膣口形成(会陰体形成)

Vaginal Opening Reconstruction (Perineal Body Reconstruction)

PERINEOPLASTY

Adjusting the size and appearance of the vaginal opening! Plastic surgery for women's specific concerns.

  • Complexity eliminated! Beautifully reconstruct the natural line of the vulva
  • Approaches to loosening and changes in the perineum due to childbirth and aging
  • A natural forming design that both looks and functions! For a more positive everyday life
宮本 亜希子
Supervising Physician
Supervising physician in cosmetic gynecology and obstetrics and gynecology Akiko Miyamoto

After practicing insurance-covered medicine in general obstetrics and gynecology, including infertility treatment and perinatal care, I shifted my career to private practice and gynecological aesthetics driven by my own experience battling illness and the desire to “support women in enjoying their femininity throughout life.” Grounded in deep anatomical knowledge and technical skill, I address women's health challenges with "authentic femtech"—procedures like gynecological plastic surgery, Vaginal Rejuvenation® injections, and vaginal hyaluronic acid injections—backed by medical evidence. She is dedicated to social activities promoting sex education, HPV vaccine awareness, and improving women's quality of life. She actively contributes to medical knowledge dissemination, including authoring Chapter 7, "Vaginal Hyaluronic Acid Injections," in the specialized textbook The Fundamentals of Cosmetic Surgery: The First Book to Read When Becoming a Cosmetic Surgeon.

Unique Initiatives at BIANCA CLINIC

Gentle approach to delicate concerns; precise design and careful treatment by BIANCA CLINIC

Because of the anxiety and hesitation that patients may have when undergoing a procedure involving the delicate area, more careful attention is required. At Bianca Clinic, when performing vulvoplasty (vulvovaginoplasty), we emphasize design that takes into consideration not only appearance but also function.
During counseling, we listen to your wishes and concerns in detail to achieve natural-looking results. We also provide pain-free treatment and a post-operative follow-up system, so that even first-time patients can receive treatment with peace of mind.

Dr. Akiko Miyamoto, an obstetrician-gynecologist certified by the Japan Medical Specialty Organization, is in charge of the procedure. She has a wide range of experience from perinatal care to general gynecology, and values her desire to "support women so that they can enjoy being women.
Bianca Clinic has introduced a wide range of femcare procedures such as vaginal hyaluronic acid injections and vaginal growth injections as well as vulveoplasty. We provide safe and reliable medical care by specialists based on medical evidence, while attending to all stages of a woman's life.

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RESERVATION
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Downtime

DOWNTIME
Suture removal
About 1 week later
Anesthesia
Local anesthesia
Shower
Available starting the next day
Swelling
A few days to 1-2 weeks (depending on the individual)
Pain
A few days to 1-2 weeks (depending on the individual)
sexual intercourse
Possible from after 1 month checkup
Swelling, pain, and bleeding may occur after the procedure, but in most cases, they will settle down within a few days to a week or two. However, since the appearance of symptoms and the speed of recovery varies from person to person, please avoid strenuous exercise and be mindful of rest until the one-month checkup.

Recommended for people like this

RECOMMENDED FOR:
Loosening or spreading of the vagina
Scars from childbirth are a concern.
I want to improve the appearance of the delicate zone.
Experiencing pain during intercourse
Prone to bleeding during intercourse
Concerned about minor urine leakage or discomfort
WEB Reservation
RESERVATION
24-hour reception
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Features

CHARACTERISTICS

What is vulvoplasty (perineoplasty)?

Vaginoplasty (perineoplasty) is a gynecologic plastic surgery procedure that reinforces and realigns the supporting tissues of the pelvic floor called the vulva and perineum, which have changed due to childbirth or aging, by suturing and reconstructing them. If the vulva is left widened or the perineum is left torn during childbirth, it may cause discomfort with the vaginal opening, a feeling of not being able to tighten even with effort, a fart-like sound due to air entering the vaginal opening, a decreased fit during insertion, and difficulty in transmitting pleasure.

