VAGINOPLASTY

Vaginoplasty, also known as posterior colporrhaphy, is a surgical procedure in which the vaginal walls and pelvic floor muscles surrounding the vagina are tightened to add firmness and tone to the body.

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Vaginoplasty

As a reconstructive surgery option, vaginoplasty is also often referred to as “vaginal rejuvenation” and has been growing in popularity in recent years (vaginal rejuvenation includes several different procedures and it is also referred to as genital plastic surgery, genital rejuvenation surgery, vulvovaginal plastic surgery or designer vagina surgery).

Why is vaginal rejuvenation done?

Vaginoplasty was originally introduced to fix genetic vaginal deformations or repair vaginal stretches and tears that can occur as the result of childbirth. Now, many women are also choosing to have the surgery for aesthetic reasons, and for a functional benefit, since one of the greatest losses that women sense as their vaginal walls become weakened is a loss in sexual pleasure and sensitivity.
Loss of vaginal tightness with decreased sexual gratification is incredibly common, especially for women who have had difficult or multiple childbirths. Common symptoms include physical discomfort, emotional insecurity, displeasure and even pain during intercourse (sagging skin and stretched out muscles can make it painful to be intimate) and eventually a feeling of a loss of femininity.
A vaginoplasty can help to restore lost sensitivity by tightening the muscles and helping to restore the pleasures of intimacy, boosting sexual confidence. Some women also choose to combine their vaginal rejuvenation with other vagina plastic surgeries, such as the labiaplasty procedure, clitoral hood reduction and hymenoplasty. Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.

What you should know about vagina surgery

While vaginoplasty can be a good option for some women, there are a few non-surgical options for strengthening pelvic floor muscles, such as Kegel exercises and vaginal creams that are intended to cause swelling of the vagina, making it feel tighter and stronger.

Vaginoplasty is also not recommended for females who are pregnant or plan to have children (a surgery prior to giving birth can render childbirth more difficult and painful, while the effects of childbirth on the vagina are likely to reverse the changes made by vaginoplasty).

Lastly, vaginoplasty is a procedure that has very personal effects on a female and it should not be viewed as a way for a person to make their body look “normal” (it is impossible to pinpoint exactly what a “normal” vagina looks like since the size, shape, color, and feel of the vulva significantly vary from one person to the other).

How is vaginal rejuvenation performed

Vaginal rejuvenation surgery is not an aesthetic procedure at its core; it is a functional operation involving the tightening of the inner and outer muscles and structures of the vagina reducing the internal and external diameter of the vagina and tightening the internal muscles and enhancing vaginal muscle tone, strength and control.

The outpatient surgery will take from one to two hours, with general anesthesia or a local anesthetic with IV sedation used. The procedure begins with a small incision, located on the rear floor of the vagina. The incisions can be made using a traditional scalpel method or by using a laser. Afterwards, a portion of the posterior vaginal wall is excised and the muscles are tightened (the procedure usually involves either pulling the pelvic floor muscles closer together, removing any loose excess skin and scar tissue, or a combination of the two). Once the vaginal canal has been tightened, the mucosal skin is sutured closed.

Recovery and expectations

Patients can expect their recovery after vaginoplasty to last from seven to fourteen days. Though many women are comfortable returning to work within three to five days following the vaginal plastic surgery, vigorous exercise and strenuous activity should be put off for four to six weeks. Sexual intercourse, using tampons, or engaging in any other activity that involves penetration of the vagina should also be postponed during this time.

The end result is a tighter, restructured vagina that will ideally provide more friction and better pleasure during sex. It is common for doctors to recommend that patients do vaginal exercise therapy in the form of Kegel exercises to strengthen the newly formed muscles and prevent future complications.

The risks associated with vaginoplasty are similar to many other common surgeries and include infection, bleeding, severe scarring, and blood clots. However, these risks are typically rare. In fact, the procedure is considered to have fewer health risks than pregnancy.

Vaginoplasty cost (price)

Depending on your individual needs, the cost of a vaginoplasty may vary somewhat. Sometimes, if vaginal rejuvenation procedure should include vaginoplasty combined with another vulvar surgery, surgeons will offer the combined procedures at a lower price than if they were done separately.

Plastic surgeon prof. Dr Milan Jovanovic

Prof. Dr Milan Jovanovic is a specialist in plastic reconstructive and aesthetic surgery. As a surgeon with 27 years of surgical experience, Dr Jovanovic is one of the best experts in anti-ageing, plastic, reconstructive and aesthetic surgery in the region.

He is a professor at the Faculty of Medicine, University of Belgrade, where he teaches general education to students of the fifth year, as well as at the postgraduate education for doctors who specialize in the field of plastic, reconstructive and aesthetic surgery. He is the Head of the Department of Plastic, Reconstructive and Aesthetic Surgery at the Faculty of Medicine, University of Belgrade.

About the Surgeon

Hospital for plastic and aesthetic surgery

Health institution General Hospital – Medical System Belgrade – MSB is a system which combines all medical and dental specialties.

Exceptional and complete services in the fields of anti-ageing, plastic, reconstructive and aesthetic surgery are provided by the Center for Aesthetic Surgery MSB (Medical System Belgrade). Along with the necessary safety, quality, comfort and discretion, our main goal is – a satisfied patient.