complete within a week and return to sexual activity possible within approximately two weeks.

Clitoroplasty, Clitoral Reduction, and Hood Reduction

Clitoroplasty refers to a range of procedures Dr. Anastasatos has refined over years of practice. The clitoris and clitoral hood can enlarge with age, from testosterone supplementation, or from genetic factors — and in some women, the clitoris is simply naturally prominent. These conditions can cause significant self-consciousness, particularly in clothing or swimwear.

Clitoral reduction and hood reduction (hoodectomy) remove skin on and around the clitoris without affecting the subcutaneous nerve endings responsible for sensation. The procedures serve as a “lift” for the clitoral region. Surgery lasts approximately one hour as an outpatient procedure under local anesthesia, IV sedation, or general anesthesia. Recovery takes a few days with minimal discomfort, and return to sexual activity is typically possible within two weeks. Many patients report increased clitoral sensitivity after the procedure.

Clitoral Enlargement and Hood Enlargement

For women who are self-conscious about lack of clitoral prominence, or who wish to enhance sexual experience, enlargement procedures are available. These may involve local tissue rearrangement, injectable fillers, or cartilage implantation, depending on individual anatomy and goals. Enlargement may increase the potential for sexual arousal and orgasm. Recovery typically takes one to two weeks, with return to sexual activity at approximately two weeks.

Vaginal Canal Tightening (Colpoplasty)

Vaginal canal tightening — sometimes called vaginoplasty — addresses relaxation of the vaginal walls that occurs with age, childbirth, and menopause. The vaginal walls lose elasticity over time in the same way facial skin loses its natural firmness, with changes becoming particularly pronounced after menopause.

The procedure surgically reduces and tightens the vaginal canal, which has the potential to increase sexual pleasure during intercourse. Surgery typically lasts about an hour as an outpatient procedure. Recovery spans a few days, and return to sexual activity is possible at approximately three weeks. In many cases, labial reduction alone tightens the vaginal opening sufficiently without the need for canal tightening, which is evaluated during physical examination and detailed medical history at consultation. When indicated, vaginal canal tightening can be combined with labial reduction in the same surgery.

Pubic Area Surgery

The mons pubis — the pubic region above the genitalia — can become prominent due to weight gain, localized fat accumulation, post-pregnancy changes, or abdominal wall laxity. Two procedures address this concern, performed alone or in combination with other body contouring surgery.

Pubic Liposuction

Liposuction and liposculpture reduce projection of the mons pubis by removing localized fat. It is a simple and effective procedure, often performed alongside abdominoplasty, body contouring, or other genital procedures.

Pubic Lift

When skin laxity is a significant component of the problem, a pubic lift addresses the stretched skin that causes inferior migration of the pubic area and can alter the appearance of the external genitalia. The lift permanently corrects this downward displacement. Incision design is individualized to each patient.

Pubic lift is also frequently performed in men, where pubic skin laxity and pubic ptosis can contribute to the appearance of a “buried penis.” The procedure restores pubic position and, for many men, restores emotional confidence along with it.

G-Spot Amplification

G-spot amplification involves the injection of hyaluronic acid — the same material used as an injectable filler for facial wrinkles — to enlarge the G-spot area. It is a simple, quick, office-based procedure similar in nature to a nasolabial fold correction. Amplification may increase intensity of sensation during intercourse, which most patients find pleasurable, though individual response varies. Any perceived increase in sexual pleasure can be subjective, and candid discussion of expectations is an important part of the consultation.

Frequently Asked Questions About Vaginal Rejuvenation

Who is a candidate for vaginal rejuvenation?

Candidates include women who have experienced changes from childbirth, menopause, aging, or genetics that affect the appearance or function of the vaginal, vulvar, or pubic region. Women who are simply dissatisfied with the aesthetic appearance of their external genitalia are also candidates. A thorough consultation with physical examination and medical history determines the most appropriate procedure or combination.

Will these procedures affect sexual sensation?

Dr. Anastasatos’s techniques are designed to preserve — and in some cases enhance — sensation. Clitoral procedures, for example, do not affect the subcutaneous nerve endings responsible for sensation. Many patients report increased sensitivity and sexual pleasure after procedures such as clitoral reduction, labial reduction, and vaginal canal tightening.

How soon can I return to sexual activity?

Return to intercourse depends on the procedure. Labial reduction and labia majora reduction typically allow return at approximately two weeks. Clitoral procedures allow return at approximately two weeks. Vaginal canal tightening typically requires three weeks before resuming sexual activity. Dr. Anastasatos provides specific post-operative guidance tailored to each procedure and patient.

Are these procedures done under general anesthesia?

Options vary by procedure and patient preference. Many labial and clitoral procedures can be performed under local anesthesia, IV sedation, or general anesthesia. Vaginal canal tightening typically requires general anesthesia. Anesthesia selection is discussed during consultation based on the specific surgical plan.

Can multiple vaginal rejuvenation procedures be combined?

Yes. Labial reduction and vaginal canal tightening are commonly performed together, as are pubic liposuction and pubic lift. Vaginal rejuvenation procedures are also frequently combined with abdominoplasty or body contouring surgery as part of a more comprehensive transformation.

Will the procedure be visible or obvious?

One of the principal advantages of vaginal rejuvenation is discretion. Incisions are placed where they are concealed by natural anatomy, and external changes are rarely visible outside of intimate settings. Patients typically find the results are noticed by themselves and partners without being obvious to anyone else.

Why Choose Dr. Anastasatos for Vaginal Rejuvenation

• Sensitive-Topic Expertise: More than two decades of practice performing genital cosmetic surgery with the discretion, clinical judgment, and surgical precision the area demands.
• Medical Board Expert Reviewer: Selected by the Medical Board of California to evaluate plastic surgery cases — a distinction reserved for surgeons with exceptional judgment and standards.
• Board-Certified and FACS: Certification by the American Board of Plastic Surgery and Fellowship in the American College of Surgeons reflect rigorous, verified training.
• Featured in BuzzFeed News: Interviewed in an in-depth feature specifically on clitoral enlargement surgery, reflecting recognized expertise in this specialized area.
• Full Spectrum of Options: Surgical and non-surgical procedures including labial reduction, vaginal canal tightening, clitoroplasty, pubic lift, and G-spot amplification — all offered under one roof.
• Dual-Continent Practice: Offices in Beverly Hills and Athens welcome patients traveling from across Europe, the Middle East, and the United States with coordinated care and discretion.

Schedule Your Vaginal Rejuvenation Consultation in Athens, Greece

If changes in the vaginal, vulvar, or pubic region have affected your confidence, comfort, or intimate life, a private consultation with Dr. John Anastasatos can open a conversation about every option available to you. The Athens, Greece office at Palas Kefalari, Kolokotroni 23, Kifisia welcomes patients for thorough, unhurried consultations covering anatomy, procedure options, recovery expectations, and realistic results. Contact the practice to arrange your appointment with Dr. Anastasatos.