Vaginoplasty Charlotte, NC | Dr. Kevin Stepp

Beyond Surface Tightening

True vaginoplasty is a deep structural repair of the pelvic floor muscles and connective tissue — not a cosmetic skin tuck. Dr. Kevin Stepp, MD, FACOG, URPS — a double board-certified urogynecologist — approaches this procedure by addressing the anatomical root causes of laxity to improve vaginal canal function, caliber, and structural support.

Vaginoplasty and vaginal tightening surgery describe the same foundational procedure: surgical reconstruction of the vaginal canal and its supporting pelvic floor musculature. Most patients benefit from a combination of targeted repairs tailored to their anatomy:

A Clinical Distinction Worth Understanding

Vaginoplasty is not simply tightening the vaginal opening. Plastic surgeons typically address only the opening — the external portion of the vaginal canal. Dr. Stepp's approach reconstructs the entire length of the vaginal wall, including the posterior and anterior support structures and the connective tissue along the full canal. This is a structurally different operation with different functional goals.

Advanced Pelvic Surgery and Urogynecology of Charlotte • 11210 Golf Links Dr North, #100, Charlotte, NC 28277 • (980) 771-0726

1. Posterior Repair

Reconstruction of the posterior vaginal wall, underlying connective tissue, and collagen support — correcting rectocele and restoring structural integrity of the vaginal floor. The vaginal attachments to the surrounding levator ani muscles are repaired. Where levator weakness is identified, Dr. Stepp may recommend adjunct strengthening with EmpowerRF VTone or pelvic floor physical therapy.

2. Anterior Repair

Elevation and support of the anterior vaginal wall and bladder, addressing cystocele and restoring internal vaginal contour and caliber. Often resolves concurrent symptoms of pelvic heaviness or pressure.

3. Perineoplasty

Reconstruction of the perineal body — frequently disrupted during vaginal delivery — to restore the vaginal opening, closure, and external perineal anatomy. Also available as a standalone procedure when indicated.

4. Concurrent Incontinence Repair

When stress urinary incontinence is present, it can be addressed surgically at the time of vaginoplasty, combining pelvic floor reconstruction with functional bladder control restoration.

Patients considering labiaplasty or labia majora restoration often find that vaginoplasty adds an additional functional restoration that aligns with their goals. Procedures may be combined within a single surgical event when anatomically appropriate. See also: Signature Intimate Restoration™ for Dr. Stepp's comprehensive approach.

Dual-Fellowship Training.
>3,000 Reconstructive Procedures.

Dr. Kevin Stepp, MD, FACOG, URPS holds dual-fellowship training in both Urogynecology/Reconstructive Pelvic Surgery and Minimally Invasive Gynecologic Surgery — both completed at Cleveland Clinic. To Dr. Stepp's knowledge, fewer than 10 surgeons in the United States hold this combination of credentials.

He has performed more than 3,000 pelvic reconstructive procedures over a 20-year career. This depth of reconstructive case volume means Dr. Stepp has encountered and managed the full spectrum of anatomical variation that vaginoplasty presents — including primary repairs, revision surgeries, and complex combined procedures.

Recovery & Investment

Vaginoplasty is a significant surgical procedure. Accurate expectations support both informed consent and optimal recovery.

Recovery Timeline

Most patients manage light daily activities within 2–3 days. Return to sedentary work typically occurs within 5–7 days. Full structural healing — required before resuming intercourse or high-impact exercise — takes 6 weeks. Optimal tissue maturation and final functional results are generally apparent at 3 months post-surgery.

Pricing & Insurance Considerations

Advanced Pelvic Surgery and Urogynecology of Charlotte operates as a private-pay, out-of-network surgical practice with no required membership fees. Cosmetic vaginoplasty is not covered by insurance. However, when vaginoplasty is performed in conjunction with a medically indicated prolapse repair — rectocele, cystocele, or apical prolapse — the reconstructive component may qualify for partial reimbursement through your insurer. For covered medical procedures, Dr. Stepp provides a superbill to support your out-of-network claim submission. A comprehensive surgical fee quote including anesthesia is provided during your private consultation. Call (980) 771-0726 with preliminary questions.

