Vaginoplasty & Vaginal Tightening in London
Vaginoplasty, also known as vaginal tightening is a gynaecology procedure for reconstruction of the pelvic floor in women who have been affected by significant laxity or looseness of the vaginal walls and underlying musculature most commonly as a result of childbirth but also with the natural ageing process. During childbirth significant vaginal stretching occurs and the structure of the vagina in many cases does not return to its original size before pregnancy. The pelvic floor muscles also known as the levator muscles are a flat shelf like muscle found on either side of the female pelvis and become stretched when the babies head passes through the vaginal base also known as ‘crowning’. The soft tissues found in the vagina can also become significantly overstretched in those who have congenital hypermobility syndrome. Most women commonly report reduced sensitivity in the vaginal area which leads to many women feeling unsatisfied after sexual intercourse. Laser vaginal tightening treatment may be used for women for have mild symptoms using IntimaLase and is a commonly carried out treatment for vaginal laxity and perfectly complements a vaginoplasty procedure for optimal relief of symptoms and improvement of vaginal appearance. Vaginoplasty can also be combined with labia reduction surgery in women who have excessively large labia.
Vaginoplasty surgery is sometimes also known as vaginal rejuvenation and is designed to tighten and strengthen the vaginal walls and tissues. The procedure is performed to reshape and tighten the tissue walls inside the vagina helping women achieve a youthful appearance to boost self-esteem as well as improve their sexual satisfaction through the improvement of function.
Vaginoplasty and pelvic floor repair is often carried out for the treatment of pelvic floor prolapse which occurs when one or more of the organs from the pelvis such as the rectum or bladder descends as a result of tissue laxity causing the formation of a rectocele or cystocele respectively. Pelvic floor prolapse can sometimes be improved with certain pelvic exercises, however, in most cases, the prolapse eventually causes physical pain and discomfort. If this happens to you, you may wish to undergo treatment for pelvic organ prolapse. Centre for Surgery is one of the few clinics in the UK to specialise in non-surgical vaginal laser treatment for pelvic organ prolapse. ProlapLase is a highly effective treatment and does not carry any of the risks associated with invasive surgery. Dr Dimitriadi will often recommend a course of laser treatment to improve the quality of the vaginal tissues and will reserve vaginal surgery for persistent cases of laxity or pelvic floor prolapse.
Our clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
Dr Paraskevi Dimitriadi is a specialist aesthetic gynaecologist and has trained at some of the world’s leading hospitals in all aspects of gynaecology. Dr Dimitriadi continues to practice in a major London teaching hospital. She takes an active interest in research into aesthetic gynaecology and lectures both nationally and internationally on a range of topics in aesthetic gynaecology. She is a full member of the European Society of Aesthetic Gynaecology (ESAG).
Dr Dimitriadi is known for her caring, patient-centred approach, supporting all her patients and she always strives to optimise patient outcomes at stages of the patient journey. As a female surgeon, Dr Dimitriadi understands her patient’s most delicate needs and preferences, which allows her to create a personalised and bespoke labiaplasty treatment plan to meet the patient’s goals. She is regarded as one of the top labiaplasty surgeons in London by her peers and brings years of experience to each and every procedure she performs. Dr Dimitriadi brings together her expertise across both surgical and non-surgical gynaecological treatments – unrivalled in London and exclusive to Centre for Surgery.
Amazing!! I had a labiaplasty done recently by Dr Dimitriadi and could not fault the practice on anything. The results themselves and the experience I had with the team have been incredible.
Expected results from vaginoplasty surgery
Benefits of Vaginoplasty
- A reduction in vaginal laxity
- Possible improvement in sexual function
- An improvement in symptoms of mild stress incontinence
Potential Side Effects
- Infection and bleeding can be avoided with a good aftercare routine
- Temporary changes in sensation
When the pelvic floor – a group of muscles and tissues – becomes weakened, the organs will then no longer be supported and will slip down.
There are four different types of prolapse. These are:
- Anterior prolapse: the bladder bulging from the front wall of the vagina
- Uterine prolapse: the womb bulging or hanging down into the vagina
- Vault prolapse: after surgery to remove the womb, the top of the vagina may sag down, causing a vault prolapse
- Posterior wall prolapse: the bowel bulging into the back wall of the vagina
There are a number of reasons for why a pelvic floor prolapse can occur, including:
- Pregnancy and childbirth
- Naturally ageing
- Having a hysterectomy
- Having a job which requires a lot of heavy lifting
- Having a medical condition which causes a long-term cough and strain
Ideal candidates for vaginoplasty surgery
All patients should be in good health and have realistic expectations about what can be achieved with vaginoplasty surgery.
