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Vaginoplasty

Vaginoplasty is a type of genitoplasty that surgically tightens or repairs vaginal musculature and the loose and/or redundant mucosa on the posterior wall of the vagina is removed. The excess external skin may also be removed during the process to give the vagina a cosmetically appealing appearance. An alternative to vaginoplasty surgery is using radiofrequency or laser therapy to induce thermal tightening of the internal vaginal lining.  These procedures offer an excellent non-surgical, no downtime solution to vaginal laxity. However, patients suffering from severe vaginal laxity may not significantly benefit from this technique and will realize more effective results with a surgical vaginoplasty.

Vaginoplasty surgery was initially created as a reconstructive procedure for the repair of congenital genital abnormalities to enable the child to have normal urination, menstruation, and sexual function. Over time, vaginoplasty surgery has evolved to cover a variety of conditions ranging from functional problems to cosmetic enhancements. More recently it is being advertised as a vaginal rejuvenation process by many plastic surgeons as a way to achieve a youthful-looking vagina for those suffering from age-related and child-bearing effects on their genitals.

Vaginoplasty surgery is offered by surgeons of varied specialties, depending on the individual need such as those in plastic surgery, gynecology, urology, and pelvic reconstructive surgery.

Labiaplasty is another type of genitoplasty that involves surgery of the skin folds, labia majora, and labia minora, surrounding the vaginal introitus. This surgery may be performed alone but is often performed in addition to a vaginoplasty to achieve an aesthetically appealing genital area.

There are several techniques for reconstructive vaginoplasty surgery, which are used in different clinical conditions.

These include:

- Active or passive stretching by using dilators, Vecchietti traction devices, or balloon vaginoplasty

- Procedures that involve the formation of neo-vaginas from the labial and perineal tissues

- Forming a neovagina in the rectovesical space by using different tissues such as amnion, split or full-thickness skin graft, intestine, peritoneum, or buccal mucosa.

Walkthrough

Let our experienced team guide you through your procedure from start to finish

The Preparation

To prepare for breast reduction, patients are asked to cease the use of all blood-thinning drugs (including aspirin, herbs, vitamins) for two weeks before surgery. If you smoke, you should quit for at least the two weeks before and after your operation. If you are over the age of 45, you will need to obtain medical clearance by an independent physician before undergoing surgery.Dr. Vallecillos may also require that you undergo a mammogram before the procedure, as well as after healing is complete. Typically, the breasts are also photographed and measured before and after the operation, to qualify results.

The Procedure

Anesthesia

This varies depending on which procedures you choose. Discuss your anesthesia options with me during your preoperative consultation, including general, local, and sedation. 

The Procedure

In aesthetic vaginoplasty surgery, the procedure is performed under a general anesthetic but it can also be performed using local anesthesia with a sedative. You will lie comfortably on the operating table with your legs spread apart. Next, according to the preoperative discussions you had with your surgeon, the likely initial steps will be for excess skin to be removed at the vaginal opening. The vaginal mucosa is carefully separated from the vaginal muscles. Excess vaginal mucosa within the vaginal canal is then carefully excised and the cut edges are sewn together. This effectively narrows the diameter of the vaginal canal. Next, the vaginal muscles are approximated or sewn together using a technique similar to that used during a tummy tuck which tightens the vaginal introitus or entrance.

With this technique a relaxed vaginal opening is tightened and made smaller. The incisions are closed by using dissolvable internal and external sutures. Vaginoplasty gives visible results immediately after the surgery although you will have to wait at least 8 weeks before engaging in sexual intercourse. Most aesthetic vaginoplasty surgeries take approximately 1- 2 hours and can vary depending on the skill of the surgeon.

The Recovery

Prepare for your recovery time. This includes someone to take you to and from surgery, someone to stay with you the first night or two, and childcare for at least two weeks following surgery if you have children under the age of five. Housework and driving are also strictly forbidden during this time, so make appropriate arrangements well before your surgery, including backup care in the event you require it.

 

The results of vaginoplasty are generally long-lasting, providing significant improvement in vaginal tightness and function. However, factors such as aging, childbirth, and lifestyle choices can affect the longevity of results. Maintaining a healthy lifestyle, including pelvic floor exercises, can help prolong the benefits of the surgery. 

Promotes Self Esteem

The vagina can take on multiple normal appearances depending on age but these changes may be unwanted by you due to unsightly appearance and they may leave you feeling self-conscious about it. A vaginoplasty, therefore, helps in boosting your self-confidence if you suffer from loss of vaginal tone and tightness. It can promote self-esteem and help you feel more feminine, youthful, and confident in your sexuality.

