What is Vaginal Rejuvination?
Vaginal Rejuvenation is a cosmetic vaginal tightening surgical procedure. Many, if not most, women after 2 or 3 vaginal deliveries will notice some loosening of the vagina. It may even be visible with the vaginal having a triangular opening rather than being a vertical slit. Some women notice that they do not feel as tight during sex and often worry that it effects their partner’s enjoyment of sex.
Frequently it is said the vaginal muscle is ‘stretched’. However the muscle in the wall of the vagina is arranged longitudinally (up and down) not circularly and it does not really stretch to be ‘wider’. There is however fibrous tissue that goes around the vagina and once stretched, this is permanent.
The perineal body – the strong fibrous tissue between the vagina and anus – gives strength to the posterior (back) wall of the vagina. The perineal body is often damaged in childbirth with tears or an episiotomy. Repair of the perineum gives support and narrows the vaginal opening.
Kegel exercises for the pelvic floor may be of benefit for stress incontinence or even to prevent prolapse but they do not tighten the vagina.
The walls of the vagina may be so weakened that there is prolapse of the bladder backwards into the vagina and/or prolapse forward of the rectum into the vagina. Although Vaginal Rejuvenation is a related surgery – if you have these issues you should consult your Gynaecologist.
It has been said that a woman’s orgasm comes 95% from her head and 5% from the clitoris. A tighter vagina did not get a mention. Or it could be considered that the vagina is not too loose but rather the penis is too ‘small’. If you worry that your partner does not get the same sensation from sex – that may be true. However it would seem that overall men with smaller/thinner penises (that would find any vagina relatively ‘looser’) still get the same enjoyment from sex.
However, like all cosmetic surgery, vaginal tightening is about feeling comfortable and confident in your body. You will notice the tightness. And if you feel better about yourself, sexier, then your sexual experience will be better.
Who is a good candidate?
Someone concerned with the following characteristics:
- Loose, weak or stretched muscles due to the ageing process
- Stretched vaginal muscles resulting from childbirth
- To improve sexual function
Who is not a good candidate?
Someone concerned with the following characteristics:
- Unrealistic expectations
Vaginal rejuvenation is performed at Academy Day under twilight sedation and local anaesthetic. A Pudendal block is used to give pain relief for up to 24 hrs. Fortunately vaginal tightening is not a painful experience.
The procedure of vaginal rejuvenation takes approximately 1 hour and you will be at the clinic for about 3 – 4 hrs total.
Skin will be excised from the posterior wall and opening of the vagina. It will be closed with dissolving sutures. A dissolvable or removable pack may be placed in the vagina at the end of surgery.
It is possible to have other cosmetic vaginal surgeries such as Labia Minora/Majora Reduction, Labia Majora Augmentation or G-spot Augmentation at the same time.
How long will I need off work?
Approximately 7 – 14 days off work, depending on the amount of physical activity involved in your work.
After vaginal rejuvenation it is normal to expect some discomfort, swelling, bruising and discharge/ooze after the procedure. Oral pain medication should be adequate.
It would be beneficial to include lots of fibre, fruit and vegetables in your diet to avoid constipation.
Cotton underwear is preferable, avoid wearing G strings. Some patients find it useful to use sanitary pads for a few weeks. Icepacks can be used on the area on and off for the first 48 hours.
Discharge will usually initially be blood stained then become creamy for possibly a few weeks.
After 7 – 10 days there may be some ‘old blood’ (thin and brown discharge) for a few days. This is normal breakdown of blood products.
You should take it easy for the first week. You may shower or bath. Anything that requires straining such as lifting, vacuuming, vigorous exercise should be avoided for 4 – 6 weeks.
Proceed gradually and within your comfort level.
Most people wait 6 weeks for sexual intercourse. After 4 weeks you may try gentle digital stretching using a lubricant. Many women like to use a small well lubricated dilator before having intercourse. Do not use tampons in the first 6 weeks.
Risks and complications
Vaginal rejuvenation like all surgeries may involve risks and complications (although extremely rare) with sedation, of bleeding/bruising or infection. Most issues are minor although there is the potential for more significant issues. Constipation may be a problem and something to look out for – especially if you are taking Panadeine Forte pain relief.
Damage to the rectum is a rare but possible complication as the rectum is right behind the vagina. The worst case is a fistula – communication – between the rectum and vagina necessitating more surgery.
The following rare complications may require further treatment :
- Heavy bleeding – saturating 2 or more pads in an hour
- Offensive vagina discharge
- Abdominal swelling, severe pain, vomiting, constipation
Is there discomfort?
You may experience mild to moderate discomfort. Discomfort can be managed with Panadeine Forte or Panadol.
Resources / Links
If I am interested, what now?
Your first step is an initial consultation with Dr Oates. You do not need a GPs referral for this consultation. Or you can have a complementary consultation with one of our Dermal Therapists or Nurses.
If Dr Oates decides that you are suitable candidate for a vaginal rejuvenation and you want to go ahead with the surgery, a booking for the surgery and the pre-operative care is scheduled. The usual waiting period is approximately three to four weeks.
You may wish to speak with one of our qualified Dermal Therapists or Nurse prior to seeing Dr Oates. During this free consultation, a Dermal Therapist/Nurse can discuss both surgical and non-surgical options to treat your cosmetic concern(s).