vaginoplasty for new moms

Surgical vaginoplasty or vaginal rejuvenation (also known as posterior colporrhaphy) is the surgical procedure which tightens the muscles inside the vaginal canal. Vaginal rejuvenation is not a cosmetic procedure, it is a reconstructive surgery meant to increase vaginal tightness and increase sensitivity.

Vaginal rejuvenation surgery is performed when a woman experiences vaginal laxity and a lack of friction, which can be caused by a variety of scenarios, including vaginal childbirth or multiple pregnancies.

HOW TO CHOOSE A VAGINOPLASTY SURGEON

Gynecologists and Urogynecologists perform vaginal tightening surgeries. Choose a vaginoplasty surgeon with experience and the proper training. During your consultation, ask to view before and after photos to assess the surgeon’s work. Note that some surgeons may not publicly display these images due to privacy concerns or consent issues. Dr. Judy Wei is a fellowship-trained board-certified OB/GYN and she completed an aesthetic vulvovaginal one-on-one surgical preceptorship.

VAGINOPLASTY FAQs

Vaginal rejuvenation surgery is performed when a woman experiences vaginal laxity and a lack of friction. Vaginal laxity can be caused by vaginal childbirth, multiple pregnancies, heavy lifting, or excess weight putting pressure on the pelvic floor muscles and support tissues. Vaginoplasty surgery re-tightens the muscles and is recommended when a candidate is experiencing significant vaginal laxity that cannot be treated by alternative non-surgical treatments, or for those looking for more permanent results.

Vaginal laxity may result in stretching tissue, to the point where sometimes tampons may fall out. It can also affect sexual pleasure. Vaginoplasty is also used to correct congenital defects of the vagina and acquired deformities due to cancers, tumors, or trauma.

No, tightening of the vaginal opening is called a perineoplasty and this procedure by itself will not create more internal friction. To obtain real results the surgeon will have to tighten more than just the opening of the vagina.

This procedure is done in the operating room at our Irvine clinic under local anesthesia.

Once the amount of tightening to be done is determined, a pie-shape wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. If there is external skin that protrudes, this can be reduced as well for a more aesthetic result.

For the first week, you should just relax, you may walk around and drive but must avoid all lifting, exercise, intercourse, vacuuming, and swimming. The risks of not following the doctor’s recovery orders may include bleeding, infection, and broken sutures, leading to an unsuccessful surgery. Please follow directions, a revision surgery will only prolong the recovery process. Do not insert anything into the vagina! No tampons and no sex for 7 to 8 weeks. Dr. Wei will discuss all recovery medications and activities with you in detail after your surgery. Most patients can resume all daily activities within 8 weeks.

Patients may feel a deep itch for the first few days. It is also normal to have vaginal discharge and urine leakage in the first few weeks after surgery. It will be normal for urine to spray, rather than flow, until the swelling around the urethra goes down. Depending on the amount of tightening performed, some patients may be instructed to use dilators and clean vagina using a douche.

No maintenance is necessary. This procedure provides you with permanent results. The only maintenance necessary will be your post operation appointments with your surgeon to monitor your healing. These scheduled appointments will be discussed with you during your preoperative consultation.

Patients will notice results once cleared by their surgeon after the initial downtime of 6-8 weeks post surgery. However, there may be tenderness, swelling and many other factors that may influence post-op results. Full healing of the surgery site and settlement into its new permanent state may take from 6 months to 1 year after the surgery.

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