Vaginal tightening, also known as vaginoplasty surgery, is the surgical restoration of severely enlarged or deformed vaginal tissues of women who have had one or more births, large babies or prolonged birth histories.
Vaginal tightening is performed to correct unwanted enlargement, stretching and sagging of the vaginal walls that occur after normal childbirth and to narrow and re-tighten the vagina along its entire length.
Vaginal enlargement negatively affects both partners during sexual intercourse. Enlargement, loosening, during sexual intercourse, causes inability to orgasm, decreased sexual satisfaction, lost penis syndrome, and ultimately a decrease in sexual desire with a decrease in the frequency of sexual intercourse.
Due to this situation, the woman gradually begins to experience a loss of sexual self-confidence. Her self-confidence decreases, her partner relationship starts to crack due to sexual problems and sexual reluctance gradually develops. These situations are prevented with vaginal tightening surgery.
In recent years, there has been an increasing interest in genital aesthetics all over the world. This relationship between vaginal tightening surgery and vaginal aesthetics, which is closely related to sexual life, causes women to knock on the door of genital aesthetic specialists like me for genital aesthetic operations such as vaginal tightening vaginoplasty in Konya.
Stretching and enlargement in the genital area after normal birth can normally return to its previous state within 1 year. However, in some women, stretching and enlargement do not improve and may be accompanied by urinary bladder sagging or intestinal herniation. In addition, due to the poor healing of the birth sutures, which we call cicatrix, it looks aesthetically and anatomically bad. These bad anatomical conditions and color changes cause psychological problems in women and cause pain, numbness and deprivation of pleasure in sexual intercourse.
Women who are not aware of these problems at a young age, neglect them or think that they are unaware of the existence of treatment will be accompanied by bowel prolapse, bladder prolapse and uterine prolapse at an older age.
Unfortunately, many women who are uncomfortable with the appearance of the pink tissue inside the vagina when viewed from the outside of the genital organ and its bulging outwards cannot tell anyone about these problems. They even hesitate to talk to the gynecologist for fear of being misunderstood.
Then, because of this problem, problems arise in their sexual life. Most women either go through a separation process or face deception. As a result, many women lose their sexual self-confidence and refuse to have sex or remarry.
If you also have problems after giving birth, such as feeling of abundance, gas sound during intercourse, not being able to feel the penis during sexual intercourse, tissue prolapse from inside the vagina to the outside while receiving threats from the outside, feeling these tissues from the outside with your hand, being able to see the inside of the vagina with a mirror, if all these problems negatively affect your mental state and sexual life, you should definitely consult a gynecologist experienced in urogynecology for examination.
A series of vaginoplasty surgeries including vaginal tightening, bladder prolapse, bowel prolapse, perineal correction and uterine prolapse may be waiting for you. During vaginal aesthetics or vaginal tightening (vaginoplasty) operations, your surgeries can be planned by combining labiaplasty and external labia filling surgeries.
Vaginoplasty surgeries are becoming widespread all over the world and increasingly in our country, and women find solutions to these problems that they are ashamed of and hide. We urogynecologists can correct not only anatomical and aesthetic problems but also functional problems with this surgery. The daily activities of women who undergo surgery increase and their quality of life improves.
We can divide vaginal tightening surgeries into two parts according to the application of women. Some young women are patients who apply for surgeries only because of vaginal abundance. Most of them are uncomfortable with poor healing of birth incisions. Since the incisions do not heal properly, the vaginal opening is at the entrance of the vagina.
Generally, the main problems of these women are sexual and aesthetic problems. Some women apply at older ages. These women have functional disorders accompanied by anatomical problems such as urinary incontinence, uterine and bowel prolapse rather than aesthetic concerns. These patients often ignore their problems, accept them as normal after birth and postpone consulting a doctor by saying today and tomorrow.
Why, I hear you say, the problems are not at all like ignoring. Because these women are ashamed to say that they have urinary incontinence. Most of them have sexual problems between couples, but again they are ashamed to tell. In these women, anatomical and functional problems, bladder and bowel prolapse are corrected. Excess tissues are removed and vaginal tightening is performed.
