Aesthetic Gynecology
Vaginal Rejuvenation
A vaginal lift focuses on restoring better tone to the vaginal entrance and perineal tissues, which can reduce the sensation of “looseness,” improve sexual comfort, and lower the frequency of chafing or infections. Depending on the underlying cause of tissue laxity (childbirth, age, or congenital anatomy), the gynecologist may recommend surgical methods (perineoplasty or posterior tightening) or procedures using absorbable PDO threads. Each technique has different indications, healing time, and risk profile – which is why qualification always begins with a gynecological examination and a detailed discussion of symptoms and expectations.
When to Consider a Vaginal Lift
Typical problems include: noticeable widening of the vaginal entrance after childbirth or with age, reduced satisfaction with intimate life, a sensation of friction mainly reported by the partner, recurrent infections or chafing caused by excessive “openness” of the perineum, and absence of significant pelvic organ prolapse (as more advanced cases require reconstructive surgery).
Treatment Options
Perineoplasty
Surgical narrowing of the posterior part of the vaginal entrance involves excision of excess mucosa and suturing of the perineal muscles. This improves pelvic floor support and, according to clinical observations, usually provides high satisfaction for patients and their partners. Duration: 30–60 minutes under regional or short general anesthesia. Recovery: return to office work after a few days, full healing in 6 weeks
PDO Threads with Hooks
Two threads are placed submucosally on both sides of the vaginal entrance; the hooks anchor in the tissue to physically tighten the introitus, while the absorbable polydioxanone stimulates new collagen formation for about 6 months.
- Duration: 20–30 minutes under local anesthesia
- Effect: immediate narrowing by ~25%, with further firming over 2–3 months
- Longevity: 12–18 months; the procedure can be repeated after one year
Preparation and Recovery
Pre-procedure:
- Vaginal swab, blood count, and pregnancy exclusion tests
- Prophylactic antibiotic for surgical procedures
Post-procedure:
- Showering is allowed immediately after the procedure
- Baths should be avoided during the recovery period
- Sexual activity and tampon use: after 4 weeks (threads) or 6 weeks (surgery)
Follow-up:
- A check-up visit after 6 weeks, including scar assessment and, if needed, pelvic floor muscle exercises
Essential Information for Patients
- Vaginal lifting is intended to improve function but does not replace treatment for pelvic organ prolapse.
- The outcome depends on choosing the right method; a gynecological consultation is essential.
- All procedures require sexual abstinence for at least 4 weeks to avoid suture dehiscence or mucosal irritation.
- Pelvic floor physiotherapy and Kegel exercises support and enhance the results of any procedure.
Specialists
See also
Vaginoplasty – Vaginal and Perineal ReconstructionG-Spot AugmentationPostpartum Scar Therapy with Platelet-Rich Plasma (PRP)PRP Therapy for Perineal Incision or Tear ScarsPRP Therapy for Stage I Urinary IncontinenceHymenotomyHymenoplastyLabiaplastyAugmentation of the Labia MajoraPlatelet-Rich Plasma (PRP) Therapy for Cesarean Section Wounds