Vaginoplasty - would I be able to get back to a pre-baby state? (Photo)

Thank you for your questionYes, but you need to know what you are getting. The word vaginoplasty originally meant making a new vagina but technically the word can be used to mean "any plastic surgery of the vagina". Therefore, surgeons are performing a variety of procedures and calling them "vaginoplasty". The quality of your results will depend on which of these procedures are used, the quality of your surgeon and the quality of your tissues. The vagina is like a six sided tube: Orifice or entrance, apex, upper side(bladder), lower side(rectum) and two lateral sides. Each of these areas must be addressed and are repaired differently. In addition, You can think of the inner vagina as a steel belted tire with a firm underlayer (fascia) like a steel belt giving it shape and form, and an outer layer (mucosa) like the tread which is flexible and has the grooves (rugae) to give friction. When the steel belt is torn there is bulging of the tread which increases the surface area and smoothes out the grooves (prolapse). The technique used to repair the fascia will determine the success of the repair. "Site specific defect repair" (by individually repairing each of the tears) will typically give a stronger and more permanent result than other techniques but is more recent , can take a little longer and is unfortunately less commonly performed. So yes you can reduce the size of the vagina including the orifice but you need to have good solid support. It is important to do your homework: read reviews, look at photos , check out the specific training of the surgeon in this area etc to achieve the results you want.

Hola buenos dias, si debes realizarte un rejuvenecimiento vaginal con reparacion de piso pelvico anterior y posterior y si necesita aumento de labios se hacen en conjunto, tu vagina podria volver a ser la misma en manos de un buen ginecologo estetico. estamos a tus ordenes, ver abajo el link anexo para obtener mas informacion sobre nuestros servicios

Your lack feeling during sex will require several procedures to achieve an acceptable result. Vaginoplasty is not enough. You will need pelvic floor reconstruction first. The specific type of reconstruction will be determined by a thorough pelvic examination and will include a rectocele repair. The procedures can be done during the same operation. Whether or not you can be restored to a "pre-baby" state will be determined by the quality of the muscles and supports. Nonetheless, your condition will be greatly improved. Plan your travels to arrive at least one day prior to surgery and to depart at least two days afterwards. Use the link to schedule your virtual consultation to discuss further before committing to any plan

First of all, the good news is that you can return to your pre-baby state! I am a surgeon based in Istanbul, Turkey and regularly visit London for consultations. From what you’ve described, vaginoplasty and perineoplasty would help address your concerns. However, if you’re looking for a complete aesthetic improvement, I would highly recommend combining these procedures with labiaplasty, fat injection, and whitening.
Best regards,Dr. SEN

Hello, you are right, after normal birth, sometimes a vagina can appear in your appearance, and enlarged vaginal entrance and not feeling it can reduce self-confidence. But the good news is that it is possible to return to your prenatal state or even better with surgery. Don't worry, but contact a genital aesthetic specialist you trust. I wish you healthy days

I'm sorry to say, but your vagina will never be like it was pre-baby. You have incurred significant structural damage which requires repair by an expert urogynecologist with experience in both reconstructive and cosmetic vaginal surgery to give you your best chance to feeling like yourself again.
Go to the link below to see hundreds of before and after photos where you will find many examples that are similar to you. 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. Women from all over the world travel to my Center for their Intimate Makeover.
Best of luck,

Thanks for your questionsYou have touched on two things which I thought need to be addressed with understanding. I assume by pre-baby state, you are referring to overall improvement and appearances that will look similar to before childbirth perineal trauma. If so Yes, any prolapse can be repaired and external appearances made to look tidy, but a surgeon cannot and should not guarantee pre-baby state, as such . Feeling confident- is the second, while I understand what this means, in terms of of feeling better within when it relates to sexual appearances and feelings of normality, it is important to note that surgery may be promise confidence per se, but surgery should be able to address most if not all the appearances that is causing lack of confidence. I hope o have answered your questions.

Unfortunately it might not be possible to return to a pre baby state. However, that doesn’t mean everything is lost. You seem to be the perfect candidate to be helped by someone who is a specialist in the specialty of urogynecology. That is what I do every day, all day. You are NOT alone. You also need a much more thorough assessment than most cosmetic practitioners will be able to provide. A simple cosmetic procedure might do you more harm than good, or in the best case, not be very helpful. You really need a proper assessment by someone who is a specialist in this field. You are fortunate that the UK has some of the best urogynecologists in the world. Some of them are world famous. Unfortunately they are usually associated with universities. Your primary care provider should be able to help you find the help you deserve.
M Murphy

If your surgery is performed by a doctor who is familiar with female pelvic floor anatomy and experienced in female pelvic floor surgery (urogynecology), you can return to your pre-baby state. Unfortunately, the pelvic floor is traumatized during difficult births that require the use of forceps. If the fascia that was torn at birth is stitched back to its original place, the vaginal anatomy will improve and your complaints will regress.

Q: Is vaginoplasty an adequate procedure for the treatment of multiple vaginal defects?

A: No, it is not because vaginoplasty is applied to create a new vagina, although this term is used as a marketing tool by gynecological surgeons as a plastic operation. Also, remember that “vaginal tightening” should never be used since it can cause urinary and fecal incontinence. Your condition presented here is curable by reconstructing multiple site-specific anatomical defects.

Evaluations of the photo:

There are multiple defects visible:
• The Vaginal orifice is gaping (reconstructions of several anatomical structures are needed to correct these defects)
• The posterior perineum needs repair since a visible anatomical defect is present
• Lateral, anterior, and posterior vaginal wall defects are present, and they must be addressed and a perspiring technique must be avoided
• Urethral prolapse needs to be corrected
However, clinical and imaging examinations can, and most likely will, identify more defects.
To achieve desirable outcomes, all defects must be diagnosed and addressed. Surgical meshes should not be used. This is a demanding type of surgery, and I do not know anybody in the UK or Europe to whom I can refer you.

With regards,
Prof. Dr. Adam Ostrzenski
USA

P.S.
I volunteer to do a free-of-charge service for women and do not use the RealSelf company to market my practice; therefore, you will not find all my credentials on any RealSelf portal. You can see my publications on this topic by consulting the medical literature.