Vaginoplasty (Vagina Tightening Operation)

Nowadays, vaginoplasty, vaginal tightening and rejuvenation operation has a large place in genital aesthetic operations. Vaginoplasty operation has many aesthetic and functional benefits.

The main purpose of vaginoplasty operation is to correct the abnormal vaginal deformation caused by vaginal enlargement, loosening, sagging and stretching caused by multiple factors (frequent and difficult births, menopause, hormonal changes due to aging, infections, collagen tissue diseases, etc.) over time, in a sense, it gives the vagina its former density and form.

Abnormal vaginal enlargement causes serious problems such as lack of self-confidence, sexual reluctance, loss of sensation, infection, noise and gas coming from the vagina, which affect women’s comfort of life. Accordingly, the biggest purpose of the operation is to regain the lost self-confidence in women, to eliminate the sexual problems they experience with their spouse or partner and to eliminate the problems caused by enlargement.

With vaginal tightening surgery, the vagina becomes aesthetically more attractive and the lives of couples change positively in sexual intercourse. While performing this operation, sometimes other aesthetic operations are performed in combination depending on the patient’s needs and wishes. Surgical or non-surgical (laser, radiofrequency) methods are preferred, taking into account the width of the vaginal canal, the degree of abundance, accompanying additional problems, the patient’s preference and request.

For vaginoplasty operation, the patient does not necessarily have to have given birth or be of advanced age. Because vaginal aging or enlargement is not just about age. Sometimes vaginal enlargement occurs in young women who have never given birth due to various factors.

The experience and knowledge of the physician is very important for the success of vaginoplasty operation. It is extremely important to consider the patient’s complaints and wishes and decide accordingly how much the vagina will be narrowed in each vaginoplasty operation, whether an additional operation will be added to the operation, whether an injection will be made.

How is vaginoplasty performed?

Vaginoplasty is performed by surgical and non-surgical methods. The main point here is the degree of complaints and problems caused by vaginal enlargement and deformation. Most importantly, if there is severe vaginal enlargement and stretching, surgery should be considered if there is sagging in the bladder (cystocele), sagging in the intestine (enterocele) and the complaints and symptoms caused by these.

However, if the degree of vaginal enlargement is not severe and is not accompanied by other problems, if the patient is afraid of anesthesia and surgery, laser or radiofrequency narrowing is performed.

Surgically, vaginoplasty is an operation that takes approximately 30 minutes – 1 hour in a hospital or clinic environment. However, if other operations are to be performed in addition to this, the operation time is prolonged. The patient is discharged the same day or the next day, and the patient returns to work after 2-3 days. Depending on the characteristics of the patient, it is performed under general anesthesia, epidural and sometimes local anesthesia with sedation. In surgical vaginoplasty, the excess tissues that cause enlargement in the vagina are duly cut and removed. The enlarged vaginal floor muscles due to deformation are brought closer together and thus a tighter and younger vagina is created. Since the stitches are dissolving stitches, there is no need to remove the stitches after the operation, at the same time the stitch marks remain inside and do not create a bad appearance. One of the main points here is that it is necessary to narrow not only the 2-3 cm area of the vaginal entrance in the operation, but also the entire vaginal floor (complete vaginal narrowing), but also to treat other problems that accompany the accompanying vaginal enlargement.

Laser vaginal tightening

With the development of laser technology, laser technology is now frequently used in the field of genital aesthetics. It is especially important that it does not require surgery and anesthesia, is painless and painless, and achieves serious success in selected cases. If the patient does not have severe vaginal enlargement and deformity, laser vaginal tightening is a preferred method. The procedure takes 20 minutes, no pain is felt and the patient can return to work immediately. No additional medication is required after the procedure and no dressing is required since there are no stitches. With the laser, the connective tissue is stimulated by the thermal and abrasive effect in the vagina, the collagen tissue is renewed and new collagen fibers are formed. With this mechanism, both vaginal tightening and sexual pleasure enhancing effect occur. After the laser procedure, 90% of the patients show a significant improvement in their sexual life. At the same time, if the patient has urinary incontinence, both urinary incontinence complaints and infection decrease with the laser.

Important points for a successful vaginoplasty operation

The physician who performs the procedure must be experienced and knowledgeable about genital aesthetics.

