About Vaginal Rejuvenation/Vaginal Tightening

What is Vaginal Rejuvenation and who is a candidate for the procedure?

Vaginal rejuvenation, also known as vaginoplasty, is a surgical procedure designed to tighten the vaginal canal and surrounding tissues. It is most frequently performed on women after childbirth, since this experience can cause the vaginal muscles to become weak and the vagina to be stretched. Some women also elect to have this procedure performed to repair a badly healed episiotomy or treat a medical condition like a prolapsed pelvis. The procedure may be performed by traditional surgical methods or through a laser treatment.

The best candidate for vaginal rejuvenation is a woman who has had children, and would like to improve the appearance of her genitals and enhance her sexual experience. Patients should be in good health and have realistic expectations about what vaginal rejuvenation can do.

What are the benefits of Vaginal Rejuvenation?

Vaginal rejuvenation is a relatively new procedure that has seen considerable success for many women. This procedure is both reconstructive and cosmetic in nature, because it improves the external appearance of the vagina while providing increased vaginal strength and enhancing a woman’s sexual experiences. In some cases, vaginal rejuvenation can correct damage caused to the vagina through childbirth or trauma. The procedure is fairly straightforward and takes anywhere from 1-2 hours to complete.

How does the procedure work and what is the recovery like?

Vaginal rejuvenation is often performed by a cosmetic surgeon who specializes in reconstructive surgery, the best vagina tightening Atlanta surgeons are Miklos & Moore Urogynecology. It may be performed in a hospital or an outpatient clinic. Patients may receive a local anesthetic with sedation or a general anesthesia, depending on the physician’s recommendation. The surgery usually takes 1-2 hours to complete and an overnight stay is sometimes required.

During the procedure, the surgeon may tighten the vaginal muscles and surrounding tissue and remove excess vaginal lining. Patients generally experience some soreness and swelling after the surgery, which may last for a few days. Patients can usually return to work within a week and complete recovery is expected within four to six weeks. Intercourse should be avoided during this time.

What are the risks involved with Vaginal Rejuvenation?

Most risks involved with vaginal rejuvenation are minimal and may include infection or bleeding after the surgery. If the vagina is tightened too much, it may lead to difficulty urinating. In some cases, women report painful intercourse after the procedure. Many of these risks can be reduced by choosing a surgeon who is experienced in vaginal rejuvenation and vaginal tightening procedures. It is also important to follow directions carefully and allow plenty of time to rest during the recovery period.

Correcting Bladder Problems

Frequent urination may be problematic to your bladder. Just like any other muscle of the body, the bladder must be strong and toned and this is done by exercise. The normal functions of the bladder mean it will be contracting as urine is eliminated and stretched as urine fills the bladder. If the bladder never gets a chance to fill completely with urine before it is eliminated, the muscle will not get the exercise it needs and will be weakened. If this continues over a period of time the bladder will loose its normal strength and tone and therefore will not be strong enough to retain a normal amount of urine.

Diagnosing Urinary Incontinence Problems

Urinary incontinence is not a disease, but it is a symptom. Properly diagnosing is a must in order to put the most beneficial incontinence treatments in place. To get an accurate diagnosis of any urinary incontinence, the doctor will sometimes order urine, bladder and blood tests along with his exam which will include numerous questions.

Knowing that the doctor will be asking a lot of questions, it is best to be prepared with a comprehensive history of any medications being taken, the liquids and the amounts of intake each day, any surgeries or illnesses in past history, frequencies of urination, and if any accidents or leakage happen a detailed list of how much and when this happens.

Specialized Testing for Urinary Incontinence

Specialized testing comes into play after the common tests and the exams revealed a need for a more in-depth testing procedure. Then the specialist is called in who deals with urinary disorders, the urologist. For female adult patients, the doctor will be a urogynecologist. While at the office of the specialist, more advanced testing will be performed.

The specialist will need to decide if the problem lies in evacuating the bladder. This procedure is called Postvoid residual (PVR) measurement. How it works is after you empty your bladder into a container that is like a funnel, your specialist is able to measure the output of the urine. Then the urine that is left is measured by the use of a thin tube, a catheter, that is put into the bladder to get any urine that may be left. Sometimes an ultrasound is used which is a devise that is like a wand that is run over the abdomen. Sound waves are picked up through area of the pelvis. A readout shows on a computer screen with a picture of your bladder. The specialist can then determine if the bladder is empty or full. If there is a significant volume of urine remaining in your bladder it will indicate a problem with the muscles or the nerves of your bladder due to some kind of obstruction.

Vaginal Tightening

Vaginoplasty, popularly called vaginal rejuvenation, is a vaginal tightening procedure to tone lax muscles along the total length of the vagina and to trim excess vaginal skin in order to decrease the diameter of the vagina. The result of this full-depth procedure is a narrower and tighter vaginal opening and vaginal canal. After a woman gives birth, the vagina loses its tightness and elasticity, loosening the muscles in the vagina and pelvic floor. The diameter and laxity of the diameter may also increase as a woman grows older. Loss of vaginal tone reduces the friction needed for pleasurable sexual intercourse between a woman and her partner. Vaginoplasty repairs stretched vaginal muscles caused by childbirth, and corrects the sensation of a “wide vagina.” Regardless of the cause of a lax vagina, this procedure may enhance sexual satisfaction by increasing friction during intercourse.


Labiaplasty is a surgical procedure performed to sculpt the external vaginal structures – the smaller inner lips, larger outer lips, or both – and improve the appearance of the vagina, decrease genital discomfort, and enhance sexual satisfaction.

Labia Minora Labiaplasty

Also known as labia reduction, labia rejuvenation, or vaginal lip reduction, labiaplasty minora is used to decrease or reshape uneven or long labia – the inner vaginal lips that cover the clitoris and vaginal opening. During labiaplasty, the lips are delicately contoured with specialized surgical tools, Excess skin is removed to eliminate enlarged, protruding, or uneven labia, and the edges are sometimes trimmed to produce a defined and even border.

Some females are born with large, irregular, or asymmetrical labia, depending on genetic and environmental factors. Estrogen stimulation at puberty and pregnancy can enlarge the labia, causing them to hang below the labia majora – the large, outer vaginal lips. Childbirth or aging may lead to physical changes resulting in stretched and elongated labia. Some women with unattractive labia minor feel embarrassed and, as a result, experience low self-esteem. Protruding labia minora can produce the appearance of a bulge under clothing such as leotards, wet bathing suits, jogging shorts, or tight slacks. The problem is not just aesthetic, however. If left untreated by a qualified surgery, excess or uneven minora skin can cause rubbing, discomfort, or chronic irritation during physical exercise and sex. Women with bulky labia minora may experience irritation or even pain during intercourse, and disproportionately large minora can interfere with sexual satisfaction.

Dr. John R. Miklos and Dr. Robert D. Moore are the best Labiaplasty Atlanta surgeons and are using specialized equipment, including a radiofrequency surgical device, to reduce the length of the minora, even out asymmetrical lips, or smooth ragged edges of the lips. Their surgical instruments cause minimal tissue damage, considerably less than with other techniques such as a laser or electrocautery. Minora labiaplasty may be performed in the office under local anesthesia and sedation or in the operating room if procedures for pelvic organ prolapse are also preformed. This procedure takes about one hour, but may take slightly longer if other surgeries such as vaginoplasty and clitoral hood reduction are also performed. Most patients return to work in 2 or 3 days.