Schedule a Surgical Evaluation

Accurate diagnosis requires examination. A private consultation with Dr. Stepp includes a structural assessment and a personalized surgical plan — not a template.

Schedule a Consultation

Vaginoplasty Rehabilitation

Rebuilding the internal muscular architecture is only the first step. To support long-term comfort, tone, and elasticity, Dr. Stepp recommends continuing your rehabilitation at home.

vFit® PLUS: Pelvic Tone

Once cleared post-operatively, the vFit® PLUS Intimate Health Device provides ongoing thermal energy, sonic vibration, and red light therapy to maintain mucosal health, vascularity, and muscular tone without leaving your home.

reliefHER™: Deep Hydration

Maintain the elasticity and comfort of your newly reconstructed vaginal canal with reliefHER™ Vaginal Hydration Melts. These hormone-free hyaluronic acid suppositories deliver 3x more hydration than leading alternatives.

Frequently Asked Questions

Common Patient Questions

What is vaginoplasty and who is a candidate?

Vaginoplasty is a surgical procedure to reconstruct the vaginal canal and surrounding pelvic floor musculature — not a surface-level cosmetic tuck. Ideal candidates include women who experience vaginal laxity, pelvic floor weakness, or functional changes following childbirth or hormonal shifts.

Where is vaginoplasty performed in Charlotte, NC, and how do I schedule?

Vaginoplasty consultations and surgery are performed by Dr. Kevin Stepp, MD, FACOG, URPS at Advanced Pelvic Surgery and Urogynecology of Charlotte, located at 11210 Golf Links Dr North, #100, Charlotte, NC 28277. To schedule a private consultation, call (980) 771-0726.

What does vaginoplasty typically involve — what structures are repaired?

Most patients require a combination of targeted repairs. Posterior repair reconstructs the posterior vaginal wall, underlying connective tissue, and collagen support — correcting rectocele. The vaginal attachments to the surrounding levator ani muscles are repaired; where additional levator weakness is present, Dr. Stepp may recommend EmpowerRF VTone or pelvic floor physical therapy. Anterior repair elevates and supports the anterior vaginal wall and bladder, correcting cystocele and restoring internal vaginal contour. Perineoplasty reconstructs the perineal body to restore the vaginal opening and closure. Stress urinary incontinence can be addressed simultaneously when clinically indicated. Dr. Stepp tailors each plan to the patient's specific anatomy.

How long is recovery after vaginoplasty?

Most patients manage light daily activities within 2–3 days of surgery, with return to sedentary work within 5–7 days. Sexual activity and high-impact exercise are restricted for 6 weeks to allow full structural healing. Final tissue maturation and optimal functional results are typically evident at 3 months post-surgery.

What does vaginoplasty cost in Charlotte, and is it covered by insurance?

Cosmetic vaginoplasty is not covered by health insurance. However, when vaginoplasty is performed in conjunction with a medically indicated prolapse repair — such as a rectocele, cystocele, or apical prolapse — the reconstructive component may qualify for partial reimbursement through your health plan. For covered medical procedures, Dr. Stepp provides a superbill to support out-of-network claim submission. Patients pursuing reimbursement should contact their carrier before scheduling to understand their out-of-network benefits. To discuss the specifics of your case, call (980) 771-0726 or visit 11210 Golf Links Dr North, #100, Charlotte, NC 28277.

What makes Dr. Stepp uniquely qualified to perform vaginoplasty?

Dr. Kevin Stepp, MD, FACOG, URPS holds dual-fellowship training in both Urogynecology/Reconstructive Pelvic Surgery and Minimally Invasive Gynecologic Surgery — both fellowships completed at Cleveland Clinic. To Dr. Stepp's knowledge, fewer than 10 surgeons in the United States hold this dual-fellowship credential. He has performed more than 3,000 pelvic reconstructive procedures.