Vaginoplasty is a vaginal rejuvenation with surgery to tighten a vagina stretched by childbirth or aging which might accompanied with Labiaplasty to repair the vulva.
Despite the American College of Obstetrician and Gynecologist (ACOG) warning about poor therapeutic efficacy but clearly seen the risks, this surgical procedure might be applicable when performed by certified and skilled surgeons.
The principle of reconstruction of vaginal hole and walls in Vaginoplasty (sometime plus Labiaplasty) is by making an opening incision on the back wall of the vaginal mucous membrane to reach the vaginal wall muscles. The muscles are also sliced, tightened, and stitched back with threads that easily absorbed.
Common negative outcomes post-op, however, the clients may experience with loss of sensitivity of the vagina and the clitoris. Loss of its sensation may last for years or even permanent. For side effects, it includes infections, fibrous bands that form in the tissues, and scarring.
Excess muscles, soft tissues, and mucous membrane tissues will discarded. The opening incision then closed and stitched with threads. Although there are scars, but it won’t be seen because it was in the vaginal hole.
The surgery performed by a team consisted of an obstetrician and plastic surgeon.
In some cases, there is no special examination before the operation if the client chooses local anesthesia. It means, the patients remain conscious and not sleep.
However, in consideration to ease the operation and comfortable of client, the procedure often done with general anesthesia (patients in sleep condition). If the client choose general anesthesia, the doctor usually requests blood tests before operation.
Also, for clients aged over 40 years, the surgeon will advises the clients to check their heart and lung conditions before surgery to ensures the operation can run safely.
For the purpose of wound healing and better outcomes, clients advised not to smoke and drink alcohol for 3 weeks before and after surgery.
The surgery itself can take less than 2 hours, or about 3 hours if accompanied with Labiaplasty to correct the shape of vaginal lips (labia) or vulva.
Postoperative and Recovery
For 1 week post op, the scars should in humid condition but not wet.
Clients will usually experience feel of discomfort or mild pain during ± 1 week post op which gradually disappeared/abated after week two.
After second week, the client usually feels like ‘racked’, and this sensation will gradually subside until 1 month post op.
Clients required to absence in sexual activities for 6-8 weeks post op.
The last results of vaginal shape or its lips (if accompanied with Labiaplasty) will look good and feel comfortable 2 months post op. After 2 months, the client may have normal activities, including exercise and sex.
However, above conditions may not run properly and the client should consult their gynecologist AS SOON AS POSSIBLE for ‘any inconvenience or uncomfortable symptoms’ to prevent exacerbation and harmful of complication risks, including possibility of re-operation, either due to adverse events or failure of operation (human error).
One time Laser Vaginal Rejuvenation (LVR) of Vaginoplasty alone will cost client about $4,000 to $9,000, or $6,000 to $15,000 when accompanied with Labiaplasty in US.
In developing countries, the cost may lower with less than half.
As ACOG’s statement, as well as the American Society of Plastic Surgeons (ASPS), the Plastic Surgery Educational Foundation (PSEF), and some others, none of these surgery techniques classified as ‘accepted and routine surgical practices’ due to lack of therapeutic efficacy and poor of safety profile, therefore, all that professional associations put the outcomes based on surgeons’ skill, and not to the procedure.
The cosmetic surgeons also don’t allowed state any recommendations or their status in the organizations to offer this surgical procedure to their clients while giving clear pictures about their expectation, risk of loss of sensitivity, potential side effect and complication risks, disadvantages of procedures, chances of re-operation, and costs as well.