Vaginoplasty Surgery

Vaginoplasty describes a plastic surgery that is capable of essentially “tightening up” the vagina. Designed to strengthen and enhance the vulva-vaginal body structures.

Cosmetic Surgery Procedures

A conversation about the appearance and function of the vagina is not one that many women relish participating in; after all, nary a topic is more personal and intimate than one involving one’s genitals.

Recently, however, the growing social acceptance of plastic surgery and other avenues of beautification have allowed women to be more comfortable and open about any medical- as well as cosmetic- issues about their bodies, even when it comes to their vaginas. In fact, vaginal rejuvenation procedures are being sought after in higher numbers than ever before. One of the most popular vaginal rejuvenation procedures is the “Vaginoplasty”.

Vaginoplasty is commonly referred to as “vaginal rejuvenation” when performed in conjunction with labiaplasty, which is a plastic surgery that addresses reconstructive and cosmetic issues of the labia minora and the labia majora.

Who is a good candidate for Vaginoplasty?

Women who are in at least average physical health with no underlying health conditions or issues are generally good candidates for the vaginoplasty procedure.

However, vaginoplasty is not recommended for women who:

  • Are pregnant or have just given birth
  • Are planning on vaginally giving birth to more children
  • Have bleeding/clotting issues or conditions
  • Have had negative reactions to anesthesia

Women should keep in mind that vaginoplasty cannot cure or solve sexual dysfunction issues- it is a cosmetic procedure that cannot address any underlying physiological or psychological problems.

What to expect during a Vaginoplasty procedure?

As each woman will want their vaginas to be tightened and made stronger to different extents, each vaginoplasty procedure will inherently be performed a bit differently from one procedure to the next. However, almost all vaginoplasty procedures will be performed more or less following the given techniques.

During the typical vaginoplasty procedure, any excess lining on the vaginal wall will be removed, and the tissues and muscles of the vaginal wall as well as the perineum will be reconstructed in such a way that the vagina is made tighter and smaller diameter-wise. The pelvic floor will likely be strengthened as well in order to enhance tightness even further.

The majority of vaginoplasty procedures will be performed using sedation and general anesthesia, with most procedures being completed in about an hour to an hour and a half.


Why do patients undergo Vaginoplasty?​

There are two different reasons as to why patients may choose to undergo vaginoplasty: reconstructive and cosmetic.

Undergoing vaginoplasty for reconstructive reasons essentially means that the purpose of the vaginoplasty is to improve the way in which the vagina functions or to alleviate or correct an impediment or structural issue with the vagina; in other words, a reconstructive vaginoplasty procedure has a medical basis for the procedure. Reconstructive vaginoplasty procedures most commonly address structural vaginal issues that stem from congenital or genetic foundations, such as vaginas that are structurally malformed enough that normal urination, intercourse, and/or menstruation would likely be of great difficulty or possibly even impossible.

Vaginoplasty aims to aesthetically enhance an otherwise completely normal and properly functioning vagina in order to give women improved confidence and self-esteem. It is natural for vaginas to come in all sorts of shapes and sizes- there is no medical standard of the “average” vagina. What is considered “normal” amongst the varying structural characteristics and aesthetics of the vagina is often left up to each individual woman to decide; if a woman believes her vagina to be abnormal in either structure or aesthetics, this can cause unfavorable effects to her confidence and self-esteem levels.

Although there is no standardized understanding of what a “normal” vagina is supposed to look like, there are several things that can physically alter a woman’s vagina, such as the effects of time and/or giving birth.

While in labor, a woman’s body will innately signal for her vagina as well as the surrounding tissues and muscles to stretch and expand in order to accommodate the baby that will soon be passing through. After giving birth, the vagina and the surrounding tissue and muscle is designed to naturally return to their non-expanded states, but more often than not, the vagina, especially the muscles found within it and surrounding it, will be unable to fully return to the diameter and tightness that was characteristic of the pre-pregnancy days. This will be especially true for women who have given multiple births or have given birth to larger-than-average babies. While Kegal exercises may help somewhat with giving the vagina back its tightness, most women will find that their vagina muscles are simply not as tight or strong as they were before giving birth.

Although some women may not find a slight loosening or weakening of the vagina muscles something to be concerned about, there are some women who find it disconcerting that their loosened or weakened vaginal muscles have resulted in sex that is not as satisfying as before, due to a decrease in friction and strength and control with contractions during orgasms.

Similar effects to the vagina occur through the natural, unavoidable process of aging. When people age, their skin will lose its elasticity and their muscles will lose their tone and strength. Women and their vaginas are not immune to this process: as women age, their vaginal tissues and muscles will become looser and weaker to varying degrees from woman to woman.

The vaginoplasty addresses both the looseness and weakening of vagina tissue and muscles brought on by pregnancy and aging. It can help give women higher levels of self-confidence and self-esteem as well as help her and her partner achieve greater satisfaction from sexual experiences and intercourse.


Typical Vaginoplasty Procedure

The Pelvic Floor

Sedation and General Anesthesia

What to expect during recovery from Vaginoplasty?

Patients will have discomfort at and around the surgical site for three to four days after a vaginoplasty procedure, most of which should dissipate within that time. The cosmetic surgeon will prescribe any necessary antibiotics- to prevent the development of post-op infections- and pain killers- to alleviate any discomfort or pain felt by the patient during the first few days of recovery. Patients should not shower for at least 24 hours after their vaginoplasty procedures, but regular showering and cleansing of the area is recommended thereafter. The sutures used during a vaginoplasty are capable of being harmlessly absorbed by the body.

Most patients will be able to return to work and their regular routines two to five days after a vaginoplasty procedure but patients should refrain from participating in strenuous exercise or activity for at least three to four weeks after the procedure. It is recommended that patients wait at least six weeks before resuming any sexual activities.

If you are interested in Vaginoplasty performed by Dr. Samuel to achieve you ideal aesthetic, or if you would like to schedule a consultation, please contact us at (614) 882-4343

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