Anesthesia is very rarely needed in this type of operation. When it is needed, this happens with local anesthetic creams.
Laser treatments have become an important tool in genital aesthetic surgeries, CO2 and Erbium YAG lasers in eliminating functional problems. With the laser, an all-round laser pulse is fired along the entire length of the vaginal wall.
Sometimes, in the same session, discoloration and deformities due to poor healing of the incision made during childbirth (episiotomy),i.e. scar tissue, are also corrected. We perform the laser procedure outside the menstrual period. In general, laser procedures are planned at the end of menstruation and our patients are informed about the issues to be considered after the procedure. Sexual intercourse is not recommended for the first week after the laser.
A probe similar to an ultrasound probe is inserted into the vagina. The high-energy laser light emitted through this probe into the vagina spreads all around the entire vaginal wall. An inflammation (inflammatory process) starts under the layer we call mucosa in the vaginal tissue. The body's reparative cells and cells called 'fibroblasts' come to the inflammation area quickly through the bloodstream.
They initiate a series of processes to revitalize, tighten and rejuvenate the tissue. In this process, cells called f*ibroblasts produce molecules called 'collagen' and 'e*lastin'. This means the production of connective tissue. With the newly produced fresh connective tissue, the vaginal tissue is rejuvenated, revitalized, renewed, tightened and blood circulation increases thanks to the newly made capillaries in the vaginal tissue.
Laser vaginal tightening can be applied to all sexually active women who feel vaginal width, abundance and experience problems such as not being able to feel the penis during sexual intercourse, and gas coming out of the vagina during sexual intercourse. It is also known as "non-surgical vaginal tightening". Approximately 3-4 weeks after the vaginal laser, both the woman and her partner can feel the tightening.
A total of three sessions are applied in average monthly periods. At the same time, I can perform 'O Shot', a genital aesthetic procedure called Orgasm vaccine by the society, with P*RP at the same time for the patients I perform vaginal tightening with laser.
The purpose of the O Shot procedure, known as orgasm vaccine, is to increase pleasure in sexual intercourse and to trigger orgasm in women who cannot orgasm, and to increase the quality and intensity of orgasm in those who have orgasm.
Vaginal laser application should not be performed in the presence of the following conditions;
Before vaginal laser application, we check our patients with gynecological examination and ultrasound. There should be no suspicion of gynecological cancer after the examination. When we detect a vaginal infection, we first treat it. We also check the smear tests of our patients who do not have a smear result within a year. In any suspicious situation, we deal with this problem first.
Laser treatment is an extremely painless, comfortable and comfortable procedure for the patient. Very rarely, for some individuals with a low pain threshold, we apply a mild anesthesia by applying a numbing local cream into the vagina 10-15 minutes before the laser procedure, and then apply the laser procedure.
Laser vaginal tightening can be performed together with procedures such as labiaplasty, vaginal whitening or genital aesthetics. Even in patients with urinary incontinence without vaginal enlargement and sagging problems; posterior wall vaginal tightening and anterior wall laser application can be combined.
Women feel more confident in their private and social lives. Their anxiety about experiencing new partnerships decreases or even disappears.
Yes, if you are someone who is considering vaginal tightening, I am writing these lines to you; You will get rid of the negativities you experience during sexual intercourse with your partners. The narrowing, re-tightening, rejuvenation and normalization of your vagina will increase your and your partner's sexual satisfaction, pleasure and desire. Sexual reluctance will end for both parties and orgasm will pass. It is not difficult to experience more satisfying quality orgasms, just ask for it.
Your problem of sounding like a ridiculous, flush flush gas sound coming from the vagina during intercourse will disappear. For this reason, you will no longer need to be ashamed of your partner, you will be able to focus better during sexual intercourse, feel the pleasure more intensely and your concentration in sexuality will increase.
When we usually perform labiaplasty surgery together with vaginal tightening surgery, you will be more comfortable when you wear tight pants, jeans, tights, bikini and swimsuits. You will not have to correct and change your underwear every now and then.
