Vaginal refashioning (also called vaginoplasty or vaginal rejuvenation) is a surgical procedure to reshape or restore the vaginal canal and/or external genitalia. It may involve tightening muscles, repairing tissues, or addressing changes caused by:
- Childbirth: Looseness or damage to vaginal muscles.
- Aging: Loss of elasticity or vaginal laxity.
- Pelvic organs prolapse: Weakened pelvic floor muscles.
- Congenital conditions: Abnormal vaginal structure.
- Trauma or surgery: Scarring or narrowing (e.g., after cancer treatment).
Types of procedures:
- Anterior/posterior repair: Strengthening the front or back vaginal walls.
- Perineoplasty: Rebuilding the perineum (area between vagina and anus).
- Labiaplasty: Reshaping the labia (external genitalia).
Preparing for Surgery
- Pre-op Assessment:
- Pelvic exam or imaging to evaluate anatomy.
- Discussion of goals and expectations with your surgeon.
- Medications: Adjust blood thinners or supplements as advised.
- Fasting: No food/drink for 6–8 hours before surgery.
- Support: Arrange help for 1–2 days post-surgery.
- Counselling: Address emotional concerns about body image or sexual health.
During the Procedure
- Anaesthesia: Usually, general anaesthesia or local with sedation.
- Duration: 1–2 hours, depending on complexity.
- Procedure:
- Excess tissue is removed or tightened. Muscles (e.g., pelvic floor) may be stitched to restore support.
- Dissolvable stitches are typically used.
- Hospital Stay: Often outpatient (go home the same day), but some may stay overnight.
Recovery After Surgery
Immediate Care:
- Pain Management: Mild to moderate pain; prescribed painkillers or OTC medications (e.g., ibuprofen).
- Swelling/Bruising: Common for 1–2 weeks; ice packs may help.
- Wound Care:
- Keep the area clean and dry. Use gentle, unscented soap and pat dry.
- Avoid tampons, intercourse, or strenuous activity for 4–6 weeks.
- Bleeding: Light spotting is normal; contact your doctor if heavy.
Activity Restrictions:
- Avoid heavy lifting, exercise, or prolonged sitting for 2–4 weeks.
- Driving may be restricted for 1–2 weeks (check with your gynaecologist).
Long-term Considerations
- Scarring: Minimal and typically fades over time.
- Sensation: Some temporary numbness; rare risk of altered sensitivity.
- Sexual Activity: Wait until fully healed (4–6 weeks). Discuss any discomfort with your care team.
- Pelvic Floor Health: Consider pelvic floor physiotherapy to strengthen muscles.
- Follow-up: Check-ups to monitor healing and address concerns.
Risks and Complications
- Infection, bleeding, or blood clots.
- Scarring or asymmetry.
- Pain during intercourse (rare).
- Recurrent prolapse (if applicable).
eGynaecologist Advice
- You should seek counselling services to discuss emotional/sexual health concerns with your gynaecological team if you are going to undergo vaginal refashioning
- You should seek gynaecological consultation if you develop signs of infection (fever, foul odour, pus), severe pain, excessive bleeding, or difficulty urinating.
Frequently Asked Questions
Is this procedure only for cosmetic reasons?
No—it can address functional issues (e.g., prolapse) or improve comfort. Discuss your goals openly with your surgeon.
Will vaginal refashioning affect childbirth?
Future vaginal delivery may not be recommended; discuss plans for pregnancy with your doctor.
How long do results last?
Results vary. Aging, childbirth, or weight changes may affect long-term outcomes.
Are non-surgical alternatives available?
Pelvic floor exercises, laser therapy, or pessaries (for prolapse) may be options for some patients.