The degree of vaginal enlargement, the complaints and problems it causes in the patient, as well as all the problems accompanying the enlargement should be revealed and the operation should be completed accordingly.

It is extremely important to inform the patient about the patient’s expectations and the operation. As a result of the examination performed during the vaginoplasty operation and taking into account the patient’s wishes, it should be determined whether an additional operation is required and these should be shared with the patient.

In surgical vaginal tightening, it is extremely important for the patient to decide how much the vagina will be narrowed. While deciding on the degree of narrowing, it should be kept in mind that there will be some stretching over the years due to the flexibility of the vagina. If the narrowing procedure is not performed sufficiently, this procedure is considered unsuccessful and an additional revision procedure may be required. Sometimes it is troublesome to narrow it more than necessary. Here the patient has difficulty in having intercourse. In an important mistake, the entrance of the vagina is lifted upwards in the vaginal tightening operation, in this case, the patient cannot have intercourse and there is pain during intercourse.

Narrowing is not only the 2-3 cm part at the entrance of the vagina, but the entire vaginal floor must be properly narrowed. Otherwise the procedure will result in failure. In fact, the wider the vagina is, the more it is narrowed, that is, the degree of narrowing of a woman who has never given birth and a woman who has given 4 births is different.

Before starting the vaginoplasty operation, the width of the vagina is practically determined by the finger method. 1 or 2 fingers are considered normal, 3 fingers width is considered moderate, over 4 fingers width is considered advanced. In general, the aim is to bring the width of the vagina to 1-2 fingers.

Vaginoplasty operation narrows the vagina both internally and externally. If there is a bad episio line, this area should also be aestheticized in the same session or if the perineum area between the vagina and the anus is troubled, perinoplasty can be added to the operation.

Points to consider after vaginoplasty operation

• After vaginoplasty operation, the patient is discharged on the same day or 1 day later. There are no complications when performed properly and by an experienced physician.
• Sexual intercourse is prohibited for 4-6 weeks for the vaginal area to heal, and attention is paid to cleanliness and hygiene to prevent infection.
• Stitches are not removed, but dressings are required for 10-15 days.
• The patient should follow the doctor’s medication and recommendations.
• After the surgery, the patient should take a standing shower for 2-3 weeks and stay away from sea and pool type activities.
• For 6 weeks, heavy exercises are prohibited.
• Postoperative nutrition should be taken into consideration and care should be taken to clean the area during urination.
• There may be a little bleeding for 2-3 days after surgery, the patient should not panic and should inform his/her doctor in case of abnormal conditions.

Frequently Asked Questions About Vaginoplasty

How long does a surgical vaginal tightening operation take?

The operation takes 30-60 minutes on average, but this time increases if additional operations are added.

How long does laser vaginal tightening take and is it a painful procedure?

Laser vaginal tightening takes an average of 15-20 minutes. It is a painless and painless procedure. No anesthesia is required.

Does the vagina enlarge again after vaginal tightening operation?

If the operation is performed properly and by an experienced physician, there will be no dilatation, but if the patient gives birth normally again, there will be a partial dilatation.

Can you be discharged from the hospital on the same day after vaginal tightening and when can you return to work?

After the operation, the patient can return home on the same day or after staying in the hospital for 1 day and can return to work after 2-3 days on average.

Can the patient travel after surgery?

After resting for 4-5 hours on the same day after the operation, the patient can travel by road or air.

Are stitches removed after vaginoplasty?

The stitches in vaginoplasty are aesthetic stitches, dissolving stitches and there is no need to take stitches.

Is there pain after surgery?

There may be intermittent pain for 1 week after surgery, painkillers can be taken if the pain increases.

Can vaginal tightening and hymenoplasty be performed in the same session?

Yes, vaginal tightening and hymen sewing operation can be in the same session.

When does sexual intercourse start after vaginal tightening?

Sexual intercourse can be started after an average of 6 weeks.

What is the biggest cause of failure of vaginal tightening?

Especially the inexperience of the physician who performs the procedure, especially narrowing without measuring the degree of vaginal width or narrowing operations performed only without approaching the vaginal floor muscles and repairing the disaster results in failure.