You will get rid of vaginitis and cystitis, which you cannot cope with despite treatment and prevention of recurrent vaginal infections and urinary tract infections. You will no longer have to deal with the discharges that occur every other day in your genital area, and your underwear will be drier.
With the labiaplasty surgery added to vaginoplasty, this problem will be eliminated as the labia are shortened by the penis entering the vagina (penetration) during sexual intercourse. You will be able to have a painless sexual intercourse easily.
Orgasm occurs in two ways in women; the first is a shorter and superficial orgasm caused by stimulation of the clitoris head, and the other is a more satisfying and long-lasting deep orgasm caused by stimulation of the posterior arms of the clitoris on the anterior wall of the vagina and the vulvar erogenous network, in other words, the area known as the G-spot.
With vaginal tightening surgery, the vagina and penis come into more contact with each other during sexual intercourse and thus the pressure applied to the vulvar erogenous top increases. In addition, when the entrance to the vagina is narrowed surgically, the clitoris head and body will slide down a little towards the vagina. In this way, the clitoris will be stimulated more during penis entry and exit.
More stimulation of both the G-spot, that is, the vulvar erogenous network and the clitoris will ensure that the orgasm will be shorter and more intense. Vaginal tightening operations (vaginoplasty) have also been shown in studies to positively affect sexual satisfaction and orgasm by increasing clitoral sensation with the effect of physical pressure. Vaginoplasty vaginal tightening surgeries also increase sexual satisfaction, orgasm and satisfaction in male partners.
Due to the problems and complaints you experience in your vagina, most women hesitate to tell this even to their closest ones because this organ is both intimate and the problems you experience include sexual problems. It is very important that you choose and trust the doctor you will share this private and confidential matter with.
The scientific identity of your vaginoplasty doctor, his/her surgical experience in genital aesthetics and urogynecology, and his/her special work in this field are important. You should be informed about these issues.
Vaginoplasty surgery (vaginal tightening surgery) is a specialized surgery that requires special surgical experience and knowledge. When these surgeries are performed by physicians who do not have sufficient clinical experience, surgical experience and adequate equipment, the results of the surgery may not be satisfactory and these results may cause unhappiness in patients. Disappointments may occur.
When you go to your doctor for an examination, it would be appropriate for you to see the preoperative and postoperative photographs of the patients he/she has operated on before. After determining a physician for yourself, the hygiene of the environment where you will undergo surgery and compliance with sterilization rules should be sufficient. Do not forget that it should also be suitable for surgical and technical equipment.
If you have a problem with vaginal opening, perineum and vaginal stenosis after childbirth, contact us and we can provide detailed information about non-surgical solutions or surgery.
Especially in women who apply with the complaint of vaginal loosening at a young age, who come with sexual and aesthetic concerns, when we do not solve this problem, they apply with diseases such as uterine prolapse, bladder prolapse, bowel prolapse, urinary incontinence and sometimes a very advanced condition, such as the uterus coming out of the vagina completely. This stage causes us to perform more difficult surgeries that we call too late or surgeries that may require removal of the uterus.
During normal delivery, the episiotomy incision, which is applied to the vagina just before the baby exits the vagina, may not be sutured or opened or not sutured in a way that brings the tissues together, resulting in permanent damage to the vaginal wall and vaginal entrance. This leads to vaginal enlargement and loosening over time. The couple's sexual life becomes problematic for both of them. This situation gradually becomes a problem for both couples during sexual intercourse.
In the intimate life of couples, frigidity develops gradually. As for the causes, the woman experiences pain during sexual intercourse. The woman's sexual satisfaction, orgasmic satisfaction decreases. Gradually, the frequency of sexual intercourse decreases. Sexual reluctance develops. Over time, the woman's self-confidence also decreases.
In recent years, it is observed that there has been an increase in the positive direction between sexuality and genital aesthetics in the whole world and in our country. As the number of women who become conscious, read, research and use the internet increases, women are more likely to apply for vaginal tightening surgery (vaginoplasty or vaginal aesthetics) and other genital aesthetic operations (labiaplasty, clitoris aesthetics, venus hill aesthetics, Barbie vagina, vulva filling injections, O-shot, G-shot, etc.).
