Vaginoplasty (Pelvic Floor Repair) Australia

Vaginal Tightening (Vaginoplasty & Perineography)

Vagina surgery, also referred to as vaginoplasty or pelvic floor repair, aims to tighten and reconstruct the vaginal muscles that may have been stretched or weakened due to childbirth, ageing, or medical conditions such as pelvic floor dysfunction.

The most common cause of an enlarged vagina is childbirth. Post-menopausal women and those who have been treated for cervical cancer can find their vaginas have enlarged, and may seek help.

This procedure is designed to reconstruct the vaginal muscle.

Who Is This Procedure For?

You may benefit from vagina surgery or vaginoplasty if you experience:

• Vaginal laxity after multiple childbirths

• Weak pelvic floor muscles causing discomfort or pressure

• Changes in vaginal tone due to menopause

• Reduced muscle support affecting bladder or bowel control

Your Perineography Consultation in Sydney

During your initial consultation at Australia Plastic Surgery, your surgeon will:

• Review your medical and obstetric history

• Discuss any urinary, pelvic, or sexual function concerns

• Conduct a physical examination of the vaginal and pelvic floor muscles

• Assess whether you are a suitable candidate for vaginoplasty

Perineography Surgery

In this procedure, which is normally performed under local anesthesia with sedation as a day case, a section of vaginal lining is removed and the underlying muscles are repositioned in such a way that the outer third of the vagina is noticeably tighter. The surgeon will remove a wedge-shaped section of tissue from the wall of the vagina, the elastic tissue that is stretched and sometimes cut or torn during childbirth. Perineal muscles are then reconstructed and repaired. Finally Mucosa (linning of the vagina) are then rejoined with stitches. Any post-operative discomfort is similar to that of an episiotomy, where the perineum is cut during childbirth. This area usually heals well and the wound should settle within about 10 days.

After Perineography Surgery

A sanitary dressing may be applied immediately after surgery, and all wounds are sutured with dissolvable stitches. In the first week after surgery the area is likely to be swollen, and bruised, and urinating may be very uncomfortable. This burning and stinging sensation can be eased, either by urinating whilst showering, or pouring lukewarm water from a jug over the area whilst urinating. An ice pack (or bag of frozen peas) can be used to alleviate the discomfort and reduce the swelling.

Getting Back To Work and Normal Activities

We recommend that patients observe as much bed rest as possible during the first week after surgery. Personal hygiene is extremely important for rapid healing and twice-daily showering is essential. Loose underwear should be worn for the first two weeks. Tampons should not be used during the first six weeks.

Back to normal activities including penetrative sex in 6 weeks.

Other Genital Plastic Surgery

In addition to vaginoplasty Sydney and perineography Sydney, various other procedures to improve the appearance, tone and sensation of the vagina can be performed.