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Body · Oklahoma City

Vaginal Rejuvenation in Oklahoma City.

Surgical vaginal rejuvenation tightens the vaginal canal and repairs the area between the vagina and the rectum (the perineum) when childbirth or age has stretched them. The medical names are vaginoplasty and perineoplasty.

This is private surgery and we treat it that way: a judgment-free consultation, a chaperoned exam, and plain answers. Some concerns — leaking urine, or a feeling that something is falling — are a different problem with a different fix, and we will tell you so.

Dr. Trent Fogleman, who practices full-time in Oklahoma City, provides vaginal rejuvenation and reconstruction. A labiaplasty can be planned in the same operation when it is part of what you want.
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How it works

What happens in the operating room.

  1. You get anesthesia — usually medicine that makes you sleep — planned together at your consultation.
  2. The surgeon goes over the plan with you before any anesthesia: how much tightening, and whether the perineum is repaired too.
  3. Inside the vagina, the stretched lining is trimmed and the muscle and support tissue beneath it are drawn together with stitches.
  4. When the perineum is part of the plan, its stretched skin and muscle are rebuilt at the same time.
  5. Everything is closed with dissolving stitches — nothing needs to be taken out later.
  6. Surgery usually takes one to two hours. Most patients go home the same day.

Prepare like a patient, not a browser

Logistics, preparation, recovery planning and emergency information — all of it lives in the Patient Resource Center, in plain words.

Open the Patient Resource Center →
The honest risk list — read it before your consult

Every surgery has risks. These are the main ones, in plain words — and we go over all of them with you in person.

  • Swelling and soreness in the first weeks — this area swells a lot, then settles.
  • Bleeding. A collection of blood (a hematoma) can need a return visit.
  • Infection. Signs are a bad-smelling discharge, spreading redness, pus, or fever.
  • Pain with sex afterward, from tightness or scar tissue — the reason the plan is conservative and you heal fully before intercourse.
  • Tightening that turns out to be too much or too little, and the need for another procedure to adjust it.
  • Changes in sensation, usually temporary.
  • Trouble passing urine in the first day, sometimes needing a catheter for a short time.
  • Constipation and straining, which pull on the repair — a stool softener is part of the plan.
  • Rarely, injury to the bladder or the rectum, which sit right next to the area being repaired.
  • Problems from anesthesia (the medicine that makes you sleep). These are rare in healthy people.

Recovery, honestly

What the weeks actually look like.

The arc

First few daysSwelling and soreness peak. Cold packs, rest, loose clothing, and simple pain medicine. A stool softener keeps you from straining.
One weekMany patients return to desk work. Walking is good for you; no lifting, squatting, or straining.
Two to four weeksNormal daily activity for most patients. Still no heavy lifting, no tampons, and no intercourse.
Six to eight weeksExercise, tampon use, and intercourse are usually cleared at your follow-up visit — not before.
Three monthsSwelling has settled — this is the result.

When to call, day or night

In any emergency, call 911 first

Call 911 or go to the nearest emergency department now — do not drive yourself, do not wait:

  • Chest pain or pressure, shortness of breath, or trouble breathing.
  • Fainting, sudden confusion, or weakness on one side of the body.
  • One leg swells, or one calf hurts more than the other.
  • Blood soaks a bandage and does not slow down with gentle pressure.

Otherwise call 405-751-0042, day or night, if:

  • Bleeding that soaks a pad within an hour, or does not slow with rest.
  • You have a fever of 101.5°F (38.6°C) or higher.
  • A bad-smelling discharge, spreading redness, or pus.
  • You cannot pass urine, or the pain is getting worse instead of better.
The full Patient Resource Center →

Cost, answered

What vaginal rejuvenation actually costs.

We don’t do internet price tags. Pricing moves with your anatomy, primary versus revision, and what your plan combines — so your consultation ends with one written, all-in number: surgeon, anesthesia, AAAHC-accredited facility, and follow-up included. We honor it.

How pricing worksFinancing options
A private consultation with a chaperoned exam comes first — always. Your written quote covers surgeon, anesthesia, facility, and follow-up.

Questions

Asked at nearly every consult.

Is this the same as the laser or radiofrequency treatments I have seen advertised?
No. This page is about surgery: the stretched tissue is repaired with stitches. Energy-device treatments are a different thing, and we will talk through the difference honestly at your consultation.
Should I try pelvic floor therapy first?
Often, yes. A pelvic floor physical therapist can strengthen the muscles without surgery, and for some patients that is enough. Surgery is for stretched tissue that exercise cannot shorten — the exam helps decide.
Will it fix leaking urine?
Not by itself. Leaking with a cough or a laugh, or a feeling that something is falling, is a separate problem with its own treatment. If you have those symptoms, tell us — we will make sure the right specialist sees you.
Should I wait until I am done having children?
Usually, yes. A vaginal birth after this surgery can stretch the repair again, so most patients plan it once their family is complete.
When can I have sex again?
Usually at six to eight weeks, once your follow-up visit confirms you have healed. Waiting protects the repair.
Can it be combined with a labiaplasty or a mommy makeover?
Often, yes. Combining procedures under one anesthesia is planned at your consultation, with your safety first.
What does it cost?
Pricing is personal — it depends on your anatomy and the complexity of your plan. Your consultation ends with one written, all-in number: surgeon, anesthesia, AAAHC-accredited facility, and follow-up included.
Can I have my surgery in Oklahoma City?
Yes — Oklahoma Surgical Arts operates two operating rooms in Oklahoma City, and surgery can be scheduled in OKC or Tulsa. Your surgery, your choice of city.

Related: Labiaplasty · Mommy makeover · Dr. Trent Fogleman

Start here

One conversation. Zero pressure.

Meet the surgeon, get examined, and leave with a written plan and a written number — both yours to keep. Consults are virtual or in person; surgery in Oklahoma City or Tulsa.

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