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Vagina Tightening
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Vaginoplasty is a procedure that aims to "tighten up" a vagina that's become slack or loose from vaginal childbirth or aging. Some surgeons claim it can even improve sensitivity -- a claim the American College of Obstetricians and Gynecologists (ACOG) has strongly challenged.

While it's true that vaginal tissues can stretch, surgically tightening the vaginal tissue in itself cannot guarantee a heightened sexual response, since desire, arousal, and orgasm are complex, highly personal responses, conditioned as much by emotional, spiritual, and interpersonal factors as aesthetic ones. In addition, sexual "sensitivity" doesn't automatically lead to more pleasure - it can actually lead to pain.
 

Labiaplasty, plastic surgery on the labia (the “lips" surrounding the vagina), can be performed alone or with vaginoplasty. Surgery can be performed on the labia major (the larger, outer vaginal lips), or the labia minor (the smaller, inner vaginal lips). Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.
 

Vaginoplastic procedures
 

Vaginoplasty utilizes autologous (patient-derived) tissue from the patient’s person, to construct areas of vagina and areas of the vulvovaginal complex. The tissues available for surgical correction include the oral mucosa, skin flaps, skin grafts, the vaginal labia, penile skin, penile tissue, scrotal skin, and intestinal mucosa. In surgical praxis, it is important to electrolytically remove the follicles from a hair-bearing skin graft, unless the surgeon directs otherwise; usually, the skin graft is depilated intra-operatively, either manually (scraped) or by electrocauterization. Besides the vaginoplastic surgery techniques herein discussed, earlier plastic surgery procedures do exist, but have been superseded by the more effective results (outcome) of contemporary vaginoplasty.
 

Balloon vaginoplasty

Buccal (oral) mucosa

Colovaginoplasty

Don Flap (labia minora flap)

McIndoe technique

Penile inversion

Vecchietti procedure

Wilson Method
 

Reconstructive Surgery vs. Cosmetic Surgery
 

In order to decide if you should consider vaginoplasty or labiaplasty, it’s important to understand the difference between reconstructive surgery and cosmetic surgery.
 

Reconstructive surgery improves the function of a body part, while cosmetic surgery changes the aesthetics of essentially normal anatomy. You can think of it like a nose job: a surgeon can restructure the interior nasal cavities to help you breathe better or reshape the nose, just for the sake of appearances.
 

It's a critical distinction, because the American College of Obstetricians and Gynecologists evaluates surgeries and outcomes to fix functional problems, such as urinary incontinence. But ACOG remains skeptical and cautious about cosmetic vaginal surgery due to its risks and lack of scientific data on safety and effectiveness.
 

Some vaginoplasty procedures, for instance, were originally developed as reconstructive surgeries to repair birth defects when the vagina was malformed, too short, or absent (such as in vaginal agensis), so that a girl could grow up to have normal urination, menstruation, and intercourse.

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