Vulvovaginoplasty ("Full Depth", Cavity)
Creating a functional neovagina
Vulvovaginoplasty is a gender-affirming surgery that creates not only a realistic external vulva (labia majora, labia minora, clitoris), but also a functional vaginal canal. It is intended for patients desiring penetrative vaginal intercourse in addition to external aesthetics.
Patients wishing for a feminine vulva and functional vagina.
Desire for penetrative sexual activity.
Preference for a complete result compared to zero-depth vulvoplasty.
Use of penile and scrotal skin to create the vaginal canal (penile inversion technique), sometimes combined with grafts (skin, buccal mucosa, or intestinal).
External vulva reconstruction (labia majora, labia minora, sensitive neoclitoris).
Vaginal depth typically 12–15 cm.
Spinal anesthesia.
3 hours.
Hospitalization 1 night and convalescence
Longer recovery than vulvoplasty.
Regular vaginal dilations required to maintain depth.
Light activities after 4 weeks, return to work in 8-12 weeks.
Close postoperative follow-up required.
Realistic feminine vulva.
Functional vagina suitable for penetrative sex.
Preserved sexual sensation via neoclitoris construction.
FAQ
Vulvoplasty creates only external appearance, while vulvovaginoplasty also provides a functional vaginal canal for penetration.
Yes, the neoclitoris is constructed from the glans to maintain erotic sensation.
Some discomfort occurs in the first weeks, but it is well managed with pain relief and proper aftercare.
Gender-affirming procedures for the female body
- Feminizing Rhinoplasty
- Neuromodulators (Botox®, Dysport, Xeomin)
- High-Definition Liposuction (Total Definer Technique)
- Liposuccion Silhouette
- BBL (Buttock Feminization)
- Fat Transfer (U-Graft)
- Vulvoplasty ("Zero Depth", "Shallow Depth", "No Cavity")
- Adam's Apple Reduction (Tracheal Shave)Laryngochondroplasty / Chondrolaryngoplasty
- VASER® Liposuction
- Orchidectomy
