Age 45, on child vaginally & can pass the pencil test - do I need vaginoplasty? (Photos)

You don't need surgery. If you're happy with your sex life, it doesn't need fixing. The only thing out of alignment here is the the importance that you have chosen to attach to the meaningless comments of a previous partner. Learn to forget and move on. People like that will find something else to comment about to get under your skin.

What you describe is completely normal and healthy after childbirth. If you are not experiencing any issues with leaking, no aesthetic problems or sexual issues, there shouldn’t be a need for Vaginoplasty. Unfortunately your previous partner may have left you feeling insecure, but it seems unwarranted.
Hope this helps!

Thank you for your question It sounds like you are doing well just as you are. Surgery should be performed only when you are unhappy with how your body feels. The term vaginoplasty technically means plastic surgery of the vagina and , except for the creation of a new vagina, does not refer to a specific procedure. The vagina is attached on six sides and each is repaired differently. The entrance you show in your photo is only one of six.There are risks to all surgery and taking risks without you yourself feeling you are loose or having a related issue would be unwise. On the other hand, if you are not enjoying sex because you feel too wide inside, then vaginal reconstruction can help. I advise my patients to consider surgery for their own benefit and not for their partners opinions.You can also consider radio frequency such as Thermiva which increases collagen and thus increases stiffness which can give the sensation of being tighter , is nonsurgical and without the risk or cost of surgery. Confer with a reputable cosmetic gynecologist on your options. Do your research

You have already explained yourself very well, sex is good and you feel good aesthetically. Your partner's statement confused you. According to the pictures, there does not seem to be a need for an operation, but nothing can be said without an examination. Having a vaginal delivery does not necessarily mean that it will cause vaginal enlargement.

Hello Brave,
Thanks for your question. Hopefully you got rid of your partner since it sounds that the problem was with his size and performance. You state that your sex is good and that you're content aesthetically, well this is all that matters! For having had a large baby with forceps and episiotomy consider yourself fortunate, but don't regreat having had a vaginal delivery. You will never be like you were before your vaginal delivery, but you can take steps to maintain the good sex you are having, but surgery isn't one of them. I strongly feel that "you can't make good sex better surgically" and thus the popularity of non-surgical vaginal rejuvenation treatments which include CO2 laser vaginal resurfacing, Radiofrequency introital tightening, and the O-Shot. These treatments in combination are very well received by my patients, many of feel they end up having the best sex of their lives.
Go to the link below to learm more about these treatments. From that link you can schedule a virtual consultation via phone or zoom, at which time we can discuss in depth your anatomy, expectations and concerns.
Best of luck,

Vaginoplasty is a quality-of-life procedure. It is not about need. It's about want. Large vaginal deliveries can frequent cause damage to the muscles, nerves and connective tissue in the the vagina and lead to laxity with sex as well as other issues. If this is causing issues for you and/or your partner a vaginoplasty will correct the issue. Vaginoplasty is safe and very effective in the right hands and can be done in an office surgery suite.

Vaginal tightening and aesthetic re-arrangement is FOR YOU, not him. Talking about "pencils," what is the size of HIS "instrument..?

RealSelf's web reference below contains additional information

Cheers!

Michael P Goodman, MD, FACOG, IF, AAACS
Davis, CA, USA