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For many women, talking about their sexual health is something that is embarrassing – sometimes, even talking to their doctor may be uncomfortable, and it shouldn’t be. If you have issues with pain or lack of lubrication during intimacy, or struggle with urinary incontinence and other functional problems, you are not alone. At Cosmetic Gynecology and Aesthetics, we are a practice OF women, FOR women. We understand that you may be reluctant to share your functional or intimacy issues, because you think that they aren’t fixable, or are just a symptom of age. But the truth of the matter is that vaginal health concerns are extremely common, and manifest in a variety of symptoms. At Cosmetic Gynecology and Associates, we offer a surgical procedure known as a vaginoplasty, which is designed to improve your life – both in the areas of intimacy and everyday functionality.

The Structure of the Vagina

One of the problems that plague women of nearly all ages is loose or weak muscles in the vagina. Your vagina is usually just under four inches long, and is located in your pelvis behind your bladder. It is the path that connects your uterus to the “outside world” and serves as the birth canal for vaginal childbirth.

The walls of the vagina are made up of a strong outer layer of muscle, as well as a weaker inner layer. The external muscles are thick and extremely elastic, but over time, the elasticity of these muscles begins to weaken. When the natural aging process is combined with the birth of one or more children, the vaginal walls eventually become looser and less able to bounce back to where they once were. Additionally, the muscles of the vagina are also covered by tissues that connect the vagina to the bladder and rectum, as well as other structures in your pelvis. As a result, when the vaginal walls are weakened, other systems in the pelvis tend to weaken, causing urinary incontinence and discomfort, among other functional problems.

What is a Surgical Vaginoplasty?

As time passes, all of the skin on your body will begin to lose elasticity and start to sag. The collagen and elastin proteins that kept your skin supple and strong in your younger years begin to weaken, and production of new fibers diminishes. This is also true for the tissues in your vagina, and while it may not be noticeable for some women, for others, it can cause a myriad of issues.

Vaginoplasty surgery is designed to tighten the walls of the vagina and improve both sexual sensation and pelvic functionality. Where the tissues and muscles have loosened and weakened, a vaginoplasty can serve to tighten and repair. Skin laxity and lack of tone in the vagina can cause you to suffer from:

  • Dryness/irritation
  • Burning or itching
  • Pain during intercourse
  • Appearance of larger vaginal opening
  • Mild to moderate bladder rectal control issues
  • Vaginal Bulge

Vaginoplasty can lessen or even eliminate these symptoms, restoring your sexual health and allowing you to feel more confident during intimacy.

What to Expect from Your Vaginoplasty Procedure

Prior to your vaginoplasty, you will come in for a consultation with one of our experienced and skilled surgeons, who will examine you and determine how much tightening you need for optimal results. When you come in for your surgery, you will be given general anesthesia and made comfortable prior to your procedure.

Once surgery begins, a pie-shaped section of excess mucosal skin from the back of the vagina is marked for removal. Underneath the skin, the muscles are repaired – either bringing separated muscles back together, or tightening loosened muscles – using strong sutures. Once this repair is completed, the mucosal skin is then closed with sutures. If there is also external skin protruding from the vagina, this can be addressed as well to leave you with a more pleasing aesthetic appearance.

Recovery and Results of a Vaginoplasty

Vaginoplasty is an outpatient surgery, so you will be able to return home after your procedure. Depending on your specific needs, it may take one to two weeks of downtime before you feel ready to return to your regular activities. You may initially experience some pain or aching, but this is temporary and will only last for the first couple of days. You will need to abstain from sexual intercourse, as well as tampon use, for at least eight weeks after your surgery.

As with any surgery, there is the risk of infection or bleeding, but by following your surgeon’s post-operative care instructions closely, you can usually avoid any complications. If you have any questions or concerns about how you are healing or are experiencing uncomfortable sensations, please do not hesitate to contact your surgeon. At Cosmetic Gynecology and Associates, we want your experience to be as comfortable as possible from beginning to end, and thus so we encourage you to ask questions and voice concerns to ensure a safe and healthy procedure and recovery that provides you with the results you desire.

Results of your vaginoplasty are considered long-lasting, though as you continue to age, you may experience some loosening of the skin or weakening of the vaginal muscles. However, keep in mind that this is part of the natural aging process, and most patients won’t notice any significant changes. You will be able to enjoy a tighter vagina and the resolution of functional issues if present.

If your sexual health and function is affecting your life and your confidence, a surgical vaginoplasty may be the solution you’re looking for. Call Cosmetic Gynecology and Aesthetics today at 904-384-8023 to schedule a consultation.

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