Vagina aesthetics and cosmetic gynecology are considered within the scope of gynecology. Surgeries performed to restore the enlarged, loosened vagina to its previous shape and firmness are called 'vaginal tightening surgeries'. Vaginal tightening - vaginoplasty; It is a genital aesthetic operation for aesthetic and functional purposes performed to re-tighten, narrow and recover the vagina for women who have complaints of loosening, decreasing elasticity and widening of vaginal tissues. Vaginal tightening surgeries are actually for functional purposes rather than an aesthetic operation. As a matter of fact, the enlargement and loosening of the vagina and the angulation of the entrance bring about decreased sexual pleasure, loss of sensation and orgasm problems during sexual intercourse in men and women.
What is vaginoplasty (vaginoplasty)? Vaginoplasty definition
Vagina tightening surgeries are defined as 'Vaginoplasty' or 'Vaginoplasty'. In fact, vaginal tightening surgeries constitute only a part of vaginoplasty operations. All operations performed to 'create a new vagina' or to correct, narrow and tighten the existing vagina in terms of aesthetics and functionality, for reasons such as congenital absence of vagina or short vagina (mullerian agenesis), gender change from female to male, are called 'vaginoplasty' or 'vaginoplasty'.
What is vaginal tightening surgery?
Vaginal tightening surgeries are considered within the scope of genital aesthetics and cosmetic gynecology. Surgeries performed to restore the enlarged, loosened vagina to its previous shape and firmness are called 'vaginal tightening surgeries'. Vaginal tightening surgeries are also given different names such as 'vaginal tightening surgery', 'vaginal reconstruction' or 'vaginal tightening operation'. During vaginal tightening surgeries, perineal correction (Perineoplasty, perineal aesthetics) is generally performed.
Why does the vagina expand?
The vagina expands most frequently after normal births. In addition, the fact that birth is very difficult and traumatic increases dilation. On the other hand, the weakness of the connective tissue, whether congenital or due to smoking, malnutrition, and alcohol consumption, can cause the vagina to expand and sag, especially in later ages. It leads to malfunction. Pregnancy alone causes vaginal enlargement. In other words, even if the pregnancy ends with a cesarean section, vaginal enlargement occurs. Other reasons that cause vaginal enlargement include frequent sexual intercourse and gynecological interventions and examinations such as abortion.
Vaginal narrowing with hymenoplasty
During hymenoplasty, the vagina is removed in the same session. Tightening surgeries can also be performed.
Vaginoplasty along with labiaplasty
Vaginoplasty surgeries can also be performed in the same session along with inner lip aesthetics (labioplasty). In fact, labiaplasty, clitoral hoodoplasty, vaginoplasty and perineoplasty operations can all be performed in the same session. Thus, both vaginal and external genital area aesthetics can be corrected simultaneously. Blood circulation is quite good in terms of the anatomical structure of the vaginal organ. For this reason, the healing process of that area is rapid.
Why is vaginal tightening performed?
Vagina tightening surgery is performed for many reasons. The most common reasons for it:
Ensuring pleasure in sexual intercourse: As the vaginal tissue becomes looser and more abundant, the problem of not being able to enjoy sexual intercourse may begin. In people who have Vaginoplasty-Perineoplasty surgery, the loose and enlarged vagina is tightened again, and as the vagina becomes tighter, both men and women can enjoy more sexual intercourse.
Sounds coming from the vagina during sexual intercourse: In a loosened and enlarged vagina. Hearing unpleasant sounds during sexual intercourse can disrupt concentration and be disturbing. After vaginal tightening surgery, these sounds coming from the vagina disappear or are minimized.
Correction of urinary bladder and bowel prolapse: During vaginal tightening surgery, the patient also has problems with bladder sagging, urinary incontinence and bowel prolapse (rectocele) simultaneously. can be corrected. Genital organ prolapse (POP) causes self-confidence problems in women. Thus, it causes sexual arousal, libido (sexual desire) and orgasm problems.
Increase in self-confidence and orgasm: The width of the vagina can make orgasm difficult. The opening of the vagina appears wide, and sometimes even the inside of the vagina is visible from the outside ('vaginal gaping') can impair sexual self-confidence. Likewise, male partners enjoy more pleasure with a narrow vagina.
Frequent vaginal infections: The frequency of infection increases in women with a wide vagina structure and whose perineal area is torn after birth.
How is vaginal tightening surgery performed?
Vagina tightening surgery is usually performed with the support of local anesthesia accompanied by sedation (light sleep anesthesia). The operation takes approximately 45 minutes to 1 hour on average.
To obtain the result, it requires advancing into the vagina approximately 6-7 cm, starting from the entrance. In this way, the tissues are combined by removing excess tissues and stitching the inside of the vagina with special threads. In vaginoplasty surgeries, almost the entire part of the vagina is narrowed. Narrowings made 2-3 cm from the entrance are not sufficient for couples.
If there is a rectocele (sagging in the last part of the intestine) problem, this problem is also solved by making muscle approximation (Levator stitch). When vaginal tightening surgeries are performed by gynecologists who are specialized and experienced in vaginal aesthetics, the results are obtained.
Will the vagina expand again? Is the surgery permanent?
The most important feature of vaginal tightening surgery is that permanent tightness can be achieved. In other words, there will be no re-enlargement unless there is a normal birth again after the surgery.
What are the risks of vaginal tightening surgery?
When vaginal tightening surgeries are performed by experienced gynecologists, every surgery Even risks such as bleeding and infection are very rare. However, the most important problem that may occur if the surgeon is inexperienced is that the vagina becomes narrower than normal and thus pain may occur during sexual intercourse. Another problem is; It is the ability to maintain the width of the vagina when the vaginal tightening surgery is not narrowed as much as necessary.
Can Vaginal Tightening be applied to women who have not given birth?
Yes. The vagina may also enlarge in women who have not given birth, depending on the structure of the vagina. Depending on the frequency of sexual intercourse over time, or after interventions such as abortion, vaginal An abundance of n can be seen. This situation may cause pleasure problems in the partners.
If vaginoplasty is not performed properly…
If sufficient narrowing is not performed during the vaginoplasty surgery, the surgery has failed. Re-narrowing and tightening can be done with a second surgery (tightening revision operation).
If vaginal tightening is performed, especially by elevating the vaginal entrance too high, problems such as inability to have sexual intercourse or pain (dyspareunia) during sexual intercourse may occur. Some patients may experience contractions similar to vaginismus due to anxiety that develops after vaginal tightening. Such concerns can be eliminated with simple exercises.
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