We do not treat patients below the age of 18 years of age. Healing is better if patients refrain from or quit smoking. Vaginoplasty is ideal for those women who have experienced vaginal childbirth resulting in a loose vaginal wall, and wish to go back to pre-birth condition. The added width after the damage may also decrease sexual gratification affecting both partners. The procedure can help tighten the vaginal canal to reduce vaginal laxity.
If you have the following symptoms, you may have pelvic floor prolapse and may wish to consider pelvic floor repair.
- Feeling as if something is coming down your vagina, or as if something is dragging
- Your pelvis and lower tummy area feels heavy
- You can see or feel a lump coming out of your vagina
- You have problems or feel discomfort when urinating
- You experience numbness or discomfort during sex
- You are experiencing stress urinary incontinence
In some instances, you may have pelvic floor prolapse but experience none of the above symptoms.
Those who wish to have pelvic floor repair with Centre for Surgery will need to be at least 18 years old, be in good physical and mental health, and have reasonable expectations about what the procedure can achieve.
Prior to undergoing surgery, you will meet with your surgeon who will assess your suitability. You may be more suitable for other procedures such as laser treatment of pelvic organ prolapse or tension-free vaginal tape.
Surgical techniques used in vaginoplasty surgery
The procedure is performed with the patient under TIVA general anaesthesia to make the experience pleasant and comfortable throughout. Vaginoplasty provides optimal results by enhancing and strengthening the vaginal tissues. The procedure involves removing excess vaginal tissues and tightening the muscle walls for an enhanced vaginal area. The surgical method used for your pelvic floor repair will vary depending on which type of prolapse you have. Surgery is generally performed under a general anaesthetic. Anaesthetists at Centre for Surgery use TIVA anaesthesia which ensures a smooth and rapid recovery with a minimal risk of post-operative nausea and vomiting.
Surgery will generally involve making an incision into the wall of the vagina. An anterior prolapse will involve an incision at the front wall of the vagina, while a posterior prolapse will involve an incision at the centre of the posterior wall. Both incisions will start at the entrance and finish near the top wall of the vagina. The most common surgical technique is a lateral colporraphy
Dissolvable stitches are then used to strengthen the weakened wall. Those who have already been through menopause or do not wish to have any more children may wish to undergo a hysterectomy, which involves removing the womb. This helps to reduce pressure on the walls of the vagina and reduces the likelihood of the prolapse returning. The cosmetic vaginal tightening has proven to be reliable, safe, and very effective in improving the sensation of a wide vagina experienced by many women. Cosmetic vaginal tightening also produced improvement of sensitivity in 95 percent of the patients undergoing the procedure and in 80 percent of their partners.
Recovery after vaginoplasty
Following the procedure, swelling and discomfort around the treated area is very common. Pain medication can be taken to ease it. The patient can go back to normal activities almost immediately, however, strenuous physical activities should be avoided for at least 4 weeks. Abstain from sexual intercourse for 4-6 weeks to allow the surgical area to heal fully. You can achieve a good quality of life, improvement in vaginal comfort and maybe even new sensations. However, the results truly depends on an individual so it is important to have a realistic expectation. Following the pelvic floor repair procedure, you may be given a drip to give you fluids, and you may need a catheter (a thin plastic tube) into your bladder. This is removed before discharge. You may also have a gauze inside the vagina which will act as a bandage to help reduce any bleeding. This will be removed after the first 24 hours.
It is normal to experience some very light oozing or discharge after the procedure, which may last up to three to four weeks. It is recommended that you use sanitary pads during this period, rather than tampons. The stitches used during the procedure will be dissolvable, so you will not have to return to the clinic to have them removed. They will dissolve on their own after 3-4 weeks. You will have to avoid any strenuous physical exercise for the first few weeks, particularly activities which involve heavy lifting and straining or picking up children. You will also need to avoid swimming during this time period. You will have to avoid any sexual intercourse for about four to six weeks, or until you are completely healed. You may need to take up to six weeks off work, however, this will vary depending on your type of employment. Your surgeon will be able to give you exact advice on when you can return to work. You should avoid driving for at least three to four weeks. This will vary from patient to patient; you will need to feel confident about driving and performing emergency stops.
Risks and complications of vaginoplasty
Dr Demitriadi has many years of experience in performing vaginal tightening procedures. She regularly attends academic conferences in Europe to learn about the best and most safest ways of performing aesthetic gynaecology procedures. Her membership of the European Society of Aesthetic Gynaecology gives her access to the latest developments in the field. The vaginoplasty surgery performed today is very different to that performed even 10 years ago which is why it is so important for Dr Dimitriadi to keep fully up to date.