If vaginal tightening surgery is not performed as much as desired, we can consider the surgery unsuccessful. How do you know that this is the case, loss of sensation in sexuality, decreased satisfaction and satisfaction, gas sound continues to be emitted during intercourse. It is necessary to wait 6 months for a repeat surgery. Narrowing, revision and tightening should be done again with revision surgery.
If the vaginal entrance is left too high in vaginal tightening surgery, sexual intercourse will either be very difficult / or impossible due to this skin fold in front of the vagina, or the woman will have pain during penile penetration.
Some women may have a fear that it will hurt a lot during intercourse due to the anxiety that develops after surgery, even though they have a normal vaginal stenosis. Therefore, they may refrain from sexual intercourse. We inform these patients that they are now ready by performing a vaginal examination in their postoperative controls.
Sometimes, in vaginal tightening surgeries, sexual intercourse may not be possible because excessive tissue is removed from the vagina. Although such cases are rare, if such an event has occurred, it may be necessary to perform a flap shift into the vagina with revision surgery.
Most of the women who apply for vaginal tightening surgeries have given birth normally. However, there are also applications from women who have never been pregnant, have not given birth or had a cesarean section. Vaginal abundance is closely related to genetic structure, nutrition and sports.
Complaints such as vaginal enlargement, vaginal loosening, the sound of gas coming from the vagina in some movements (especially when praying),and the sound coming from the vagina during sexual intercourse are the most common reasons for application. Women who have had one or more than one childbirth, difficult and prolonged normal births, giving birth to a large baby, and women who experience conditions that cause labor to last much longer than normal experience this problem frequently.
Women who have had an intervention birth, such as the baby's descent and entering the birth canal upside down, and women who see the vaginal walls stretching and expanding when they look at the vulva from the outside, express both visual discomfort and numbness during sexual intercourse.
The biggest reason for the enlargement and loosening of the vagina is that the stretched vaginal walls that expand after normal delivery do not return to their previous state at the end of the puerperium. Apart from this, health professionals (midwives and doctors make an incision in the perineum to facilitate the baby's exit and prevent uncontrolled tears),which allows the birth canal to expand.
If the stitches applied to these perineal/vaginal incisions, called episiotomy, do not heal properly, open or heal poorly, which we call scarring, it causes deformation of the vaginal perineal tissues, poor appearance and vaginal opening. Even if some women have never given birth, sometimes vaginal loosening, stretching and enlargement may occur. This situation depends entirely on the genetic structure of the person. Due to the different properties of collagen structures, these women may experience vaginal loosening and relaxation.
With the advancing age of human beings, just as other organs in our body age, our skin sags and leaves itself in the vaginal tissues due to the advancement of our age. Accordingly, enlargement and stretching occurs in our vaginal tissues. These women say that they feel air escaping from the vagina in their daily life activities, like the sound of gas, and that they are very uncomfortable with this situation.
If a woman is uncomfortable with her vulva, vagina, outer lip and inner lip structure and is not satisfied with her appearance, this situation leads to problems in terms of personal self-confidence, sexual self-confidence and problems with her partner during sexual intercourse. When it is first noticed, it is necessary to solve this problem without spending time and without experiencing conflicts at the relational level.
In our society, women hesitate to voice their problems. They choose to be embarrassed and ignored, and since most of them are ignorant of sexuality and orgasm, they sadly do not even realize the vaginal change in themselves, and they learn very painfully and heavily when they are deceived. Some women realize the problem, but do not know exactly where, to whom and how to apply.
I prefer to perform vaginal tightening surgeries in the operating room under spinal anesthesia or under general anesthesia. Although some of my colleagues prefer to do it by numbing with local anesthesia in a clinical setting, I prefer to do it in the operating room. The vagina is a tubular organ about 6-8 cm long. Local anesthesia is not enough to narrow it along its length. Local anesthesia can be used only for interventions such as correction of the entrance and removal of the episiotomy scar.
