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Why Vaginal Lips Become Deformed?

In some women, rapid hormonal changes in adolescence can lead to deformations in the vaginal lips. Chronic vaginal infections can form a colour change and structural disorder in the vaginal lips. Asymmetric vaginal lips are usually from birth, but after puberty, this asymmetry may become more pronounced and this can also start to disturb the person. 

Vaginoplasty at a glance

Procedure: Vaginoplasty

Duration: 1-2 hour

Stay: 1 days hospital 3 days hotel

Anesthesia: General

Recovery: 7 daysScar: no scar

Results: final result 6 weeks 

Why Is The Genital Area Deformed?

The appearance of the vagina varies according to the geographical region and genetic factors, but it has an ideal appearance that many people have accepted. The ideal vagina appearance is a closed structure where the inner lips are covered by outer lips.

  • Pregnancy,
  • Giving natural childbirth,
  • Hormonal changes,
  • A weakness of the vaginal tissues,
  • Genetic factors or age-related changes

may lead to deformations in the genital area. 

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Vaginoplasty - Review

Vaginoplasty Surgery

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 lips and outer lips are evaluated together, and the problematic area is identified and then intervened. It is often necessary to intervene in these three areas.

It is more convenient to perform the surgery from inside to outside in terms of successful operation and planning.  

  • The vaginal mucosa is removed during vaginal constriction. The underlying muscles are repaired, excess mucosa is removed, and the ideal tightness and form of the vagina are created.
  • Then the excess on the inner lips is removed. The most important point here is that the removal of the tissue in the clitoris area is calculated very well. Too much removal causes the clitoris to fully open and, the clitoris can even touch to lingerie what can make the patient feel uncomfortable. A too slight removal may cause arousal problems because the tissue closes the clitoris.
  • Finally, the outer lips are intervened. The purpose here is to give the outer lips a full-volume form. Thus, by covering both the inner lips and the vaginal opening, both aesthetic and hygienic conditions are provided. The outer lips usually deform due to volume loss. In order to repair this volume loss either the form is obtained using the person’s own fat, or with hyaluronic acid fillers.

Post-Vaginoplasty Surgery

The patient stays in the hospital on the night of surgery and discharges the next day after all the post-op checks. Vaginoplasty is not a very painful operation as it is thought.

If vaginal narrowing was performed in the surgery sexual intercourse should be avoided for 3 weeks. If vaginal narrowing was not performed in the surgery sexual intercourse should be avoided for 2 weeks.  

The patient can take a shower two days after the operation. Short walks are advised to reduce the edema. 

Depending on the methods used and the size of the operation, the patient can return to work 3-5 days after the surgery. Generally, absorbed seams are used in vaginoplasty surgery so there is no need to remove the seams 

Pelvic Floor (Kegel) Exercises:

Pelvic Floor Exercises, also called Kegel exercises, are performed to strengthen the muscles around the vagina. The purpose of these exercises, which include contraction-relaxation movements in sufficient numbers and at appropriate intervals, can be listed as strengthening the pelvic muscles as well as increasing the endurance time of these muscles and ensuring their coordination. 

How to Find Pelvic Muscle

The first thing to do before starting these exercises is to find where the pelvic floor muscle is. The point to be noted here is that the exercises are not performed with a full bladder, so the urine begins to be excreted from the body. In the first step, urination should be started and then the urine should be stopped. The muscle that is felt to be pulled back during this moment is the pelvic muscle that is desired to be found. After the muscles are found, the person is now ready to exercise. In other words, this process should not be followed while urinating under normal conditions, but only during the presence of the muscle. Another way is a control method that can be achieved by placing a finger in the vagina and trying to feel the finger. If the same place is working while exercising, it will be understood that the right muscle is being worked. 

How to Do Pelvic Floor Exercises? 

First of all, these exercises are suitable to be done at any time of the day and these muscles should be felt before starting the exercise. Although the movements can be performed while lying, sitting or standing with the knees slightly apart, it is the most ideal choice if they are performed in a lying position. When the application is started, the muscles should be contracted as high as possible. After the muscles are kept tightened for 5 seconds, they should go into a relaxed state for 5 seconds. These two steps should be repeated 3-4 times. Afterwards, this time can be extended to 10 seconds and can be done 3-4 times a day. These exercises should be continued on a regular basis, as the strengthening of the muscles does not happen immediately and can take weeks. If pain is felt in the abdomen or waist region during the exercise, this is a sign that the movements are not done correctly or the right muscles are not found. It is possible that patients who have given birth before may not be able to do this exercise easily because their muscles may be torn and loosened. However, it should be noted that they can easily do this exercise after vaginoplasty surgery.


What Happens If Women Who Have Vaginoplasty Give Birth Again?

The vagina is an organ that can stretch and expand. Vagina of women who have vaginoplasty surgery might stretch and get wider again after normal birth-giving, Therefore, vaginoplasty surgery is more effective and have a long-lasting result for women who do not consider giving birth again after surgery. 

Why Do Women Want To Have A Vaginoplasty Surgery?

According to scientific studies, the first reason for women to undergo vaginoplasty is natural birth-giving. After birth, the vagina gets wider and becomes looser. This may adversely affect both sexual life and the psychology of women. 

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