Women's Institute for Sexual Health

Vaginal Rejuvenation



Vaginal Rejuvenation (vaginoplasty) is a surgical procedure that tightens the vagina and it’s opening in order to enhance or improve sexual gratification. There are many muscles and connective tissue bands (ligaments) that surround the vagina, giving it its natural shape, size and tone. The vaginal canal itself is actually a muscular tube that can easily be stretched out. Imagine a rubber band that is repeatedly pulled so much that it never gets back to its original form or strength. This is what can happen to the vagina causing it to be loose, weak and saggy.


Many women have vaginal rejuvenation because they want to have a tighter vagina and it’s opening so that their sexual experience can be better. It is a safe outpatient surgical procedure that takes approximately one-hour and recreates the vagina’s natural supports, size and tone. My technique utilizes meticulous surgical techniques to ensure the best result with minimal bleeding. This procedure is one I have perfected over the past 20 years and results in rapid healing with a short recovery time. 

The best candidate for this surgery is a physically healthy woman with realistic goals. Keep in mind that this is NOT a way to fix an abnormal relationship, but should be used to enhance a normal, healthy one!


In vaginal relaxation, the muscles and ligaments are ‘out of shape’ and have poor tone, strength, and control. The walls of the vagina are stretched out creating looseness inside while the vaginal opening outside is often larger than it used to be, sometimes to the point of gaping (left diagram). Many women complain that they can’t feel their partner inside of them or have enough friction and sensation during intercourse, which makes it difficult to experience the same level of sexual enjoyment as in the past. These women want a way to tighten or ‘rejuvenate’ their vaginas in order to achieve improved sexual function and satisfaction (right diagram). There are many causes for this looseness or relaxation such as having children, gaining or losing a significant amount of weight, aging, current or past smoking, hormonal changes and simply genetics. Vaginal rejuvenation will create a tighter vagina, restoring its normal size, shape, and tone. This will help produce more friction that many women claim heightens sexual pleasure.


Vaginal rejuvenation is typically performed on an outpatient basis under local anesthesia (like lidocaine) with IV sedation (twilight sleep), and takes approximately 1 hour. During the procedure, excess vaginal tissue is removed and the normal muscles and connective tissue are brought together recreating a normal vaginal canal and it’s opening. The surgery is not limited to just the opening of the vagina, as many superficial repairs are, but extends the length of the entire vaginal canal. This is very different from any medication, exercise, laser or other energy type of procedure (e.g. Femilift, Mona Lisa Touch) which are temporary and do NOT create a permanent reconstruction, but have to be redone on a consistent basis. This procedure is relatively bloodless and the recovery is quick and easy. After a few hours you can be driven home and the next day you can resume your normal activities. Vaginal intercourse does need to be avoided for approximately 6-8 weeks, however. Your only discomfort should be fullness in the vaginal area.

Vaginal Rejuvenation can be performed alone or at the same time as a labiaplasty.

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