Vaginoplasty is a surgical procedure performed to tighten the muscles of the vagina or reconstruct it using various surgical techniques, following vaginal delivery, menopause, or aging. This is called a vaginal lift. However, vaginoplasty can also be considered to construct a vagina as part of gender affirmation or gender reassignment surgery. In this second case, it consists of transforming male genitalia by giving them the shape and external appearance of female genitalia. In this case, it is considered for transgender women (assigned male at birth).

For a more aesthetic vagina

A weaker perineum is the root cause of vaginal relaxation. All of the upper body's weight is supported by this muscle. Because of its capacity to contract, it is crucial to female sexuality because it is what generates the sensations experienced during penetration. It also ensures bladder control or the management of the urge to use the bathroom. The perineum is severely strained in overweight adults, pregnant women who give birth vaginally, and those who had inadequately closed episiotomies A prolapsed bladder, uterus, or rectum can occur among older women due to a bloated bladder over time. In fact, the tissues lose their flexibility after menopause, the estrogen level drops, and they are less effective in supporting the organs.

In all these cases, the best solution to strengthen the pelvic floor muscle is to do a vaginoplasty. It is simply a cosmetic surgery that aims to rejuvenate the vagina. It seeks to improve the sensitivity of the vagina in women whose vagina has been damaged by delivery. This technique seeks to tighten the muscles of the perineum, reduce the internal and exterior width of the vagina, and rejuvenate the vagina by injecting fat into the vaginal mucosa.

For a gender reassignment

A vaginal canal and vulva (external genitalia), including the labia, are created through vaginoplasty, which includes altering tissue in the genital area. The scrotal skin and the skin around the preexisting male sex organ are combined by the surgeon to form the vaginal canal. In order to create a full vaginal canal, the surgeon might need to use a skin graft from the abdomen or thigh, depending on how much skin is present in the genital area.

Vaginoplasty’s expected results

• A vagina with sufficient depth for penetrating intercourse.
• A clitoris composed of sensitive glans skin.
• A hood covering the clitoris.
• A vulva with major and minor labia.
• Clitoral and vaginal erogenous zones have the potential for sexual pleasure.

Vaginoplasty can be performed non-surgically on multiple sessions with minimal tightening, through the use of a vaginal tightening device that is inserted like a probe. This procedure involves a combination of laser and radiofrequency to achieve gradual firmness of the liner over time. However, Surgically, a vaginoplasty will involve removing a strip of mucous, as well as shaping the underlying muscle. This produces a more sustained tightening to a greater extent than could be achieved without surgery. Vaginoplasty may be repeated on both sides of the back of the vaginal vault to tighten further if needed. It is usually performed under moderate sedation, rather than general anesthesia, as it is a relatively painless procedure. It takes about 1 to 1.5 hours and is a day surgery procedure. 

Vaginoplasty can help if you've recently given birth or if you've found that your vagina has gotten loose for other reasons. This procedure might be exactly what you need to reshape your vagina so that you can have more enjoyable sex and feel better about the way it looks.