Vaginoplasty

After repeated pregnancies, or for other sometimes unexplained reasons, women may experience muscle relaxation of the pelvic floor and vaginal laxity, leading to functional disorders such as urinary incontinence, pelvic organ prolapse, or reduced sensation during sexual intercourse.
This intimate surgical procedure aims to restore vaginal anatomy and function, which may be altered by childbirth or tissue aging. It is also referred to as vaginal tightening or vaginal lifting.

Unlike nymphoplasty (reduction or reshaping of the labia minora) or monsplasty (reduction of the pubic area), vaginoplasty specifically targets pelvic muscle tone and vaginal structure.

Patients usually seek consultation to regain intimate comfort and a fulfilling sexual life when non-surgical solutions such as perineal rehabilitation or vaginal laser treatments are no longer sufficient. This procedure corrects vaginal laxity by tightening the tissues and restoring a younger, firmer anatomy.

• Stress urinary incontinence with leakage during physical effort
• Vaginal prolapse, with descent of the cervix into the vagina
• Reduced vaginal sensation during intercourse, associated with weak perineal musculature

These symptoms, often considered taboo, can have a profound impact on a woman’s quality of life. Aesthetic gynecological surgery offers a long-lasting solution, particularly in cases of significant genital prolapse or stress urinary incontinence.

Preoperative assessment systematically includes a complete pelvic examination, a urodynamic evaluation if necessary, and sometimes a pelvic ultrasound, in order to tailor the surgical approach precisely to each patient’s needs. Some patients choose to combine this procedure with other intimate surgery techniques for a more comprehensive and harmonious result.

Two techniques may be combined and performed during the same procedure if required. A small incision is made at the entrance of the vagina, allowing the perineal muscles to be tightened. An autologous fat graft is then placed beneath the vaginal mucosa.
Treatment of urinary incontinence may be associated, either by placement of a sub-urethral sling or by fat grafting.

Under general anesthesia, in a clinical setting, the procedure lasts approximately 1 hour and 30 minutes and is performed jointly by the aesthetic surgeon and a gynecological specialist. The night following surgery is spent in the clinic to ensure optimal monitoring and postoperative care.

Combining these techniques allows a comprehensive approach to the vulvo-vaginal area: muscle tightening restores perineal tone, while vaginal lipofilling (autologous fat injection) improves sensitivity and mucosal hydration. This dual correction is a major advantage of the procedure. Collaboration between the aesthetic surgeon and gynecologist ensures complete expertise, particularly when placement of a sling is required.

A personalized care protocol is established for each patient and may include additional postoperative treatments such as vaginal laser sessions or hyaluronic acid injections. Upon discharge, patients receive detailed postoperative instructions regarding intimate hygiene (specific cleansing, application of healing cream) and resumption of daily activities.

Pain is very well controlled with simple analgesics, but one week of rest is recommended. No sports or sexual intercourse for one month. A follow-up visit at one month allows verification of complete healing and authorization to resume physical activity.

During the healing phase, it is normal to feel perineal tightness and experience light discharge. These effects gradually resolve over the following weeks.

Results become clearly visible after two months, once full stabilization has occurred. Performing the three corrective steps during the same surgical session allows for a true restoration of this sensitive and essential area in a woman’s life.

Final effects, observed after one year, combine functional recovery (resolution of urinary leakage, improved muscle tone) with a pleasing aesthetic appearance. Sexual comfort and sensation are very often enhanced, with improved tone and well-being.

Attention to detail guides the entire process, from surgical planning through long-term postoperative follow-up.