Vaginoplasty (vaginal rejuvenation)

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This aesthetic vaginal surgery aims to tighten lax muscles and tissues and remove excess vaginal skin to narrow the diameter of the vagina resulting in a smaller and tighter opening and vaginal canal. The tightening is done in the entire length of the vagina and not merely the opening few centimeters. Dr. Alinsod does full depth repairs unlike the superficial perineoplasty repairs done by most plastic surgeons and gynecologists. This can be done in the surgery center under general or spinal anesthesia or under local anesthetic with some sedation. However, Dr. Alinsod has refined the in-office vaginal rejuvenation surgery that does not require an IV and is done under mild sedation and local anesthesia. He use the Ellman Surgitron Radiofrequency device to make exceptionally precise and minimally traumatic incisions. This method is dramatically less destructive than the use of Yag lasers. It takes about 60 minutes to perform. Many advertise this procedure for the “Enhancement of Sexual Gratification” as well as a cosmetic procedure.

Patient History: Active woman in her mid 30s has completed childbearing and noticed reduced sensation during intercourse due to looseness in her vagina. She also noticed “bumps” coming out of her vagina and a sense of chronic constipation. Physical exam revealed a moderate rectocele and a wide open vaginal canal. There was a very mild cystocele. She requested in-office repair with vaginoplasty and perineoplasty.

Procedures Performed: Vaginoplasty, Perineoplasty, Rectocele Repair, Minor Cystocele Repair.

Before Vaginoplasty
After Vaginoplasty
Outcome: Normal activities and a more satisfying sexual relationship with her husband. Normal bowel movements and loss of the chronic sense of constipation.
Patient History: The pictures below show a successful professional in her mid 50s who was recently divorced a year earlier. She had suffered traumatic childbirths with lacerations and torn episiotomy, had symptoms of incontinence and pelvic fullness and pressure, and a feeling of constant constipation. Bowel movements gave her a bulge she could both see and feel. She had to push on this bulge coming out of her vagina to complete the emptying of her bowels. Quite bothersome to this lady was the lack of sensation and a very loose feeling during intercourse. She could not feel her partner. Bladder studies showed her to have stress incontinence. She requested pelvic reconstruction and vaginoplasty.

Procedures Performed: Vaginoplasty, Perineoplasty, Transobturator Sling, Cystocele Repair, Rectocele Repair, Vaginal Vault Suspension, Rim Labiaplasty, Clitoral Hood Reduction

Before Surgery
Before surgery showing the cystocele and rectocele
with significant vaginal looseness

Immediately after surgery
Two months after surgery
Outcome: Patient resumed a normal and active lifestyle both professionally and personally. She was able to resume intimate relationships about three months after surgery. She felt more friction during intercourse and had a satisfying sex life.
Patient History: This young lady in her mid to late 30s had several large babies born by normal delivery. She suffered tears of her vagina, perineum and labia. She had also lost a significant amount of weight after medical and surgical weight management resulting in a great deal of excess skin. The asymmetric appearance of her entire vulvar and vaginal area was not pleasing in her eyes and her vaginal looseness resulted in sexual relations that were less than satisfying.Procedures Performed: Vaginoplasty, Perineoplasty, Barbie Doll Labiaplasty
Outcome: Resumption of normal life activities after a two month recovery. She was able to resume her active sex life and exercise program. An incontinence sling was placed months later to resolve the occasional incontinence she suffered with activities.