Vaginal tightening surgery or cosmetic vaginoplasty is a minimally invasive surgical, restorative procedure aimed at improving the structure and function of the vagina. Approximately 60% to 70% of the vaginal length is restructured in surgical tightening. The procedure is usually done in conjunction with perineoplasty to correct the aesthetic appearance and functional status of the perineum and to narrow the vaginal opening.

Vaginoplasty involves removing the excess tissue from the vaginal lining along its length, from inside towards and including the vaginal opening. The underlying fascia and muscles of the pelvic floor are tightened by strong approximating sutures. The overlying vaginal mucosa is sutured close with dissolvable sutures resulting in narrowing and tightening of the vaginal canal.

Reasons for undergoing this surgery

Aging and vaginal births are the two leading culprits taking their toll on vaginal anatomy and function. The decline in estrogen hormone with advancing age causes weakening of the vaginal walls due to low collagen production. Similarly, mechanical vaginal stretching and tearing during childbirth lead to vaginal and pelvic floor muscle denervation, thus altering the functional status of the vagina.

Some of the problems women commonly report to their cosmetic gynecologists are:

  • Vaginal laxity
  • Reduced vaginal sensations
  • Vaginal dryness
  • Decreased pleasure during sex
  • Stress urinary incontinence
  • Issues with partner satisfaction
  • Low self-esteem

What are the benefits of a tight vagina?

Vaginal tightening surgery is effective in tackling several intimate issues of women. The benefits are multifold when performed by an experienced cosmetic gynecologic surgeon. With a tightened vaginal canal, one can expect:

1.    Amplified vaginal sensations

The narrowed vaginal canal leads to increased friction during sex. This results in enhanced vaginal sensations and a heightened sexual arousal.

2.    Increased vaginal lubrication

The amplified sexual arousal causes increased blood flow to the vaginal lining and secretion of natural vaginal lubricants from the vestibular and Bartholin glands as well as the uterus.

3.    Improvement in painful intercourse

Painful sex is common in women with vaginal laxity secondary to lack of sexual arousal and vaginal dryness. With enhanced vaginal sensations, heightened sexual arousal and increased natural lubrication of the vagina, there is marked improvement in painful sex.

4.    Enhanced sexual experience of the partner

The procedure renders a remarkable improvement in partner satisfaction rate. The narrow and well-lubricated vagina, along with the heightened sexual arousal of the woman undergoing surgery, play their roles in the enhanced sexual experience of the partner.

5.    Strengthening of weak vaginal muscles

The procedure also involves plication of the underlying vaginal muscles and fascia. This restores vaginal muscle tone and brings about reinforcement to the pelvic floor, and helps with support of pelvic organs.

6.    Help with urinary incontinence (leaking urine)

The strengthened vaginal muscles provide support to the bladder neck and correct cystocele (prolapse of the bladder via lax anterior vaginal wall). The issue of leaky bladder while laughing, coughing or sneezing is significantly improved.

7.    Heightened self-confidence

The intimate concerns from vaginal laxity can have a negative impact on quality of life. Addressing these concerns with a vaginal tightening surgery leads to a more positive body image and boosts self-esteem.

8.    Permanent results

Several effective vaginal rejuvenation treatments are available to improve vaginal tone. Among the many are minimally invasive and non-invasive cosmetic procedures. One usually requires multiple sessions of these treatments, and the effects are not long-lasting. On the other hand, vaginal tightening surgery is a one-time procedure that gives a permanent solution to vaginal laxity.

What are the side effects of vaginal tightening surgery?

Some of the common side effects of vaginal tightening surgery are:

  • Pain
  • Bleeding
  • Infection

Other less-reported issues that can occur are:

  • Overtightening of vagina
  • Dyspareunia
  • Numbness in vagina

It is important to book a consultation with a qualified and experienced cosmetic gynecologist. Inexperienced hands can do more harm than good.

Cost of vaginal tightening surgery

The cost of surgical vaginal tightening is highly individualized and depends upon your specific needs and the extent of the restorative procedure. The geographical location and expertise of your provider also play a role. Many centers quote a variable price range, but it typically costs 5,000 USD to 20,000 USD.

Final thoughts

Vaginal laxity, loss of vaginal sensations and sexual dysfunction are common intimate concerns in women. Vaginal births and aging adversely affects vaginal anatomy and functional status. In ladies who have bothersome symptoms secondary to a lax vagina affecting their quality of life, vaginal tightening surgery offers numerous benefits.

After undertaking the surgery, improved vaginal sensations and lubrication makes intimacy more gratifying for both partners. It also helps with vaginal muscle strengthening, thus providing support to the bladder and significantly improving urinary incontinence. Complications from the procedure can be limited by choosing an experienced cosmetic gynecologist.



About the Author

Dr. Jehan Ara is a highly qualified consultant obstetrician and gynaecologist with a passion for writing and health education. She has more than 10 years of practical patient care experience. She is currently working as an Assistant Professor of Obstetrics and Gynaecology in a medical school and a clinical supervisor for post graduate residents of obstetrics and gynaecology in the affiliated teaching hospital. In addition to her clinical work, Dr. Jehan is also a passionate writer and educator. She regularly writes articles and blog posts on women’s health. She is committed to helping women understand their bodies and make informed decisions about their health.

Categories: Health

Nicolas Desjardins

Hello everyone, I am the main writer for SIND Canada. I've been writing articles for more than 12 years and I like sharing my knowledge. I'm currently writing for many websites and newspapers. I always keep myself very informed to give you the best information. All my years as a computer scientist made me become an incredible researcher. You can contact me on our forum or by email at [email protected].