Dr Dimitriadi takes all precautions to make sure procedures run smoothly, however there is always a small risk of complications occurring. Patients should always start by making sure they choose an experienced specialist like Dr Dimitriadi to ensure they achieve optimal results. It is also very important to comply with all the postoperative aftercare instructions and restrictions on activity which are vital to ensure proper healing.
During your face to face consultation with Dr Dimitriadi, the potential risks and complications that can occur with vaginoplasty will be discussed.
Risks of vaginal tightening surgery:
- Anaesthetic risks
- Nerve damage or loss of sensation in the operated area
- Painful intercourse
- Dryness of the vaginal area
- Possible injury to rectum after a posterior repair
- Possible injury to bladder after anterior repair
- Possible injury to major blood vessels
- Requirement for a revision procedure
Potential complications of vaginal tightening procedures include dyspareunia, vaginal dryness, vaginal and perineal restriction, and a rectovaginal fistula. Women with severe pelvic organ prolapse may not be ideal candidates for vaginal tightening procedures. During a vaginal examination, while the patient bears down and tightens, Dr Dimitriadi can assess the vaginal width and the pelvic floor muscles to determine the most appropriate method of repair.
There are a number of factors which will determine the overall cost of your vaginal tightening procedure and the final quotation will be given after your face to face consultation with Dr Dimitriadi. Dr Dimitriadi is an expert in vaginal tightening surgery in London.
- Vaginoplasty alone or combined vaginoplasty + perineoplasty and pelvic floor repair
- Anaesthesia cost – local anaesthetic or TIVA general anaesthetic
- Any previous surgery to the area – revision surgery or surgery after previous gynaecological surgery may take longer to perform
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your vaginoplasty procedure.
Spread the cost of your vaginal tightening procedure
Centre for Surgery are fully approved to offer finance for vaginoplasty via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for your procedure. Don’t wait until you have enough money for your treatment, apply today and (subject to status) pay for your procedure easily in monthly instalments, using one of their payment options. Chrysalis Finance is the only ethical provider who focus solely in the provision of specialist financing for medical procedures. Speak to one of our patient coordinators today to learn more about finance for your vaginoplasty procedure.
Fotona SMOOTH® laser treatment
Centre for Surgery are one of the few providers in the UK to specialise in non-surgical laser gynaecology treatments for gynaecological concerns. Fotona SMOOTH® laser treatments offer gentle solutions to vaginal problems such as involuntary leakage during coughing and sports activities, loss of vaginal firmness and vaginal dryness and irritation. They are based on a specially engineered, patented laser mode using the award winning SP Dynamis laser that works by delivering gentle heat pulses to the vagina, strengthening and improving the tissue quality through the production of new collagen and elastin.
IntimaLase – vaginal tightening treatment
IncontiLase – stress urinary incontinence treatment
ProlapLase – pelvic organ prolapse treatment
RenovaLase – treatment for genitourinary syndrome of menopause / vaginal atrophy
Fotona SMOOTH® treatments are non-invasive, gentle, painless and quick ambulatory procedures that can also help patients that suffer from more than one type of problem.
What is a vaginoplasty or vaginal tightening surgery?Vaginoplasty or vaginal tightening is an aesthetic gynaecology procedure designed to tighten the muscles of the vaginal wall. Vaginoplasty is often combined with a perineoplasty for the repair of the perineum. The overall goal of vaginoplasty surgery is to improve the tightness, tone and strength of the vagina with improved sexual satisfaction. During childbirth, the stretching of the vaginal tissues during a vaginal delivery often leads to irreversible vaginal laxity which may later lead to the development of urinary stress incontinence and problems with sexual intercourse. Although vaginal tightening surgery can be performed in isolation, it is often combined with perineal or pelvic floor repair for women affected by pelvic organ prolapse for comprehensive vaginal rejuvenation.
Am I a good candidate for vaginoplasty surgery?Many women suffer from excessive vaginal laxity in silence not knowing that effective treatment is available or they may be too embarrassed to visit their GP. Many women will develop vaginal laxity as a normal part of ageing or after vaginal childbirth and this can be a considerable cause of distress and functional impairment including pain, loss of sensitivity and reduced sexual pleasure which can have an impact on intimate relationships.
Dr Dimitriadi is also an expert in non-invasive vaginal laser treatment for the effective treatment of vaginal laxity.
What are the benefits of a vaginoplasty?Vaginal rejuvenation can help remove the excess vaginal tissues and tighten the vaginal wall to boost self-esteem and increase pleasure during sexual intercourse.
