Vaginoplasty is any reconstructive, corrective, or cosmetic vaginal surgery, including to the vaginal canal, mucous membrane, and vulvo-vaginal structures. Patients may request the procedure due to conditions such as vaginal hypoplasia (incomplete development of the vagina), or to treat cosmetic issues such as sagging due to childbirth, age, or weight loss.
- Preparation: Begin preparing two weeks before your surgery by ceasing blood thinners and blood thinning medications and supplements, including NSAIDs and vitamin E. Smokers should avoid smoking during the two weeks before and the two weeks after the surgery to speed healing. Women over age 45 require a medical release from their primary physician. All patients should increase hydration. This procedure also requires that you arrange for transportation to and from the facility, as well as five to seven days off work.
- Anesthesia: Dr. Vallecillos discusses your anesthesia options during your preoperative consult. Generally, you receive a nerve block to the vaginal area, which numbs the region as well as providing pain control for 18 to 24 hours after your procedure. Typically, a general anesthetic is necessary for the surgery, though intravenous sedation is available.
- Preoperative Consult: Bring a list of prepared questions for Dr. Vallecillos so you do not forget anything you would like to ask. Suggestions include benefits, short- and long-term risks, sexual side effects such as ability to orgasm, and restrictions on tampon use. He will also discuss your cosmetic goals with the procedure and help set realistic expectations. Finally, share your complete medical history, including previous surgeries, current medications, and any medical conditions both past and present.
Depending on which procedure you choose, Dr. Vallecillos will discuss the surgery details during your pre-operative consultation. Vaginoplasty uses patient-derived tissues to construct vaginal areas. Dr. Vallecillos may also remove excess tissue and tighten surrounding tissue and muscles.
Who is a candidate for a vaginoplasty?
Patients who desire a sleeker vaginal contour and who enjoy general good health are ideal vaginoplasty candidates. If you suffer from sagging due to age, pregnancy, or weight loss, or have painful scarring from previous surgeries, you may wish to consider vaginoplasty.
What is the recovery time for a vaginoplasty?
Dr. Vallecillos explains recovery and aftercare completely; follow his instructions carefully. He informs you about drains, as well as common and uncommon symptoms. You will likely experience bruising, swelling, and light pain in the days immediately following your surgery. Pain is manageable with medication. Return to work five to seven days after the procedure, and remain in bed for 24 hours after returning home. Sexual intercourse restrictions vary according to your procedure, but typically last one week to one month. Again, refer to Dr. Vallecillos’ instructions for exact recommendations.
Are there risks or side effects associated with a vaginoplasty?
Risk accompanies every surgical procedure, including hematoma, scarring, anesthesia reactions, bleeding, and infection. Risks specific to vaginoplasty include permanent changes in sensation, bladder injury, and underlying structure damage.
How long do the results last?
Barring significant weight gain or subsequent pregnancy, results are permanent.