Vaginoplasty is a vaginal rejuvenation and vaginal tightening procedure. The demand for this in aesthetic surgery is increasing day by day. The vagina is functionally the primary reproductive organ. However, since the vagina is the main symbol of sexuality for female, the appearance of the vagina is expected to be the same as it was in the teenage years in every period of life.

Why Do Labia Minora (Vaginal Lips) Deform?

In some women, rapid hormonal changes during puberty can cause deformations in the labia minora. Chronic vaginal infections may cause discoloration and structural defects in labia minora. Asymmetrical vaginal labia minora are usually congenital, but this asymmetry may become more pronounced after puberty, and this may begin to bother the person.

Vaginoplasty operations are usually performed with general anesthesia. If the patient prefers, it can also be done with local anesthesia.
In vaginoplasty operations, the vagina, inner labia and outer labia are evaluated together and the problem area is determined and intervened. Most of the time, it is necessary to intervene in these three areas.

In terms of successful operation and planning, it is more appropriate to perform the operation from the inside to outside.

During vaginal narrowing, the vaginal mucosa is removed. The underlying muscles are repaired, excess mucous is removed and the ideal tightness and form of the vagina is created.

Then the excesses on the inner labia are removed. The most important point here is that the tissue removal in the clitoris area is calculated very well. Removing too much causes the clitoris to open completely, and even the clitoris may touch the underwear, which may disturb the patient. A very slight removal can cause arousal problems as tissue closes the clitoris.
Finally, the outer labia are intervened. The aim here is to give the outer labia a fuller form. Thus, both the inner labia and the vaginal opening are closed, providing both esthetic and hygienic conditions. The outer labia are usually deformed due to loss of volume. In order to repair this loss of volume, the form is obtained by using the person's own fat or filled with hyaluronic acid fillers.

The hymen (derived from Hymenaeus, the god of marriage and wedding ceremony in ancient Greek mythology) is a 2 to 3 mm thick membranous tissue located 2-3 cm inside the vaginal opening, partially closing the external vaginal entrance. This tissue, which can be in various shapes, is usually crescent-shaped. It is located at the entrance to the vagina and is surrounded by thin capillaries. Although the hymen is often thought to be a membrane because of its name, it is not actually a real membrane. It has no known anatomical function. It is thought to prevent the entry of microorganisms into the vagina before the fertile age.

This tissue loses its integrity during the first sexual intercourse (the first night, also called the first vaginal penetration), resulting in a small amount of bleeding. The amount of this bleeding may rarely be excessive. Bleeding can be stopped by applying compression with cotton or gauze for 10-15 minutes while observing the area with the help of a mirror. If bleeding continues despite this, you may need to apply a doctor. In some cases, there may be no bleeding at all. The absence of bleeding may be due to the excessive flexibility of the hymen and its structure that allows sexual intercourse.

Cycling, horseback riding, falling from a height, masturbation, sexual intercourse and friction may cause the hymen to lose its integrity and cause bleeding.

The hymen takes its shape and structure in the embryonic period, and 1 out of every 1000 women is born without a hymen.
If couples have sexual knowledge before the first intercourse, they will have less fear and prejudice. One of the most important causes of vaginismus is the fear of tearing, bleeding and hurting the hymen.