Loose vagina. Is there any type of surgery that will make me tight again?

Thank you for your questionAbsolutely there is surgery that can help, but you need to be very careful on choosing a surgeon that will do the most appropriate procedures for your situation.The vagina is like a six sided tube: entrance, apex, upper inside(bladder), lower inside(rectum) and two sides. Each of these needs to be evaluated and has different treatments. My best analogy for understanding what is going on the inside is the steel belted tire which which has a strong support structure (fascia steel belt) and a flexible stretchable surface which has grooves(mucosatread). When the steel belt tears, the tread balloons out increasing the surface area and smoothes out the grooves. This is what is called "an acquired sensation of smooth/wide vagina. There typically are several defects that can occur from childbirth and these can all be corrected best by a procedure called " site specific defect repair".. You need a surgeon who knows how to identify and correct each of the possible defects within the length of the vagina as well as defects on the entrance(orifice) and apex. Be aware that once these are repaired you should not have another vaginal delivery so if you get pregnant again you will need a caesarian section. Do your homework and research well looking at reviews and before and after photos.

Hello, of course, there are both surgical and non-surgical methods for vaginal tightening. However, surgical vaginoplasty surgery is permanent for life.

Hi, that is a great question.
Vaginoplasty is a surgical procedure that tightens the vaginal canal. I would recommend this procedure to be done by a cosmetic gynecologist.

Wishing you the best!

Hi, thanks for your question.Vaginoplasty is a procedure that tightens the vaginal canal and should only be done by a cosmetic gynecologist.  This will increase friction resulting in greater pleasure for both partners.  I would recommend you having a consult with a cosmetic gynecologist to find what is best for you.Best of luck!

Hello Lala1130,Many women notice a change in sensation following a vaginal delivery. There are great surgical and non-surgical options, but the best treatment for you depends on many factors that requires a thorough evaluation by an expert gynecologic surgeon. I recommend you find a reconstructive and cosmetic vaginal surgeon who is experienced in evaluating vaginal looseness. Avoid seeing a plastic surgeon or dermatologist for this condition since they have zero experience in vaginal reconstruction.Best of luck,Oscar A. Aguirre, MDUrogynecologist & Cosmetic Vaginal Surgeon

Hello. Thank you for your question. Childbirth, while it gives you a beautiful baby, can leave the pelvic area with new issues like the looseness you mentioned. The good news is, you can regain your pre-baby tightness and sensation. After an exam, surgery (vaginoplasty) or non-surgical techniques can be done to bring back the feeling you had previously. Sometimes a combination of both is needed. I recommend you seek out a cosmetic gynecologist. 

Dr Courtenay Poucher

Thank you for sharing. Your concern is a common one and affects many women after delivery. There are surgeries that can aid in restoring the vaginal anatomy to prepregnancy. I would recommend finding a physician that specializes in female pelvic medicine to set up a consultation. At that visit they will discuss your concerns and perform a pelvic exam to determine the best treatment option for you. Some women may require only vaginal rejuvenation for tightening and others may need a more formal anatomical repair.  Hope this helps! 

Hi, thanks for your question.
Vaginoplasty is a surgical procedure that tightens the vaginal canal and should be done by a cosmetic gynecologist.  This will increase friction resulting in greater pleasure for both partners. I would recommend you get a consult with a cosmetic gynecologist.
Hope this helps!

Absolutely, vaginoplasty would certainly help tighten your vagina.  Vaginal laser can also help as well as pelvic floor physical therapy by a physical therapist that is trained on vaginal wall therapy.
I would suggest to have a vaginal exam by a gynecologist who specializes in vaginal surgery and who has the ability to refer you to a specialized therapist if you choose not to have surgery.
Hope this helps :)

Hello "Lala,"
I understand the toll vaginal childbirth(s) can take on vaginal width, the scarring over the posterior vaginal wall that occurs that limits vaginal "stretch" and pliability, and the breakdown and aesthetic battering that occurs at the opening, vulvar vestibule, and perineum/perineal body (the area between the vaginal opening and anus.)
Husband/partners will say nothing; he cares about YOU and anything that is attached to & part of you is OK with him. He is just happy to BE THERE...



But it's not about him of course, I understand. It is about revising the appearance of the perineum, vestibule and vaginal opening closer to your pre-kids "veejayjay..." so you can smile when you cleanse and inspect yourself. It's about removing all the lax scar tissue from the pelvic floor, re-approximating the levator muscles and recto-vaginal fascia to reconstruct the pelvic floor, decompress your rectocoele, bring the pelvic floor muscles together, narrow the vaginal barrel, reconstruct the perineum and perineal body to strengthen the opening and change the angle of the vagina so as to provide so much more friction and "feeling" and push the penis upward to more stimulate the G-spot and internal and external clitoris. It may be about utilizing FemiLift or ThermiVa on the upper vagina to modestly tighten it and more importantly strengthen the skin and fascia to minimize embarrassing incontinence, it may be about adding an "O-Shot (tm)" to enhance orgasmic strength, and it definitely IS ABOUT adding a course of pelvic floor physical therapy to the mix to STRENGTHEN your muscles to support, enhance, and lengthen the success of your surgery. It also may be about a careful remodel of the labia to produce a more “clean”, “streamlined” appearance. While "Kegels" will not work when the muscles are stretched apart, they are important to continue after surgery


This can be accomplished by a MINDFUL,  AESTHETIC, and strongly layered surgical repair, perhaps enhancing it with Laser and/or PRP technology. Who can and should do this and what do you look for? Look for a gynecologist or urogynecologist who can prove that she or he is also quite savvy in the importance and techniques for re-building not only the pelvic floor but the perineal body and vaginal opening as well. Beware(!!) of non-Gyn surgeons who promise "vaginal rejuvenation" with a "...machine!" This WILL NOT DELIVER what is "...promised..." Look for a surgeon who is an “artist,” proven by dozens of ‘before and after” photos of results from different LP and VP procedures. A surgeon who has performed at least 20 of these specific sexual vaginal tightening procedures (>100 would sure be nice), who has performed > 100 labiaplasties (if that will be part of your surgery, who has alternate tools (laser; RF) at his or her disposal, and who also informs you of the importance of post-operative physical therapy and automatically incorporates this therapy into his or her program.
YES, these procedures may be performed, with excellent exposure, under safer, easier-to-recover-from LOCAL anesthesia if your surgeon is super-experienced. Of course, the exact technique and needs can't truly be assessed until personal evaluation, but most experienced surgeons can, via photos and an in-depth discussion which can even be by phone, give you a price approximation. 


Best wishes for successful surgery. Research carefully, & don't be afraid to travel if you cannot find the ideal surgeon in your community. You only have one body, and one vagina, you know. Research with care anyone you will be trusting that to... RealSelf's Web link below gives you much additional information on the surgery you seek. below, and other areas of the site, especially blogs, can provide you with additional useful information.



Michael P Goodman, MD

Davis, CA, USA