Vaginoplasty

Vaginoplasty is a procedure that aims to "tighten up" a vagina that's become slack or loose from vaginal childbirth or aging. Some surgeons claim it can even improve sensitivity - a claim the American College of Obstetricians and Gynecologists (ACOG) has strongly challenged.

While it's true that vaginal tissues can stretch, surgically tightening the vaginal tissue in itself cannot guarantee a heightened sexual response, since desire, arousal, and orgasm are complex, highly personal responses, conditioned as much by emotional, spiritual, and interpersonal factors as aesthetic ones. In addition, sexual "sensitivity" doesn't automatically lead to more pleasure - it can actually lead to pain.

Labiaplasty, plastic surgery on the labia (the “lips" surrounding the vagina), can be performed alone or with vaginoplasty. Surgery can be performed on the labia major (the larger, outer vaginal lips), or the labia minor (the smaller, inner vaginal lips). Labiaplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.

Labiaplasty is a general word that refers to any procedure that alters the shape of the inner or outer labia (labia majora and/or labia minora).  Most women who have labiaplasty are looking to reduce the size of the inner labia (labia minora) relative to the outer labia (labia majora).  However, some chose to enlarge the outer labia, usually with fat injection while others want to reduce the outer labia.  Sometimes, a combination of the above is performed.

Vaginoplasty usually refers to tightening of the vagina.

Reconstructive Surgery vs. Cosmetic Surgery

In order to decide if you should consider vaginoplasty or labiaplasty, it’s important to understand the difference between reconstructive surgery and cosmetic surgery.

Reconstructive surgery improves the function of a body part, while cosmetic surgery changes the aesthetics of essentially normal anatomy. You can think of it like a nose job: a surgeon can restructure the interior nasal cavities to help you breathe better or reshape the nose, just for the sake of appearances.

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