Will having vaginal rejuvenation surgery actually change how the vagina feels inside during sex?

Hello, thank you for the question. the vaginal laxity and pelvic muscles laxity might increase by aging. To feel better during sex both the vagina and the pelvic muscles should be addressed. if you have vaginal tightening surgery just at the entrance of the vagina, (Perineoplasty only) that would not make much difference, but f you have a surgery which will tighten at least 10 cm of the vaginal canal you will feel better at sex. I would also recommend you Emsella treatment which will make your muscles stronger and that will help for urinary incotinence prevention, anal incontinence prevention and tighten the vaginal muscles.

Hi, thank you for your question. Vaginal tightening involves creating small incisions to join loose vaginal muscles and shorten them, as well as tightening the vaginal opening through dissolvable sutures. This surgery is meant to improve sensation (and appearance) for patients who find that intercourse has been impacted by aging and/or childbirth. Ultimately, everyone will have a different experience post-surgery, and your best option is to consult with a board-certified plastic surgeon to address your particular concerns.

Thank you for your inquiry! Yes, a Vaginoplasty procedure can be performed to increase vaginal tightness. We would love to meet with you in person to make sure you're a candidate for this procedure. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you!

Thank you for your questionThe effects of vaginal "tightening" procedures depends on what procedure is being performed. The vagina is connected on six sides(entrance, apex, upper or bladder side, lower or rectal side, and two lateral sides. Each of these areas can have stretching or tearing. There is no procedure called "vaginal rejuvenation " or "vaginoplasty"(except when referring to the making of a new vagina) . These are the effects of any of several procedures that can be performed and each doctor defines these differently. Your results will depend on where the tears and defects are and which procedures are performed. The results of these different procedures vary and that is why people describe varying results. I suggest you find a surgeon who performs "site specific defect repair " which treats each of the defects separately and who evaluates the six aspects of the vagina mentioned above. Do your homework and check out reviews to best get the results you are looking for. so yes, If you find the right surgeon who will perform the repairs required you can definitely feel tighter . Tightening just the perineum (entrance) only addresses part of the problem and you will probably be disappointed if the insides are not treated.

The wall is narrowed after a vaginoplasty , yet you'll still feel tight during sex. The appearance will be favorable if only the vaginal opening is constricted, but the sensation of looseness during sex will persist.

Hello, in the correct vaginal tightening surgery, the entire wall is narrowed inward and you will still experience the feeling of tightness during sex. If only the vaginal entrance is narrowed, the appearance will be good, but the feeling of looseness during sex continues.

Thank you for your questions. I think this all depends on the specifics of the procedure in mind. When we perform procedures in our practice such as labiaplasty, this can often be termed "vaginal rejuvenation," but we are only addressing the cosmetic appearance of the genital area on the outside. There are no changes to the vaginal canal or any functional changes. However, there are some more invasive procedures that can deal with the vaginal canal itself, but in my practice, these are best left to other experts.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Vaginal rejuvenation is a generic term. It has no specific meaning. Sort of like "Home Renovation". What you are asking about is called a vaginoplasty - a surgical tightening of the vaginal canal and of the perineum (the vaginal opening). Yes. This will make your vagina tighter for sex. The procedure tightens the muscles of the vagina. If these muscles are in good shape, you will get an excellent result so long as the procedure is done properly and any pelvic floor damage (such as a rectocele) is repaired at the same time. If the muscles are not in good shape or if any pelvic floor damage isn't repaired at the same time, the results won't be excellent.

The goal of vaginal tightening surgery is to make the vaginal canal tighter and therefore improve sexual satisfaction for both partners. When successful that should indeed be the outcome. Vaginal tightening is a functional operation that will have minimal effect of appearance. The appearance of the labia majora and minora are entirely unrelated, and can be addressed with multiple techniques.

I recommend an evaluation by an experienced board certified gynecologist or plastic surgeon who can determine how to best advise you. Best of luck to you.

Thank you for sharing your concerns; these are very common experiences during menopause and after starting hormone replacement therapy (HRT). Changes in the appearance and feel of the vaginal area can be linked to reduced estrogen levels, which affect the elasticity, tissue thickness, and hydration of the vaginal and vulvar tissues.

Here’s some insight into your question:

Vaginal Tightening Surgery
Vaginal tightening surgery, often referred to as vaginoplasty, is designed to tighten the vaginal canal and surrounding muscles. The goal is to restore firmness and improve tone, which can enhance sexual satisfaction for some people. However:

Internal Changes: If your primary concern is how things feel inside during sex, vaginoplasty may help if looseness is due to overstretched muscles, often related to childbirth. However, it may not significantly improve sensation if the issue stems from diminished lubrication, tissue thinning, or nerve changes.

External Appearance: To address the external appearance (e.g., shrinking or loose labia), a separate procedure called labiaplasty can reshape the labia. Combining this with vaginoplasty may improve both appearance and some sensations.

Limitations: Surgery can’t completely reverse hormonal tissue changes. If reviews mention no difference in sensation during sex, it may be because factors like lubrication, arousal, and nerve function (which surgery doesn’t directly address) also play key roles.

Alternative or Complementary Approaches
Before committing to surgery, it might be worth considering other options to address both functional and aesthetic concerns:

Pelvic Floor Therapy: Physical therapy for the pelvic floor muscles can improve tone and sensation without surgery. A pelvic floor therapist can evaluate your specific needs.

Non-Surgical Treatments:

Laser or Radiofrequency Devices: Treatments like CO₂ laser therapy or radiofrequency energy can stimulate collagen production, improve elasticity, and help with vaginal tightness and external appearance.
PRP Injections: Platelet-rich plasma therapy, sometimes called the "O-Shot," may enhance sensation and tissue health.
HRT Adjustment: Since you’re on pellet therapy, it might be worth discussing with your doctor whether optimizing your hormone levels, including localized vaginal estrogen or DHEA, could further improve tissue quality and elasticity.

If you need help and are local, or are willing to fly, to California. I am an expert in HRT. I am an expert in this field. I can not waive the fees just as you are aware, or the procedure costs.
My office phone number is 310.772.0072
I am in Los Angeles California and would like to help you with BHRT aka pellets, if you need vaginal rejuvenation, I also can provide that. I have been doing this for over 20 years.

Bio-Identical Hormone Replacement Therapy (BHRT) protocols are designed to restore and maintain hormonal balance, relieve symptoms, and prevent the common conditions and diseases associated with hormonal imbalance and declining estrogen and testosterone levels. These include but are not limited to Alzheimer’s Disease, Cognitive Decline with Aging, Osteoporosis, Colon Cancer, Cardiovascular Disease, Breast Cancer, Urinary Incontinence, Auto-immune disease, and more.
Sexual Health & Wellness: Individualized treatment options for low libido, vaginal dryness, painful intercourse, sexual arousal, and orgasmic disorder that are safe, effective, and minimally invasive that help women regain their confidence and enhance intimacy.
Pelvic Floor & Urinary Tract Health: FDA-approved treatments for urinary incontinence, urinary frequency and urgency, recurrent UTI, vulvodynia, vaginismus, PSAD, pelvic pain, and pelvic floor prolapse. Dr. Berman’s treatments focus on helping women regain control, get relief from symptoms, and restore pelvic floor health.