What is Vaginoplasty?

Vaginoplasty is a surgical procedure that makes the vagina tighter by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. Due to childbirth and even aging, the vagina can become stretched and the surrounding muscles lose their strength and tone. The loose feeling many women feel can sometimes even be noticed by their male partner during sexual intercourse. Vaginoplasty decreases the diameter of the vagina which results in increased friction during intercourse.  In return, this makes intercourse a much more pleasurable experience for the patient and her partner.

Vaginoplasty refers to the posterior reconstruction of the vaginal vault and perineum, making the vagina smaller and pelvic floor stronger to assist in achieving the youthful gratification of sexual activity.

As we get older our bodies get worn, torn, stretched and some of our youthful resilience is reduced. The same happens to the vaginal tissues and pelvic floor, especially after pregnancy. The vaginal vault and pelvic floor are stretched, dilated, pelvic muscles become relaxed, lose strength and tone, and you lose some or all support and control. The vaginal vault becomes stretched and loses the dilating effect during sexual intercourse.  You no longer have the ability to contract, squeeze, and relax your vaginal muscles at will. Vaginoplasty typically tones vaginal muscles and strengthens the pelvic floor resulting in greater contraction, strength, and control.  This in return enhances the sexual experience for both partners.

The surgery is a standard gynecologic vaginal procedure where the vaginal vault and pelvic floor are made smaller and the foundation muscles of the vagina are made stronger. The G-spot which lies in the anterior proximal vagina is not affected by this procedure. Also at this time, another problem that can make sex very uncomfortable can be corrected.  Some patients may have an enterocele or rectocele which is a hernia of the bowel or rectum in the vaginal vault.  During vaginoplasty, this hernia can be repaired, the pain eliminated, and satisfaction during intercourse restored.

Vaginoplasty, sometimes referred to as Vaginal Rejuvenation or Aesthetic Vaginal Surgery, can give your vagina a youthful appearance, give you more control of your vaginal muscles, and greatly increase the sexual satisfaction for you and your partner during intercourse.

Choosing Vaginal Rejuvenation

Childbirth can change the size and shape of your vagina. While kegel exercises can improve muscle tension, your vaginal diameter may never revert back to its pre-childbirth size. A larger vaginal diameter can result in reduced friction during intercourse and decreased sexual satisfaction for both you and your partner.

Illness or injury may leave the vaginal canal damaged requiring vaginoplasty to reconstruct or repair the muscles and tissues. If you think you may be a candidate for vaginoplasty, speak with your cosmetic gynecologist.

The Vaginoplasty Procedure

This surgical vaginal rejuvenation procedure is an outpatient surgery that typically takes one to two hours. Vaginoplasty is performed under general anesthesia in an outpatient surgery center.  During the procedure, your gynecologic surgeon will make an incision in the rear floor of the vagina. Excess tissue is removed, and the muscles are tightened.

Once complete, dissolvable stitches are used to close the incision. Generally, you will spend about an hour in recovery. You will need someone to drive you home once released by your gynecologic surgeon.

Recovering from Vaginal Rejuvenation

The first day or two following surgery you may experience some light bleeding, swelling, bruising, and discomfort. Most women are able to return to work after 3-5 days on bedrest at home. Stitches will dissolve within 30-45 days. Between 6 to 8 weeks post op, you will be asked to use dilators to soften the perineum and become more comfortable with penetration.  Normal activity including exercise and sexual intercourse may be resumed after eight weeks.

Risks Associated with Vaginoplasty

After a vaginoplasty, risks include bleeding, infection, and scarring. Light bleeding for a day or two is normal and can be managed by wearing a pad. If you experience heavier bleeding, contact your gynecologic surgeon. Antibiotics and keeping the area clean can reduce the risk of infection.

In rare cases, vaginoplasty can reduce sensitivity and sexual pleasure. In addition, an individual’s anatomy will dictate how much tightening can be achieved by a vaginoplasty.  The tightening achieved may or may not be exactly what one seeks; one’s anticipated results cannot be guaranteed.  However, I will do my best to achieve the best results possible with an individual’s unique anatomy with which I have to work.  It is strongly recommended you wait to undergo a vaginoplasty until you are done having children as childbirth can loosen the vaginal muscles again.


Before & After Photos

Before & After