Vaginoplasty
WHAT IS A VAGINOPLASTY SURGERY?
Vaginoplasty is a surgical procedure to tighten or reconstruct the vagina, typically performed for functional or cosmetic reasons. The procedure can include various techniques depending on the specific needs and goals of the patient. Some common reasons for undergoing vaginoplasty include:
- Vaginal laxity: Childbirth, aging, or significant weight fluctuations can lead to a loss of muscle tone and elasticity in the vagina. Vaginoplasty can help tighten the vaginal canal and surrounding tissues. Improves sexual function along with satisfaction for both the patient and their partner.
- Congenital conditions: Some individuals are born with conditions that affect the structure or function of their vagina. Some of these conditions are vaginal agenesis (absence of a vagina) or a vaginal septum (an extra wall within the vagina). Vaginoplasty can be used to create or reconstruct the vagina in these cases.
- Gender affirming surgery: Vaginoplasty can also be performed as part of gender affirming surgery for transgender women. In this context, the procedure is often referred to as male to female (MTF) or gender affirming vaginoplasty. The surgery aims to create a functional and aesthetically pleasing vagina and external genitalia that align with the patient’s gender identity.
The specific techniques used in vaginoplasty vary depending on the patient’s needs and goals. The surgery generally involves tightening the vaginal muscles and removing excess tissue, resulting in a narrower and tighter vaginal canal. Recovery from vaginoplasty typically takes several weeks. Patients are advised to abstain from sexual activities and tampon use during this time to ensure proper healing.
VAGINOPLASTY PROCEDURE
The vaginoplasty procedure can vary depending on the specific needs and goals of the patient. Depending on the patient’s needs, it can be done as plastic surgery or reconstructive surgery. The most common reason for the procedure is vaginal tightening. The steps of vaginoplasty for vaginal tightening is as follows:
Consultation: Before the procedure, the patient will have a consultation with the surgeon to discuss their concerns, goals, and expectations. The surgeon will evaluate the patient’s medical history, anatomy, and specific issues to determine the most appropriate surgical approach.
Anesthesia: Vaginoplasty is typically performed under general anesthesia or local anesthesia with sedation to ensure the patient’s comfort during the procedure.
Incisions and tissue removal: The surgeon makes an incision in the posterior vaginal wall (the area closest to the rectum) to access the underlying tissues. The incision usually extends from the perineum towards the cervix. The surgeon removes a small portion of the vaginal lining (mucosa) and tightens the underlying muscles and tissues with sutures.
Perineoplasty (optional): In some cases, the surgeon may also perform a perineoplasty. That procedure involves tightening the muscles and tissues around the vaginal opening and the perineum. That can further enhance the sensation of vaginal tightness and improve the area’s appearance.
Closure: Once the desired level of tightening has been achieved, the surgeon closes the incision with absorbable sutures. These sutures will dissolve on their own over time and do not need to be removed.
Recovery: After the procedure, the patient may experience discomfort, swelling, and bruising in the treated area. Pain medication and cold compresses can help alleviate these symptoms. A sanitary pad may be needed to absorb any light bleeding or discharge.
The patient should avoid sexual intercourse, tampon use, and strenuous activities. These activities should be stopped for about six weeks or as the surgeon directs to ensure proper healing.
It is essential to consult with a board-certified plastic surgeon or gynecologist. Your surgeon should be experienced in vaginoplasty and open to discussing your goals, concerns, and expectations.
