Vaginoplasty - Vaginal Tightening

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Vaginoplasty is a surgical procedure that aims to "tighten up" a vagina that's become loose or slack from vaginal childbirth, aging or women who have had large vaginal diameters all their lives.

The goal of vaginoplasty is to restore the tightness and elasticity of the vagina in order to increase sensation during sexual intercourse.


Cosmetic vaginal surgery includes both medical reasons (such as repairing damage from trauma or childbirth) and  cosmetic reasons (wanting a more attractive vagina to improve one`s self-esteem).Both types of surgery are considered “vaginal reconstruction” or “vaginal rejuvenation.” The procedure for tightening the vaginal opening and inner vaginal walls, can restore full feeling and respectively, sexual satisfaction for both partners. In some cases a vaginoplasty and a labiaplasty can be performed at the same time.

Vaginal tightening surgery often takes about an hour and is performed under general anesthesia. This is not is not a reversible procedure. The surgery is traditionally performed with a scalpel, but lately, laser vaginoplasty has become more popular. The results are not compromised in either case.To tighten the inner walls of the vagina, the surgeon makes a diamond-shaped incision from the perineum (the base of the vagina) into the inner floor of the vaginal lining. After removing the excess tissue, the surgeon pulls the muscles together to fill that space. All sutures used are dissolvable and therefore do not need to be removed. A slight discomfort at the surgical site for the first few days may occur. Patients are sent home after 24 hours with prescriptions for pain medications and antibiotics.For four to six weeks patient cannot have sex or use tampons.

LVR ( Laser Vaginal Rejuvenation) and DLV (Designer Vaginal Rejuvenation) are frequently combined at the same time. The most frequently combined procedures are Laser Vaginal Rejuvenation and laser reduction Labiaplasty of the labia minora. Many women seek Laser Vaginal Rejuvenation because they want to enhance or improve sexual gratification and aesthetically enhance certain areas of the vulvar structures such as large or protruding labia minora. Patients who suffer from stress urinary incontinence (involuntary loss of urine with laughing, coughing, sneezing, exercising etc.) can also have this condition treated at the same time as the LVR procedure.

Women who have had children want a solution to rejuvenate the vagina and achieve the best sexual experience possible. For women with no children, solutions are available through design modification to accomplish their desires. In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, the sensual side of sexual gratification is diminished.

Laser Vaginal Rejuvenation will effectively enhance vaginal muscle tone, strength, and control. It will also effectively decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body. Sexual gratification is directly related to the amount of frictional forces generated. LVR can accomplish this. LVR techniques result in gentle precision cutting with controlled accuracy that results in relatively bloodless surgery. LVR pioneered techniques result in rapid healing and resumption of daily activities in a short period of time. The information on the specific DLV procedures that you are interested in can be viewed under their respective information modules.

The best candidate for this procedure is a physically healthy woman with realistic goals.

Typically performed on an outpatient basis under local with pudendal block (nerve block to numb the entire vagina and vulva), IV sedation with pudendal, twilight with pudendal, epidural, and general anesthesia, LVR combined DLV can last between 90 minutes to 3 hours depending on the extent of the vaginal relaxation and whether both the top (anterior) and bottom (posterior) walls/muscles are treated and the nature of the DLV procedure.

First a pudendal block is given to provide 18-24 hours post operative pain control anesthesia. Then using a mixture of local anesthetics and adrenaline, a special solution called tumescent fluid is created. This solution is injected into the anterior and posterior vaginal walls to assist in the bloodless LVR technique. A special laser is used to perform the “proprietary” LVR technique. The laser is used to do all the cutting and dissecting. Sutures are used to tighten the muscles of the upper/anterior (if required), lower/posterior and perineum according to the specifications and desires of the patient. After completion of this the DLV procedure is performed. Upon completion of the LVR/DLV procedures, a vaginal pack is placed and then you are transferred to the recovery room. The recovery period is usually 1 to 2 hours and then you are released into the custody of an adult and you can go home.

You should expect some bruising, swelling and pain after your procedure. You will have a vaginal pact which will be noticed as a white gauze outside the opening of the vagina. It is to be removed the morning following surgery (instructions will be given). Swelling may linger for as long as two to four weeks. Pain medication will be prescribed to control any discomfort, however, if you begin to have severe pain, contact us immediately. Note that the pain medications can cause constipation (it is the most common complaint) and you should use a stool softener such as colace, drink plenty of fluids, and eat fruits and vegetables to help to keep the stools soft. Apply ice packs to the perineum and vulvar structures that were treated, off and on for the first 48 hours to minimize swelling. If patients have hemorrhoids they can on rare occasions see a post surgical flair up. If this happens you will be provided with medications for treatment. The hemorrhoid or peri-anal swelling condition will resolve in ten to fourteen days. Make sure that you take all medications as prescribed.

The recovery process is different for everyone, but within a day after your LVR, you should be up and walking around. You may shower on the second or third day following surgery. No tube baths for four weeks. Refrain from thong underwear and tight fitting clothing for four weeks. You may need to be out of work and away from your usual activities for the first week. Over the next two or three weeks your treated areas may remain very sensitive and strenuous physical activities should be limited. Following this period you may gradually return to activities such or lifting, and light exercise. Avoid any high impact activities for about one month. In particular you should avoid jogging and bouncing activities for up to six weeks. These procedures will help you avoid stress to your treated areas and allow time to heal and recover. Sex may be resumed in six weeks.