Improved Sexual Gratification

Another benefit of vaginoplasty surgery is to achieve enhanced sexual gratification if you are suffering from some kind of sexual dysfunction. This may present as a loss of interest or joy during sexual activity and both partners can benefit greatly from this procedure as it will make the act of intercourse enjoyable for you both.
 

Discomfort and Pain

Many women opt for vaginoplasty when they feel pain or discomfort during intercourse. This may be due to damage to the vaginal wall or sagging skin and loss of muscle tone in the vagina. Vaginoplasty can relieve this pain by repair of the vaginal wall and restoring the normal tone of the vagina.

Enhanced Appearance

Vaginoplasty is offered by many plastic surgeons and is undertaken as an elective procedure for those who want to improve the function and appearance of their genital area. This cosmetic procedure can restore a youthful and tightened vagina, and when combined with external skin tightening and texture improving procedures such as Morpheus8 and Fraxel, the surrounding vaginal skin is left  truly rejuvenated and refreshed.

Increased Vaginal Firmness and Strength

Labour and childbirth can significantly damage the muscles of the vagina and pelvic floor and mothers with multiple childbirths can greatly benefit from vaginoplasty. Vaginoplasty helps restore the normal anatomy of the vaginal structures and prevents many complications such as urinary incontinence, and prolapse of tissue from the vaginal orifice.

All the Benefits of Vaginoplasty

Frequently Asked Questions

What is vaginoplasty, and who is it suitable for?

Vaginoplasty, also known as vaginal rejuvenation or tightening surgery, is a surgical procedure aimed at tightening and enhancing the vaginal canal and surrounding tissues. It is typically sought by individuals who experience vaginal laxity or looseness due to factors such as childbirth, aging, or genetics. The procedure can improve sexual satisfaction and confidence in one's intimate relationships.

What does the vaginoplasty procedure involve?

During vaginoplasty, the surgeon tightens the vaginal muscles and tissues by removing excess tissue and suturing the remaining tissue together. The procedure may also involve enhancing the appearance of the external genitalia (labiaplasty) for aesthetic purposes. The surgery is performed under general anesthesia and typically takes a few hours to complete.

How long do the results of vaginoplasty last?

The results of vaginoplasty are generally long-lasting, providing significant improvement in vaginal tightness and function. However, factors such as aging, childbirth, and lifestyle choices can affect the longevity of results. Maintaining a healthy lifestyle, including pelvic floor exercises, can help prolong the benefits of the surgery. 

What Are The Risks of Vaginoplasty?

Specific Risks

The specific risks of vaginoplasty although rare include the following:

  • Necrosis of the clitoral region (1-3%) or the surgically created neovagina (3.7-4.2%), as well as shrinkage of the vagina, can occur in 2-10% of patients.

  • 12-15% of the cases resulted in stricture or stenosis of the vaginal opening and require expert and timely correction so that proper intercourse and menstruation can occur.

  • Damage to the local sensory nerves may occur post-surgery leading to a decreased or abnormal sensation of the vagina. 

  • Intestinal vaginoplasty uses sigmoid tissue to create a new vagina and is beneficial in those with insufficient skin for penile inversion technique. This method however may be followed by paralytic ileus, peritonitis, constipation, and dysuria, and excess mucus production in some patients and can increase the long-term risk of colon carcinoma.

  • Some cases of vaginoplasty may rarely result in fistula formation, which is an abnormal connection, between the vagina and the urethra or rectum and this may require a second surgery for correction. 

  • The final risk of such a surgery is dissatisfaction with the outcome of vaginoplasty which is principally due to dissatisfaction with the external appearance of the newly created vagina.

Most of these complications are rare and can be easily avoided by an open and honest consultation with your surgeon about the expected outcomes and possible risks.

General Risks

The general risk factors of vaginoplasty are similar to other surgical procedures and include hemorrhage, infection, and anesthetic complications. Excessive scar formation may also occur after surgery.  Scarring can also make the vaginal area unsightly and leave you sensitive and uncomfortable, although this is exceedingly rare with vaginoplasty surgery, as this area of the body tends to heal very well.  Additionally, blood clots may form in the nearby deep veins after surgery, known as deep vein thrombosis, and can lead to ischemia and pulmonary embolism. However, such general complications are not common in people who are otherwise healthy before the surgery. 

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