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Vaginoplasty is a reconstructive plastic surgery and cosmetic procedure for the vaginal canal and its mucous membrane, and of vulvo-vaginal structures that might be absent or damaged because of congenital disease (e.g. vaginal atresia) or because of an acquired cause (e.g. childbirth physical trauma, cancer). As such, the term vaginoplasty generally describes any such cosmetic reconstructive and corrective vaginal surgery, whilst the term neovaginoplasty specifically describes the procedures of either partial or total construction or reconstruction of the vulvo-vaginal complex. Sometimes referred to as “vaginal rejuvenation”, “aesthetic vaginal surgery” or “cosmetic vaginal surgery”, various results aim to strengthen the function of the vulvo-vaginal area, firm up and reshape tissue for youthful appearances. In regular terms, the procedure is essentially a “face lift” for the vulva and vagina.
Vaginal rejuvenation is often two combined distinct surgeries of labiaplasty and vaginoplasty, to restore or enhance the vagina’s cosmetic appearance or function. Labiaplasty is a labia reduction and cosmetic enhancement genital surgical procedure to reduce or change the shape of the labia minora (small lips) on the outside of the vagina.
There are several types of vaginal rejuvenation or vaginal tightening procedures. Surgical: labiaplasty or vaginoplasty and minimally invasive, laser vaginal tightening procedure, FemiLift. It can tighten the vagina, improve menopausal dryness, and reduce urinary incontinence
Some surgeries are needed for discomfort occurring from chronic labial irritation that develops from tight clothing, sex, sports or other physical activities. Vaginoplasty surgery is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. The post-operative outcome of vaginoplasty is variable; it usually allows coitus (sexual intercourse) after a week, although sensation might not always be present. In biological women, menstruation and fertilization are assured when the uterus and the ovaries have preserved their normal functions; in a few cases, vaginal childbirth is possible. In male-to-female sex reassignment surgery, some trans women patients undergo vaginoplasty as part of their physical (sex) transition. The physical factors that limit vaginal dimensions are the rectoprostatic Denonvilliers’ Fascia (depth) and the Levator ani muscle (diameter); thus, in trans women patients, the narrowness of the male pelvis can reduce the available area to use for vaginoplasty.