In the field of women’s sexual health, vaginal tightening and rejuvenation surgeries have emerged as a life-changing opportunity for women interested in redefining the physical appearance and functionality of the vagina and improving their self-esteem. Vaginal tightening is seen as a means for women to regain control over their bodies and enhance both the cosmetic and functional aspects of their intimate health.
This article goes beyond the surgical suite to elaborate on why women undergo this procedure, the potential benefits and further information for women who may be interested in undergoing this procedure.
What is Vaginal Tightening Surgery?
Vaginal tightening surgery, also known as vaginoplasty, is a reconstructive procedure aimed at tightening and repairing the vaginal canal, tissues and muscles, thereby reducing the diameter of the vagina. It is often performed together with a perineoplasty, a procedure performed to tighten and repair the region between the vaginal opening and the anus (perineum).
Indications/Reasons To Undergo Vaginal Tightening Surgery
There are several reasons why women consider undergoing a vaginal tightening surgery. Although the final decision is usually a personal one, the following are common reasons for performing a vaginal tightening surgery:
- Address vaginal laxity after childbirth: Vaginal delivery can result in loosening of the vaginal musculature and tissues, resulting in vaginal laxity. Vaginoplasty may be performed in women with this condition to tighten the vaginal canal, restore tone and address these changes.
- Address reduced elasticity associated with ageing: With age, the elasticity of the vagina decreases, and this can result in vaginal laxity. As a solution for women with this condition, vaginoplasty can restore the firmness and tightness of the vagina.
- Improve sexual satisfaction: Some women experience decreased sexual satisfaction as a result of vaginal laxity. Vaginoplasty helps tighten and firm up the vaginal musculature, which improves sensitivity and, in turn, may help these women achieve enhanced sexual pleasure.
- Address pelvic floor disorders, e.g. urinary incontinence: Weak pelvic floor musculature can contribute to pelvic floor disorders such as stress urinary incontinence. Vaginoplasty may be performed to strengthen these muscles and thus correct or alleviate this problem.
- Address cosmetic concerns: Changes in the appearance of the vagina may impact a woman’s self-esteem and image. Vaginal tightening can be used to achieve the desired cosmetic appearance, which in turn boosts confidence.
- For reconstructive purposes after trauma, cancer, or radiation therapy: Any of these conditions affecting the vaginal area may require reconstructive procedures. A vaginoplasty may be a part of the vaginal reconstruction surgery needed to restore the structure and function of the vagina during intervention.
- To address congenital birth defects: Some women are born with birth defects affecting the structure and sometimes the function of their vagina. A vaginoplasty may be used to correct this.
Benefits of Vaginal Tightening Surgery
The benefits of vaginal tightening surgery vary from person to person and include:
- Improved tightness of the vagina
- Enhanced sexual satisfaction
- Correction of pelvic floor disorders like stress urinary incontinence
- Increased self-esteem, confidence and body image
- Restoration of the structure and function of the vagina after trauma, cancer or radiotherapy
- Correction of congenital birth defects affecting the vagina
- Addressing cosmetic or functional concerns, as vaginoplasty can improve the overall quality of life, contributing to a positive perception of oneself
Vaginal Tightening Surgery & Orgasms
Actual or perceived vaginal laxity from factors such as childbirth or ageing can affect orgasm and sexual satisfaction. Vaginal tightening surgeries have emerged as life-changing solutions, specifically designed to not only tackle functional and cosmetic concerns but also enhance orgasm and sexual experiences.
By addressing the stretching and loosening of the vagina and surrounding muscles, vaginoplasty aims to provide increased friction and heightened pleasure during sexual activities. Vaginoplasty not only tightens the pelvic floor muscles but also elevates sexual satisfaction by potentially intensifying orgasms. The improved muscle tone achieved through vaginoplasty, complemented by pelvic floor exercises, may enhance muscle contractions during orgasm, contributing to a more profound and satisfying experience.
Similarly, following a vaginoplasty complemented with Kegel exercise, there is increased blood flow to the pelvic musculature, which in turn increases sensitivity and increases the likelihood and intensity of orgasms. Besides, sexual experience and the ability to achieve orgasm are not solely dependent on physical factors. The procedure’s positive impact goes beyond the physical, fostering a sense of confidence and self-assurance, making vaginal tightening an empowering choice for women seeking to optimize their orgasms and sexual well-being.
The Vaginal Tightening Procedure
- Anesthesia, Position and Exposure, Infiltration:
- This procedure may be performed under general or regional anesthesia to ensure patient relaxation and comfort.
- The patient is positioned in a lithotomy position with the legs placed up on stirrups. Routine cleaning and draping is done.
- The bladder is emptied, and a pelvic examination is done.
- A specialized retractor system is employed for optimal exposure of the outer half of the vagina and perineum.
- The area to be operated on may be infiltrated with a tumescent solution (1 ml of 1: 1,000 adrenaline in 500 ml of normal saline) to help reduce bleeding.
- A “diamond-shaped” incision is made using a specialized tool, such as a radio frequency (RF) needle, laser fibre, cold knife or scalpel.
- The incision follows a specific pattern: the top of the “diamond” is positioned in the midline within the vagina (approximately 1 ½ – 2 ½ inches deep), and the “wings” extend to the vaginal opening at the four o’clock and eight o’clock positions, and the “tail” is situated in the midline, approximately ½ to 1 inch above the anal verge.
- Tissue Removal:
- The fibrous sub-vaginal support tissue is carefully dissected from the vaginal skin.
- Excess or redundant superficial vaginal, vestibular, and perineal skin is excised, along with any underlying scar tissue from previous obstetrical episiotomies and repairs.
- Exposure of Muscle Bundles:
- The procedure exposes the supportive but stretched muscle bundles in the vaginal area.
- Three-Layer Closure:
- Pelvic floor (“levator ani”) muscle bundles are re-approximated using large-calibre absorbable sutures e.g. size 1 vicryl suture.
- Fibrous fascia is re-approximated, gathering and reinforcing it during the process.
- Crown sutures are strategically placed to firmly build up and re-approximate the muscular wall of the vaginal opening.
- Cosmetic Reconstruction:
- Cosmetic reconstruction of the vaginal fourchette is performed to reduce the diameter of the vagina and restore the pre-childbirth state, aiming for an appearance reminiscent of the patient’s anatomy prior to pregnancy and delivery.
This technique ensures the comprehensive repair of the pelvic floor, the fibrous fascia, and the muscular structures of the vaginal opening. By addressing both functional and cosmetic aspects, it seeks to enhance the overall well-being and satisfaction of the individual, restoring a sense of confidence and anatomical harmony.
Professional Advice on Vaginal Tightening Surgery
Vaginal tightening surgery represents a life-changing journey for women seeking to enhance both the functional, cosmetic and sexual aspects of their intimate health. By addressing issues of vaginal laxity, vaginoplasty aims to not only tighten the vaginal area but also potentially intensify orgasms through improved muscle tone and heightened sensitivity. Apart from the physical changes, the procedure fosters confidence and empowers women to reclaim control over their bodies and sexual well-being.
As with any surgical procedure, it is important for women considering surgical vaginal tightening to engage in detailed discussions with their surgeon, set realistic expectations and prioritize their overall well-being.
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