By suturing the vulva and perineum back together in response to these changes, the purpose is to support the maintenance of functionality while bringing the appearance of the vulva and perineum closer to its natural state.
Vulvovaginoplasty (perineoplasty) is unique in that it not only improves the appearance of the vulva, but also improves quality of life (QOL) by restoring sensation during sexual intercourse and reducing discomfort symptoms experienced during daily life.

膣口形成(会陰体形成)とは

Pursuit of beautiful lines! Designing for functionality and harmony

Bianca Clinic pursues natural and beautiful lines in vulveoplasty (perineoplasty). We do not merely narrow the vaginal opening, but design it while considering anatomical balance and functionality, so that both visual beauty and comfort can be achieved. We listen carefully to the patient's wishes and ideals, share the finished image in advance, and then propose an appropriate procedure.
Vulvovaginoplasty (perineoplasty) is a custom-made procedure that is tailored to the individual's body condition and concerns. Therefore, the doctor's experience and design ability are very important.

Our obstetricians and gynecologists have a wealth of knowledge and experience, and we emphasize natural and harmonious results to help make your postoperative life more comfortable. This attitude is one of the reasons why we are a safe choice for first-time patients.

Increased sensitivity during intercourse! Make your sex life more comfortable!

A widened vaginal opening is more likely to cause decreased sensation due to poor stimulation transmission caused by poor pelvic floor support. These changes can affect not only physical discomfort, but also confidence in one's sexual life and relationship with one's partner.

Vaginoplasty (vulvoplasty) is a gynecological procedure that can improve the size and shape of the vulva, leading to a more comfortable sexual life. Some patients find that this enhances the sensation during intercourse and allows them to enjoy a more natural skin-to-skin relationship with their partner.
Sexual problems are delicate and difficult topics to discuss. However, when properly addressed with vulveoplasty by a specialist, it can lead to a sense of security in daily life and improved partnerships.

Benefits

MERIT

Can balance the appearance of the delicate zones

By shaping the vulva and perineum in a natural way, left-right differences and widening are reduced and a more beautiful and balanced appearance can be achieved.

Leads to less discomfort and discomfort due to vaginal loosening

This will help relieve discomfort symptoms such as discomfort during movement, and other discomforts that can easily become bothersome in daily life.

To improve the quality of sex.

Comfortable and confident sexual life by regulating the widening of the vulva.

Recommended Features

RECOMMENDED POINTS

Aiming for a natural finish with a no-pressure design

Vaginoplasty (perineoplasty) is not just a matter of narrowing the vaginal opening. Caution should be exercised because making it narrower than necessary may lead to discomfort in daily life and pain during intercourse.

At Bianca Clinic, we place great importance on carefully checking the balance of each patient's body and lifestyle background before designing a comfortable design.
In the procedure, the emphasis is not only on visual aesthetics, but also on not compromising comfort and function. We aim for a harmonious and natural result, leading to long-term peace of mind. Our first priority is to ensure that the patient feels natural and comfortable, and we offer a well-balanced design.

Incisions and lacerations associated with childbirth can also be cleaned and dressed.

It is not uncommon for a perineal incision made during childbirth or a laceration that occurs during natural childbirth to leave scars on the perineum. These scars can lead to widening of the vulva, changes in appearance, and discomfort during intercourse.
Vulvoplasty (perineoplasty) is a procedure that aims to correct such scars while also realigning the vulva and perineum. While bringing the appearance closer to natural, it can also be expected to provide functional care, such as alleviating intercourse pain and discomfort.
Although it is difficult to talk to others about delicate problems after childbirth, we want people to know that there are options that can be resolved through appropriate treatment.

Simultaneous treatment with other femcare to get closer to the ideal

Vaginoplasty (vulvoplasty) can be performed simultaneously with other gynecologic procedures such as vaginal wall augmentation (vaginal reduction surgery), labia minora reduction, paracervical excision, or labia majora hyaluronic acid injection, depending on the patient's wishes and symptoms. Opting for simultaneous procedures has the great advantage of addressing both appearance and function at once, as well as consolidating downtime.

Although vulvoplasty is essentially a procedure to prepare the condition of the vulva, it can be combined to achieve a more natural and ideal result. At Bianca Clinic, we listen to each patient's concerns and lifestyle in detail during the consultation, and propose the best treatment plan within a reasonable range. Because we have a system that can provide total gynecologic plastic surgery, you can consult with us with confidence.

