How long does a vaginoplasty last?

A well conducted vaginoplasty should last forever unless you destroy the repair by having vaginal childbirth or extremely large vaginal insertions with fisting or sex toys. If the vagina loosens after having "normal" sex several times, it's unlikely that the vaginoplasty was well conducted. Common points of failure would be the omission of a proper levatorplasty and identification and repair of a rectocele (which is present in over 90 percent of my patients). Obviously, some vaginas are more damaged than others and not everyone can be restored to a "virginal size" especially if the internal muscles are avulsed or paralyzed.

Hello, Vaginal canal is a 12-15 cm long canal which is a mucosal tissue, means loose connective tissue, and surrounded by pelvic floor muscles. vaginal tightening surgery should be performed to the first 10 cm or longer of the vagina. during the vaginal tightening surgery the surrounder muscles at the vaginal entrance also are tighten. If it is done properly the vaginal tightening effect would continue for years but I cannot say will be as good as the first year after 10 years. I would recommend women who have vaginal tightening surgery to have non invasive procedure after 2 years like femilift laser, aptos vaginal threads or Emsella. Briefly, vaginal tissue and surrounding tissue should be addressed for the vaginal tightening surgeries. only vaginal mucosal correction would not be sufficient.

Thank you for your questionVaginoplasty literally means plastic surgery of the vagina. There are several procedures that can be called "vaginoplasty" and what is repaired and the quality of repair can differ. For example, a "site specific defect repair" will will usually give a more solid result than an"anterior/posterior repair" of the vaginal canal. In addition, size of partner and frequency of intercourse can affect longevity.Vaginal rejuvenation is not a procedure but is the result of procedures that make the vagina more youthful. Therefore, whether any of these procedures are "appropriate" depends on what condition the vagina is in and the preferences of the woman.

hello, of course, there will be no re-enlargement in the relationship entered after properly performed vaginoplasty. however, if you are considering a normal delivery, it would be appropriate to plan your vaginoplasty surgery after delivery. If you are planning a cesarean section, vaginoplasty can always be done. get well soon

Hello and thank you for your questions. A Vaginoplasty is appropriate for anyone who feels excess vaginal laxity even if they have not had any children. You are correct in stating that without doing anything traumatic to the vagina after the procedure, the results should be long lasting.

The corrections made during a surgical vaginoplasty are permanent, however you will continue to have other factors such as aging or future pregnancies impact your results. Non surgical vaginal rejuvenation is a good option for women who would like improvement and who are willing to return every few years for a treatment to maintain results.

The durability of vaginal reconstruction (vaginoplasty)
Q: How long will vaginal tightening last?
A: It is imperative to distinguish between the vaginal reconstruction of site-specific defects of the vaginal wall and vaginal tightening. Site-specific vaginal wall defects reconstruction is a surgical operation requiring intimate knowledge of the vaginal walls' gross, topographic, functional, and surgical anatomy and adjacent vital structures (the urinary bladder, urethra, and rectum) fusing with the vaginal wall. Additionally, the lateral vaginal wall and its supportive structures are different, and there is no vital structure connecting to the lateral vaginal wall. Vaginal tightening, as presented by Dr. Marko Pelosi III's video here, is not a procedure that should be offered in your case, with many conflicting surgical anatomy statements made in this video about the vaginal anatomical structures and pelvic muscles. A vagina canal is surrounded by four walls, like a hose, a) anterior that fuses with the urinary bladder and urethra; b) posterior that fuses with the anterior rectal wall; c) 2-lateral walls, which are directly fused with the pubovaginalis muscle. It is evident that the muscular vaginal layer (circular and longitudinal muscle) is a smooth type of muscle and pelvic floor muscles support the vagina, but they are not vaginal musculatures. The vaginal wall consists of mucosal, muscular, and adventitia layers. In his advice to you, Dr. Michael Goodman suggested that surgeons must be familiar with operating on the levator ani muscle to be successful in vaginal reconstruction. There are abandoned scientific-clinical data showing that the levator ani muscle is not directly connected to the vaginal wall, and approximating this muscle in the midline is the wrong procedure and, in most instances, causes pain during vaginal intercourse; it should be abandoned for using at a vaginal reconstruction to tighten the vaginal opening. The first step in this case, a qualified physician should evaluate and establish the cause of your perception of the wide vagina. I researched this topic and published my findings in prestigious medical journals (J. Reprod Med 2014;59:327-327; EJOGRB 2011;158:97-100; EJOGRB 2011;159:449-452). Since the posterior-distal vagina directly fuses with the posterior perineum; therefore modified posterior perineoplasty (the female crotch reconstruction will support the posterior vagina. My clinical research well-documented that traditional perineoplasty is a wrong surgical concept, and modified posterior perineoplasty should be applied. I studied it and described this surgical intervention in the J Reprod Med 2015;60:109-116. My study showed that sometimes diminished superficial vaginal columnar rugae (superficial vaginal grooves) due to the presence of site-specific defects or advancing age can cause a sensation of a wide or smooth vagina (Ostrzenski A. Gynecol Obstet Invest 2012;73(1):48-52). You need to identify a surgeon who will be familiar with your specific problems to repair, and then you can expect a long-lasting duration of the surgical outcome.
With regards,Prof. Dr. Adam Ostrzenski, USA

Vaginoplasty (aka "Vaginal Reconstruction;" aka "vaginoplasty + perineoplasty) lasts a variable length of time IF performed properly (a big "if"-- see below!) AND IF you have good levator mucscle strength and perform regular pelvic floor physical therapy, it can last a long time (? over 10 years.) That's a bit "if," as only surgeons who can prove to you that they have taken a course with myself, or Dr. Red Alinsod or Dr. David Matlock or Dr. Marco Pelosi know the right technique to perform your vaginal tightening operation properly. Also, most folks want a "quick fix," and are not gung-ho to do the required exercises. Bottom line? Well trained surgeon + good muscles + proper long-term P.T. = good longevity. If you don't strengthen your muscles, and/or if your surgeon is not specifically trained (and, the general Residency training Ob-Gyns and Uro-Gyns receive does not train them for proper vaginal tightening...) = poorer long-term outcome. Best, Michael P Goodman, MD, FACOG, IF, AAACS. Revision Specialist. Davis, CA, USA