Vaginal Reconstruction

What is Vaginal Rejuvenation?
Age and childbirth can change the vagina, and there are some women who want to reverse those changes. Vaginal reconstruction is the surgical procedure of creating an artificial vagina after a woman had a vaginectomy (surgery to remove the vagina). You must ask your doctor if a vaginal reconstruction is possible or not after you have undergone surgery of removing your vagina. Enabling vaginal intercourse is one of the aims of vaginal reconstruction. During this procedure, a plastic surgeon uses muscle and skin from other parts of the body for the reconstruction.Â
Everything You Need to Know About Vaginal Reconstruction
Candidates | Purpose | What to expect | Risks | Complications | Treatment options | Aftercare | Recovery | Benefits | Cost
Ideal candidate for vaginal rejuvenation
Everyone is not an exemplary candidate for vaginal rejuvenation treatments. A woman with less sensation during the time of intercourse and multiple deliveries is the ideal candidate for vaginal rejuvenation.
A good candidate is also the one who has soreness or pain while sexual activities, riding a bike, or horseback riding. The procedure is ideal for women whose vagina has altered due to childbirth.
Why women do vaginal surgery?
Accidents and birth defects can affect the uro -vaginal regions of any woman. Different kinds of therapies, such as non-surgical and surgical procedures, help restore feelings of the vagina. Some of the reasons for the need for vaginal surgery are:
- To restore the birth defects.
- To reconstruct the urinary tract and reproductive system, which are affected by cancer. Cancer patients undergo radiation treatments and surgeries for the organs affected by cancer.
- To treat women with vaginal prolapsed.
- To reconstruct and rejuvenate the genitals suffered from rape and accident.
Vaginal rejuvenation before and after
Before the vaginal rejuvenation, the vaginal area and the pelvic regions may be damaged or may have excess skin. Doctors may also find that lax muscles lose, the vaginal canal broader, and the opening bigger. There will be reduced sexual pleasure.
After the vaginal rejuvenation procedure, the lax muscles will be tightened, the vaginal canal will be narrower, the openings will become small. The excess skin around the vaginal canal will be removed, but the labia will reduce and undergo re-shaping.
What are the risks of a vaginoplasty?
There are two kinds of risks associated with vaginoplasty. One is a general risk, and the other is a specific risk.
General risks
Some of the general risks associated with the surgical procedure include infections, hemorrhage, and anesthetic accidents. Surgical risks are very less if the patient is in a healthy condition before the operation.
Specific risks
Some of the specific risks of the surgeries include vault prolapsed, vaginal fistula, uterovaginal. It depends on whether the person has colitis and a uterus and also diverted colitis.
How to Prepare for a Vaginal Rejuvenation Procedure
Your surgeon will advise you on certain tips to prepare yourself before the surgery. You will be asked to stop drinking alcohol, smoking, and consuming steroids or any other medications prior to the surgery. If you maintain these tips, you will have a quick healing process.
What are the potential complications?
Complications related to vaginal reconstructions are similar to that of any other surgery which involves a general anesthetic. Some of the common complications are:
- Infection
- Pelvic pain
- Neurologic injury
- Bleeding
- Bladder injury
Treatment Options For Cosmetic Gynaecology

Cosmetic Gynaecology
Cosmetic gynecology helps to improve the function or physical appearance of the labia and vagina as well.

Hymenoplasty
When the broken hymen is restored through surgery, it is known as hymenoplasty or hymnography.

Labial reconstruction
Labiality serves both cosmetic and functional benefits. It helps to remove the excess skin in the labia, which causes irritation by twists and turns.

Perineal Reconstruction
Perineal reconstruction is the rebuilding of damaged or deformed tissue between the genitals and anus.
Procedure of Vaginal Rejuvenation
The two most common vaginal rejuvenation procedures are vaginoplasty and labiaplasty. Some women need to tighten their vagina, while some wish to rectify the shape of the labia. Both of these procedures are different.
Vaginoplasty
This procedure is opted by women who wish to tighten lax muscles to get a tighter and narrower vaginal canal and smaller opening. The vaginal area widens because of childbirth or aging. This results in reduced sexual pleasure because of less friction during intercourse. The time needed for this procedure is 60 minutes. Laser used in this procedure helps to achieve very minimal incisions.
Labiaplasty
This procedure helps to transform and reshape the labia majora or the labia minora. It helps to correct irregularities and remove excess skin. Discomfort during intercourse can be caused due to larger labia. It can also make you feel uncomfortable while wearing a swimsuit. Reduction of the labia will not only change the shape of the labia but also achieve symmetry. This procedure also needs 60 minutes.
Post-Treatment Aftercare
The post-treatment aftercare for the non-surgical procedure and surgical procedure is different.
In the case of surgical vaginal rejuvenation, patients start recovering after six weeks. Immediately after the surgery, patients will be advised to walk as soon as the anesthesia wears off. The first priority of the surgeons will be to reduce the swelling, pain, and bruising by advising them to apply ice packs.
Medications will also be prescribed for pains to give relief after surgery. Doctors will advise limited exercise for the next 72 hours of the surgery and encourage wearing loose cotton clothes. Patients will be instructed to avoid sexual intercourse, swimming, or using a bathtub for the next six weeks after the surgery. Motorcycle riding, strenuous exercise, horseback riding, four wheelings must also be avoided.
In the case of non – surgical vaginal rejuvenation like augmentations with fillers or laser rejuvenation, the time needed for recovery is much shorter and not painful. Sexual intercourse is prohibited after the non-surgical procedure for about a week after the surgery.
Recovery after vaginal rejuvenation
After the vaginal rejuvenation procedure, there will be soreness, swelling, and bruising. It will take about a week or two for them to recover. After a few days of the surgery, patients will be able to walk comfortably. You will get the final result after a couple of months of the surgery. Also, you will be able to resume sexual activity after 4-6 weeks of the surgery.
Benefits of vaginal rejuvenation procedures
The six benefits of vaginal rejuvenation procedures :
- Enhance your sexual satisfaction
- Customize your individual needs
- Re-impose tightness to the vaginal area
- Your partner’s sexual appearance will be improved
- Urinary inconstancy will be improved.
Vaginal Rejuvenation cost
The total cost of the procedure will range between Rs. 30,000 to Rs. 50,000 in India. The price will be excluding medications.
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About Authors

Dr. Jay Mehta
Fertility and IVF Specialist
Dr. Jay Mehta is the Scientific Director of Shree IVF Clinic. He is a well-known Fertility and IVF Specialist and also among few doctors in the country who specializes in Embryology and Andrology.