Do I need vaginoplasty or labiaplasty?Labiaplasty addresses the labia minora or labia majora for aesthetic or functional improvement, whereas, vaginoplasty addresses the surgical reconstruction of the vaginal walls to tighten and narrow the diameter of the vagina.
Labiaplasty surgery does not address vaginal laxity.
How do I prepare for vaginoplasty surgery?Optimal preparation for vaginoplasty surgery starts with a consultation with the gynaecologist. You may be asked to stop smoking and reduce alcohol intake to improve wound healing. You may also be asked to stop aspirin and NSAIDS to reduce bleeding during or after the procedure. Your practitioner will explain in detail the do’s and don’t before the vaginal tightening procedure.
What does a vaginoplasty procedure involve at Centre for Surgery?After you have been anaesthetised (put asleep) with TIVA by your anaesthetist, the gynaecologist will begin the vaginal tightening procedure. In some cases where there is mild vaginal laxity, it may be possible to have the procedure with local anaesthetic and sedation. Vaginoplasty surgery takes about 2 hours to perform on average if performed alone and is a day case procedure in common with all procedures at Centre for Surgery. This means you will get to recover in the comfort of your own home once you have recovered from the effects of the anaesthetic and are medically fit for discharge.
Vaginoplasty surgery aims to address vaginal laxity through the surgical reconstruction of weakened vaginal tissue and is most effectively performed when excessive vaginal tissue is surgically removed followed by suture reconstruction of the vaginal wall using absorbable sutures. The vagina is thus a smaller diameter which is thought to increase the feeling of friction during sexual intercourse. Many women describe the vaginal sensation as being what it was before they had children. An improvement in muscle tightness and tone may also improve any functional symptoms of stress urinary incontinence and pelvic organ prolapse as the bladder and bowel are effectively supported after a vaginoplasty procedure.
Is vaginoplasty painful?The vast majority of patients who have a vaginal tightening procedure with a general anaesthetic are very comfortable both during and after the procedure. Any mild pain or discomfort that you experience can be easily controlled with prescription pain medication prescribed to you by the gynaecologist.
Any mild discomfort and swelling in the treated area will settle down fully within 10 days. There are no permanent stitches used for vagina tightening surgery and you will therefore not have to return for the removal of any stitches at your follow-up appointment at one-week post-op. Patients can generally return to work activities after one week but may be longer for types of work that are more physically demanding. All patients should avoid strenuous exercise and sexual intercourse for a minimum of six weeks after a vaginoplasty.
What is the recovery period like after a vaginoplasty?It is normal to expect some swelling, discomfort and mild bruising around the treated area and prescription pain medication given by your doctor can be taken to improve comfort. After 48 hours, you should be able to mobilise fully with minimal discomfort. You should avoid strenuous physical activities for at least 4 weeks. It is also important to abstain from sexual intercourse for 6 weeks to allow the surgical area to heal fully.
What results can I expect from a vaginal tightening procedure?You can expect a significant improvement in vaginal appearance and function. However, the results truly depend on how the individual patient heals and it is, therefore, important to have realistic expectations for what vaginal surgery can achieve.
For patients not keen on an invasive surgery procedure, Dr Dimitriadi is an expert in non-invasive vaginal laser treatment. Please see our page on laser gynaecology for further information.
What are the potential risks and complications associated with vaginoplasty?The potential risks of vaginoplasty surgery share similarities to other types of surgical procedures at Centre for Surgery whether carried out under local anaesthetic or TIVA general anaesthetic. Bleeding and infection are recognised risks of any surgical procedure and your gynaecologist will discuss the specific risks of vaginal tightening surgery at your consultation. If you have had previous vaginal surgery, the risks of complications may be higher due to the presence of scar tissue which may increase the risk of bleeding and the risk of injury to surrounding structures.
Can I have vaginal tightening if I have not had children?Despite the surgical vaginal tightening procedure being very commonly performed for women who have experienced childbirth, people who have not had children may also be suitable for vaginoplasty if they have a medical condition which predisposes them to the formation of significant vaginal laxity.
Will I have to refrain from sexual activities after the vaginoplasty procedure?Yes, you should refrain from sexual intercourse for at least 6 weeks to allow the treated area to heal fully.
How much does a vaginoplasty cost?Vaginoplasty surgery costs about £6000 - £6500 depending on the extent of the procedure required. Our gynaecologist will assess you at your consultation to determine the correct treatment. Sometimes a pelvic floor repair procedure will also be required in addition to a vaginal tightening procedure.
Following your consultation, an accurate quote will be given by your allocated patient coordinator.