It is a surgery that I can perform extremely easily by chatting with my patient in the operating room. Our women who apply to the clinic worried, anxious, scared and nervous express that they do not feel any pain shortly after starting the operation and that they are comfortable. When I was discharged the next day, they express that if I had known that they never guessed that it was such an easy surgery, I would not have postponed it so easily and would have thought of having surgery earlier.
In vaginal tightening surgeries, if there is no excessive vaginal abundance and enlargement in some women, especially in women who do not have uterine prolapse and who have not given birth normally, I first apply laser vaginal tightening, rejuvenation and tightening for three sessions, and if I cannot achieve a solution, then I turn to vaginoplasty surgery.
In the laser vaginal tightening rejuvenation procedure, it can be applied along the entire vaginal canal and 360 degrees, compared to the narrowing operation performed in a limited area with surgery. It is possible to apply it in as little as 20 minutes on average, and women do not feel pain and pain during laser vaginal tightening surgery.
After the laser vaginal tightening procedure, sagging, stretching and loosening of the vaginal wall due to childbirth, abortion or other reasons tightens the tissues to some extent. Vaginal entrance walls that cannot be tightened after 3 sessions with laser are removed from the vagina under local anesthesia by removing a triangular piece of excess. The remaining vaginal tissues are sutured by re-narrowing the vagina in reciprocal layers using sutures that are absorbed (self-absorbed) under sterile conditions suitable for tissue layers.
During vaginal tightening surgeries, it is necessary not only to narrow the vaginal tissues, but also to bring the levator ani muscle, which forms the bilateral pelvic muscle base, which we call the levator suture, closer to each other by suturing each other in order to narrow the full entrance section of the vagina.
The sutures we use during vaginoplasty do not need to be removed after surgery. Therefore, our patients do not have to have stitches removed.
We perform vaginal tightening surgeries under spinal or general anesthesia in the general operating room under sterile conditions. The surgery takes an average of 1.5 to 3 hours. During the operation, our patients are comfortable and relaxed, they do not really feel pain, pain and pain. They can be discharged home the day after the surgery, take a standing shower and return to their daily light activities.
Vaginal tightening surgeries should be performed by a urogynecologist physician who has a special knowledge of the anatomical structure of the genital area. More successful results are obtained in vaginal tightening surgeries performed by experienced and competent hands working only in this field. It is also a surgery with almost no risk with less risk of complications.
What is the ideal female vaginal tightness? Every woman's vulva, vagina, perineal adhesion and inner lip structure are different. Just as each woman's face, eyes, nose and eyebrow structure are different, the organs of the genital area have different tissue characteristics and anatomical structures. In other words, there is no standard such as ideal vaginal width and narrowness for anyone.
When performing vaginoplasty surgery, we surgeons perform a woman-specific surgery. Before the surgery, we show and ask the patient the thickness and length of the penis with penis models or dilators in the clinic before surgery. Accordingly, we try to adjust the ideal vaginal structure of the woman. We reshape vaginal tightening according to the special wishes of the person.
After vaginal tightening surgery, our patients can return to their daily light activities after discharge. Patients who undergo perineal correction (perineoplasty) in the clinic with local anesthesia can return home by walking from the clinic. Of course, it should not be inferred that they can do very heavy sports. There is no harm in doing light daily work at home.
After discharge from surgery, if additional combined surgeries have not been performed (such as labiaplasty and clitoris aesthetics),they can take a bath in the form of a warm shower while standing. If there are additional surgeries, we recommend waiting 3 days.
On average, after vaginal tightening surgery, we place a ban on sexual intercourse for 6-8 weeks depending on the tissue structure of the person. After vaginoplasty surgery, we recommend not to enter humid environments such as the sea, pool, bathtub, hot spring, jacuzzi, sauna and Turkish bath with the prohibition of sexual intercourse for an average of 1.5 months.
