1421 Wayzata Blvd East Suite 200
Wayzata, MN 55391

Contact Us
Enter your name
Enter your phone number
Enter your email
Post your questions...
Vaginal Rejuvenation Frequently Asked Questions
What is vaginal rejuvenation?
Vaginal rejuvenation, or vaginoplasty, is a 1-2 hour out-patient procedure which tightens the vaginal opening and vaginal canal to a patient’s specifications. Millions of women experience vaginal relaxation due to childbirth or aging. This results in decreased friction or stimulation during intercourse leading to decreased sexual gratification. Vaginal rejuvenation addresses this common complaint by decreasing the internal and external vaginal diameter while enhancing vaginal muscle tone, strength and control.

What are typical symptoms of women who choose vaginal rejuvenation?
Women who pursue vaginal rejuvenation to address their vaginal relaxation may complain of:
  • Decreased sensation and stimulation during intercourse
  • A loose vagina with minimal muscle tone
  • A gaping vaginal opening unpleasing in appearance
  • Their partner slipping out during intercourse
  • Tampons falling out
  • Their vagina producing embarrassing “gas-like” sounds during intercourse or a “popping” noise while walking
  • Tissue protruding from their vagina
  • Problems passing bowel movements
  • Scar tissue surrounding the vagina
How long does vaginal rejuvenation take?
Individual procedures typically take between 1 and 2 hours.

How much does vaginal rejuvenation cost?
Fees range from $6000 to $9000 including the surgeon’s fee, anesthesia fee, facility fee, all pre and post-operative appointments, and blood work. A quote based on your specific medical history, physical exam and desired goals will be provided upon the conclusion of your initial consultation.

What about financing?
Minnesota Gynecology and Aesthetics has made arrangements with Care Credit to offer financing plans including six months no interest.

Is there a fee for the initial consultation with the surgeon?
No. The initial consultation is complimentary and focuses on an individualized plan of care to address each patient’s desires. Surgical procedures are discussed in detail, before and after photos are reviewed, and all post-surgical protocols are explained.

Is vaginal rejuvenation covered by insurance?
Usually not, as it is considered an elective procedure such as breast augmentation, liposuction, or abdominoplasty. However, if patients have a medical diagnosis such as moderate to severe pelvic prolapse or stress urinary incontinence, among others, insurance may cover the medically necessary procedure.

Should I have my vaginal rejuvenation performed by an OB/GYN or by a plastic surgeon?
The answer is neither. Plastic surgeons tend to focus the majority of their practice and time on the most common elective procedures, including breast augmentation and face lifts. Vaginal rejuvenation, if performed at all, is a secondary procedure they rarely have the opportunity to perform with limited expertise. General OB/GYN’s, while examining hundreds of women monthly for pap smears or yeast infections, have minimal if any training or experience performing a state of the art vaginal rejuvenation for premium aesthetic and functional results. Cosmetic gynecologic surgery is ideally performed by a surgeon who specializes in the field of aesthetic vaginal surgery and is a board certified OB/GYN. Ideally, patients will seek out a specialist who has performed hundreds or thousands of vaginal rejuvenation procedures and is intimately familiar with the varied anatomy, patient preferences and latest surgical management to provide optimal results both aesthetically and functionally.

Why should I choose Dr. Erhard as my surgeon over other surgeons?
As a specialist in cosmetic vaginal surgery, Dr. Erhard has years of experience performing vaginal rejuvenation on a weekly basis. Dr. Erhard has years of training as a vaginal surgeon and has studied with both Dr. David Matlock and Dr. Red Alinsod, both widely recognized pioneers in the field of cosmetic vaginal surgery. Patients are typically thrilled with their aesthetic and functional results, and all patient survey results are available for review during the initial consultation. Numerous before and after photos provided on this site, and even more during the consultation, attest to the various extremes of anatomy that Dr. Erhard has transformed.

Moreover, as a female, Dr. Erhard fully comprehends the sensitive nature of the subject and is able to communicate with empathy and understanding. Our entire office staff is female including all of the office staff and nurses. Many patients say they feel more comfortable, respected, and protected being surrounded by other women during a vaginal surgery.

Does Dr. Erhard perform Laser Vaginal Rejuvenation (LVR)?
Dr. Erhard is proficient with many surgical instruments including the laser, radiofrequency device, electric knife, plastic surgery scissors and the scalpel. The instrument best suited for your particular surgery will be discussed during your initial consultation and the advantages and disadvantages of each instrument may be reviewed in detail.

What are the surgical risks of vaginal rejuvenation?
Risks of surgery are extremely rare and seen in less than 1% of cases. Complications may include infection, bleeding, bowel injury, scarring or nerve injury. To put this into perspective, the risks involved with pregnancy and delivery far exceed any risks of vaginal rejuvenation performed by a surgeon with expertise in the field of cosmetic vaginal surgery.

