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Why does the labia majora lose tone? | Atlanta | Buckhead | RoswellSome common concerns for a woman include vaginal tissue laxity and loss of tone in the labia majora. Vaginal rejuvenation can significantly improve vaginal tissue and loss of tone in the labia majora without plastic surgery.

At the time of the pre-op consultation, the surgeon will discuss the reasons for vaginal tissue and muscle laxity and will assist the patient in choosing between surgical and non-surgical vaginal rejuvenation treatment alternatives. 

Today, many women are willing to openly discuss their sexual cosmetic concerns with the surgeon and seek suitable treatment options. The surgeon will help them understand the reasons for tone and elasticity loss in the labia majora and how it can be addressed.  

Plastic surgeon Dr. Paul McCluskey provides sexual aesthetic treatments to patients in Atlanta, Buckhead, Georgia, and surrounding communities. 

Reasons for Saggy Labia 

Dense connective tissue makes up the vaginal walls, and the area has a very high blood supply. There are various vital nerves that link through this region, which is lined by special cells. The labia or vulva is more ‘skin-like’ in comparison to the vagina. This area has an even higher blood and nerve supply than any other area on the human body.

The labia majora may lose fullness and tone due to a variety of causes. The three key reasons for a sagging labia majora appearance are aging, childbirth, and hormonal fluctuations. The plastic surgeon will cautiously assess the level of laxity, and whether the labia majora has extra skin or insufficient volume. 

Causes of Vulvo-Vaginal Laxity

A vaginal delivery can cause the stretching of the connective tissue of the labia and the vagina. The tissue may not regain its original tautness and elasticity upon healing. The patient may experience further problems, such as urinary incontinence and atrophic vaginitis, as the vagina and other local structures become stretched out. 

In addition, vulvo-vaginal laxity can also reduce sensations during sexual activity, which may slowly cause an adverse effect on self-confidence and relationships. Patients usually experience a compromised quality of life.

The problem with laxity of the labia majora is that the old collagen may get broken down. For this reason, it becomes important to induce new collagen production for long-term tightening of the vaginal and labia tissue.

Damage to the Connective Tissue

The external portion of the vagina is the only area that changes due to aging. In addition, a reduction in estrogen levels may cause changes on the inside as well. Estrogen helps maintain the resilience and strength of the vagina walls. Therefore, its loss leads to these walls becoming thinner and loose. 

The vaginal wall primarily comprises dense connective tissue that is greatly vascularized and through which multiple nerves pass. The vulva, especially the labia majora, is skin-like delicate. Vaginal delivery can cause damage to the connective tissue. 

Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Buckhead, Georgia, and nearby areas for sexual aesthetic treatments.

For more information on procedures and treatments offered by Plastic Surgeon, Dr. Paul McCluskey and the Plastic Surgery Institute of Atlanta, visit:

Serving patients in and around Atlanta, Buckhead,  Roswell, Marietta, Georgia and surrounding areas.

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