WEB Reservation
RESERVATION
24-hour reception
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Treatment area

TREATMENT AREA

Vaginal opening (vulvar vestibule) and perineum (between vulva and anus)

Treatment Process

CONTENT OF TREATMENT

Physician's examination and counseling

First, the doctor will examine you and listen to your concerns and wishes. The doctor will determine the indications for vulveoplasty (perineoplasty) and share an image of the finished product.

医師の診察・カウンセリング<br />

Design

A natural and comfortable design is determined based on the patient's body balance and wishes. A doctor experienced in perineoplasty surgery will design the vulva, taking both appearance and functionality into consideration.

treatment

Vulvovaginoplasty (perineoplasty) is performed under local anesthesia. The vulva and perineum, which have changed due to childbirth or aging, are prepared and reconstructed to their natural shape. After the surgery, recovery is checked and aftercare is explained.

施術

Schedule of Charges

PRICE LIST
Price list for vulvoplasty (vulvovaginoplasty)

Labia Minora Reduction

See details
Treatment Details Standard rate
Suture removal required ¥275,000
No suture removal ¥398,090

clitoral foreskin

See details
Treatment Details Standard rate
Suture removal required ¥152,020
No suture removal ¥220,000

Subcutaneous tissue removal

Treatment Details Standard rate
Suture removal required ¥220,000
No suture removal ¥298,100

labia majora reduction

See details
Treatment Details Standard rate
Suture removal required ¥330,000
No suture removal ¥498,080

BIANCA METHOD

Treatment Details Standard rate
Labia Minora Reduction + Clitoral Hood Reduction + Frenulum Removal ¥481,580

virgin birth canal incision

Treatment Details Standard rate
virgin birth canal incision ¥165,000

*This treatment is for those who have difficulty having sexual intercourse due to virgin membrane toughening.

Vaginal Opening Reconstruction (Perineal Body Reconstruction)

Treatment Details Standard rate
Vaginal Opening Reconstruction (Perineal Body Reconstruction) ¥275,000

Vaginal Wall Reconstruction (Vaginal Reduction Surgery)

Treatment Details Standard rate
Vaginal Wall Reconstruction (Vaginal Reduction Surgery) ¥550,000
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RESERVATION
24-hour reception
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CONCEPT
CONCEPT
Beyond the boundaries of aesthetic medicine,
Lifestyle Beautyis
proposed.

Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.

Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.

Frequently asked questions about vulvoplasty (vulvovaginoplasty)

Q&A

Is vulveoplasty surgery painful?

Because anesthesia is administered, there is little to no pain during the procedure. There may be some mild pain and swelling for a few days after the surgery, but this will subside over time.

Does the vulveoplasty scar remain?

Because the mucous membrane is sutured, there are few scars that are noticeable from the outside. In many cases, it blends naturally with the passage of time.

Are there any problems in daily life after vulveoplasty?

Normal walking and light work are possible, but strenuous exercise should be avoided until the one-month postoperative checkup. There are few major obstacles to daily life.

When is intercourse possible after vulveoplasty?

Although it varies from person to person, sexual activity will be allowed after the doctor confirms it at the one-month checkup. Until then, please be aware of resting.

Can I have a vulveoplasty during my period?

Basically, we ask our patients to refrain from having the procedure performed during menstruation. This is because there is a possibility of heavy bleeding, which may affect postoperative recovery and hygiene.

Can vulveoplasty be done at the same time as other procedures?

Yes, it can be done at the same time as vaginal reduction, labiaplasty, or vaginal growth injections. The doctor will propose the best plan according to your needs.

Is there a risk of cervical cancer from the procedure?

Vaginoplasty (perineoplasty) does not increase the risk of developing cervical cancer.

Description of procedure] Vulvovaginoplasty (vulvovaginal body shaping)
【Estimated Treatment Period and Number of Sessions】Typically 1 session ※May vary depending on your condition.
Risks and side effects] Pain, bleeding, swelling, etc.

WEB Reservation
RESERVATION
24-hour reception
Click here for web reservation
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