What is recovery like after vaginal rejuvenation?
Most patients are cautiously up and about the afternoon of their surgery day as the anesthesia wears off. During the first 24-48 hours after surgery, patients should place ice packs or frozen peas on their incisions to minimize swelling and bruising. Routine tasks are encouraged as long as there is no irritation or pressure at the incision sites and heavy lifting must be avoided. Loose clothing and cotton underwear “granny panties” are mandatory. By 72 hours you may resume regular activities, making sure there is minimal friction to the incisions. Patients may drive after 2 days as long as they are not taking narcotics. Patients may return to work within 2-3 days as long as rigorous physical activity is avoided. During the 6 week recovery, patients are on pelvic rest (no intercourse or tampons) and should avoid bath tubs/hot tubs or swimming in the lake or ocean. Rigorous exercise, cycling, horseback riding, jet skis, motorcycles and four wheelers should be avoided during the recovery period.

When can I return to work after vaginal rejuvenation?
In general, returning to work is dependent on the type of work you do. Most patients can return within 2-3 days.

How much pain should I expect after surgery?
Nerve blocks and local anesthetics will numb the incision for the initial 18-24 hours following surgery allowing a smooth transition into recovery at home. Post-operative pain is well controlled with oral pain medications and ice packs. On average, most patients wean themselves off of prescription pain medication between 4 and 6 days after surgery.

How soon may I have sex after surgery?
We ask that you abstain from sexual intercourse and masturbation for 6 weeks to ensure the best aesthetic and functional results.

Will vaginal rejuvenation improve my sex life?
The purpose of vaginal rejuvenation is to tighten the vagina for increased friction resulting in greater stimulation during intercourse. A patient’s sex life can also be enhanced by her increased self confidence and the resulting increased libido. Two scientific studies have recently been published to address this issue. These studies concluded that 83% to 90% of vaginal rejuvenation patients experience successful results with an improved sex life following surgery. Although no surgery carries a 100% success rate, Dr. Erhard strives to provide every patient with an exceptional post operative experience.

How long will it take for me to achieve my final results?
Final optimal results are typically appreciated 4-6 months after surgery. By the 6 week clearance appointment, the stitches should have dissolved and patients are cleared to resume regular activities.

How long will results last after vaginal rejuvenation?
The results of vaginal rejuvenation typically last for a lifetime, unless a new vaginal delivery reverses its affects. As we age, all parts of the body relax slightly but the vaginal area should never return to the degree of relaxation experienced prior to surgery. The aging process involves muscle, tissue, and skin throughout the entire body. Patients experience these aging affects following any elective surgery: the face following a face lift, the waist following a tummy tuck, or the thighs following liposuction.

Can vaginal rejuvenation be combined with other cosmetic surgical procedures?
Yes. Many times patients choose to combine vaginal rejuvenation with labiaplasty for a full feminine make over. In addition, Dr. Erhard works with a number of plastic surgeons to combine elective procedures such as breast augmentation or tummy tucks. With this option your surgery will be conducted in a single surgical session, thereby minimizing the risk, inconvenience and cost of multiple surgeries.

I am from out of town. How long before I can travel back home after my surgery?
Many of our patients from all over the midwest to experience vaginal rejuvenation with Dr. Erhard. Most prefer a long distance initial consultation which may be scheduled by calling our office or using the contact page on this site. If a patient wishes to pursue surgery, she arrives the evening before surgery and must remain in the Wayzata area for 24 hours after surgery. All patients have a follow up appointment the day after surgery so our patients traveling long distances must remain in the area until the following morning.

Could I be a candidate for vaginal rejuvenation even if I’ve never experienced a vaginal delivery?
Absolutely. While childbirth is the most common cause of vaginal relaxation, it may also be the result of:
  • Aging
  • Genetics
  • Dramatic weight changes
  • Chronic straining with constipation
  • Chronic cough
  • Activities such as weight lifting
  • Heavy lifting at work or at home
The only way to find out if you are a candidate for vaginal rejuvenation is to consult with a specialist for an evaluation and to discuss your options. Women should complete their childbearing before having the Most Asked questions

What are typical symptoms of women who choose vaginal rejuvenation?
Women who pursue vaginal rejuvenation to address their vaginal relaxation may complain of:
  • Decreased sensation and stimulation during intercourse
  • A loose vagina with minimal muscle tone
  • A gaping vaginal opening unpleasing in appearance
  • Their partner slipping out during intercourse
  • Tampons falling out
  • Their vagina producing embarrassing “gas-like” sounds during intercourse or a “popping” noise while walking
  • Tissue protruding from their vagina
  • Problems passing bowel movements
  • Scar tissue surrounding the vagina
Will I have a scar after Vaginal Rejuvenation?
Any incision on the body will leave some form of scar. Labial scarring, however, tends to be minimal as the incisions are small, the tissue is thin with a good blood supply and labia naturally have a slightly “wrinkled” appearance prior to surgery already. The goal of surgery is to have such a natural appearance that your OB/GYN doesn’t even realize you had it done