In vaginal tightening surgery, we use sutures that are completely absorbed by the body, as in labiaplasty and clitoris aesthetic surgery. For this reason, our patients do not need to come to the clinic to have stitches removed again. This situation provides great convenience to many of our patients coming from outside Konya for vaginal tightening surgery and vaginal aesthetic surgery.
There are many applications from outside Konya to our clinic in Konya for laser vaginal tightening, rejuvenation and urinary incontinence treatments, as well as vaginal tightening and labioplasty surgery. We accept a lot of applications from intercity and even from foreign countries in recent years.
We can discharge on the same day immediately after local surgeries or laser procedures in the clinic. In the treatments we perform in the operating room, we can discharge them one day after the operation and send them to their countries.
So far, we have not heard from our patients that they have had any problems in this regard. Nevertheless, we recommend that they contact our clinic before their arrival, make an appointment with our clinic in line with our recommendation and make their travel plans accordingly, as they will travel by plane, train or bus and return.
After vaginal tightening surgery, if pregnancy is planned, I recommend surgery after pregnancy, because the weight of the pregnancy itself will cause a sagging in both the vagina, the bladder and the entire uterus. Apart from that, since normal delivery itself will be an extra traumatic situation, we recommend cesarean section, not normal delivery.
The prices of laser procedures such as laser vaginal tightening, laser vaginal tightening, laser vaginal rejuvenation and vaginal tightening surgeries to eliminate functional and anatomical problems we perform in the operating room may vary in clinics according to the deformation, width, duration of surgery, surgical technique used, quality of consumables used, general anesthesia or local anesthesia application of the preferred anesthesia application.
If some things are not going well for you after childbirth, if both your sexual life and its appearance bother you aesthetically, you are not helpless to solve this issue. Without much ado, get your treatment at competent specialists who are interested in vaginal aesthetics. This may be with laser vaginal tightening or surgery, we recommend that you make this decision together with your physician.
In order to eliminate the enlargement, stretching and sagging of the perineum in the vagina, which develops in women who have had one or more births, and sometimes in women who have never given birth, the vagina is narrowed and tried to be restored.
Under local or general anesthesia, under sterile conditions, stretching, expanding, loose, excess vaginal tissues are cut and removed. The severed muscles and fascia are brought together and sutured one by one. The tissues are joined and closed by suturing the inside of the vagina with special absorbable sutures.
Vaginal tightening takes 45 minutes if it is in the mild entry part. However, if it is performed as a total reconstruction including bladder prolapse, intestinal herniation, uterine prolapse, and correction of perineal sutures, it takes 2-3 hours. Patients in the first group do not need to be hospitalized. For the other group of patients, we recommend overnight hospitalization.
There may be very little bleeding for a day or two after vaginoplasty surgery. This bleeding is never more than menstruation. It is normal to have spotting in the form of light leakage for up to a month.
There may be mild pain for a day or two after the surgery. Most patients express that they do not have any problems with the oral painkillers we prescribe at discharge.
Since vaginal tightening surgery is performed inside the vagina, there is no scar visible from the outside. This question is asked a lot, especially by women who are thinking of remarriage, can my newlywed husband understand that I had surgery? No, he will not understand. Unless you tell him, neither by looking from the outside nor during sexual intercourse, your partner will not understand this.
Op. Dr. Âzer Aras UluğGynecology, Cosmetic Gynecology & Obstetrics
- I suffered from large and asymmetrical labia ever since I reached puberty
- I had laser and P*R*P treatment for incontinence problem.
- I didn't expect this much in the first session
CommentsDear Dr. Azer, I suffered from large and asymmetrical labia ever since I reached puberty. For a long time, I thought it was normal, but as I aged it has become a bigger issue and started b{...}
31.12.2023I had a problem with incontinence, I came here and received laser and p*r*p treatment, I took 2 sessions. I saw 90% benefit, may god be pleased{...}
28.12.2022My doctor, Azer, who is the doctor of my two children and a beautiful doctor. I'm glad there are doctors like you who understand women's language in this life. You applied a P*R*P vaginal n{...}
22.12.2022