How Is Vaginoplasty Performed in Ankara?

Vaginoplasty is based on the principle of surgically restructuring the vaginal canal and supporting tissues after the area to be treated has been determined through examination. When necessary, supporting tissues may be brought closer together with sutures, and excess vaginal mucosa may be removed in a controlled manner. However, the surgical technique and extent of tightening are determined according to the person’s anatomy.

Vaginoplasty Surgery Actually Begins with the Examination

Thinking of vaginoplasty solely as a “vaginal tightening” procedure performed in the operating room would be an incomplete approach. One of the most important parts of the surgical plan is identifying the source of the complaint before the procedure.

This is because the sensation a person describes as “vaginal looseness” may not always be related only to the width of the vaginal canal. Conditions such as pelvic floor muscle weakness or pelvic organ prolapse may contribute to a similar feeling of looseness. Cleveland Clinic therefore emphasises the importance of assessing the pelvic floor and prolapse in people with complaints of looseness.

Op. Dr. Esra Demir Yüzer’s current vaginoplasty page also states that childbirth history, vaginal tissue and supporting structures, accompanying pain or dryness, previous operations and expectations are evaluated during planning.

Which Structures Are Evaluated When Creating the Surgical Plan?

Vaginoplasty planning does not take only the width of the vaginal canal into account.

Depending on the complaint, the following may be evaluated during the examination:

• the condition of the vaginal canal and walls,
• elasticity of the vaginal tissues,
• supporting tissues,
• pelvic floor,
• vaginal opening,
• perineal area,
• effects of previous vaginal deliveries,
• accompanying symptoms such as prolapse or urinary incontinence, if present.

The brand’s current “How Is Vaginoplasty Performed?” content also states that vaginal tissues, pelvic floor support, childbirth history and accompanying gynaecological complaints are part of personalised planning.

As a result of this evaluation, it is determined whether surgery is necessary and, if so, which areas should be included.

What Is Generally Done During Vaginoplasty Surgery?

In the context of aesthetic tightening, the general principle of vaginoplasty is the surgical restructuring of tissues associated with looseness or loss of support in the vaginal canal.

The American Society of Plastic Surgeons explains that after determining the required amount of tightening, excess mucosa may be assessed, the underlying supporting tissues may be brought closer together with strong sutures, and the vaginal mucosa may then be closed.

However, this is a general surgical framework. The same amount of tissue is not removed from every person, nor is the same area treated in exactly the same way.

Restructuring the supporting tissues

Vaginal tightness is not related only to the superficial mucosa. When appropriate within the surgical plan, deeper supporting tissues may be brought closer together to restructure the support of the vaginal canal.

The aim is not to achieve the greatest possible degree of tightening. Anatomical and functional balance should be preserved.

Assessment of excess vaginal mucosa

Depending on the examination and surgical plan, vaginal mucosa considered excessive may be removed in a controlled manner. In the aesthetic vaginoplasty approach described by ASPS, this is one of the components of the tightening procedure.

Because the amount of tissue to be removed may vary from person to person, it would not be correct to refer to a standard measurement.

Closure of the surgical area

After the supporting tissues have been restructured and the necessary tissue procedures have been completed, the vaginal mucosa is closed with sutures. The surgical method and suturing approach used may vary according to the plan of the doctor performing the operation.

How Is the Amount of Tightening Determined?

One of the important questions in vaginoplasty is not “how many centimetres will it be tightened?” but rather what type of restructuring is necessary for the person’s anatomy.

The extent of tightening may be affected by:

• the existing vaginal anatomy,
• the condition of the tissues,
• the degree of support loss,
• previous childbirths,
• accompanying perineal or pelvic floor problems,
• the person’s complaints and realistic expectations.

The brand’s current content also states that two people with the same complaint may require different planning because of anatomical differences.

Important Detail: Tighter Is Not Always Better

The aim of vaginoplasty is not to create the tightest possible vaginal canal.

Excessive tightening or tightening that is not appropriate for the person’s anatomy may contribute to problems such as pain or discomfort during sexual intercourse later on. ACOG lists pain and dyspareunia among the possible complications of genital cosmetic surgery.

For this reason, the surgical goal should be a restructuring that is appropriate for the person’s anatomy and takes function into consideration.

Is Vaginoplasty Performed with the Same Technique for Everyone?

No.

The cause of vaginal looseness and the anatomical findings vary from person to person. In one person, the supporting tissues of the vaginal canal may be the main issue, while another person may have a different problem such as changes in the perineal area, pelvic floor weakness or prolapse.

Therefore, it would not be correct to consider a single surgical diagram found online as the standard for all vaginoplasty operations.

ACOG also emphasises that standard terminology and high-quality outcome data in female genital cosmetic surgery remain limited.

Is Perineoplasty Performed at the Same Time?

Vaginoplasty and perineoplasty are not the same procedure.

Vaginoplasty targets the vaginal canal, while perineoplasty aims to repair and strengthen the tissues in the perineal area between the vagina and anus. Cleveland Clinic defines perineoplasty as the surgical repair of weakened, loose or damaged tissues in the perineal area.

Changes in both areas may coexist in some people. The brand’s current comparative content also states that vaginal canal looseness and perineal deformity may occur together in the same person, but that both procedures are not necessary for every patient.

What Changes If There Is a Pelvic Floor Problem or Prolapse?

The source of vaginal looseness may not always be a condition that can be addressed with aesthetic vaginoplasty.

Cleveland Clinic states that the sensation of looseness may be associated with weakness of the pelvic floor muscles and that pelvic organ prolapse requires medical evaluation.

For example, when vaginal wall weakness is related to pelvic organ prolapse, different surgical approaches targeting prolapse, such as colporrhaphy, may be considered. Cleveland Clinic defines colporrhaphy as surgery intended to repair weaknesses in the vaginal wall that lead to pelvic organ prolapse.

For this reason, it is important to distinguish the source of the complaint before planning vaginoplasty.

Is Laser Vaginal Tightening the Same as Vaginoplasty?

No. Surgical vaginoplasty and laser or radiofrequency treatments are not the same procedure.

Cleveland Clinic classifies vaginoplasty among surgical methods, while laser and radiofrequency applications are classified as non-surgical methods that do not require incisions or sutures.

ACOG also draws attention to safety concerns and limitations in scientific evidence regarding the marketing of energy-based “vaginal rejuvenation” procedures for cosmetic purposes.

Therefore, terms such as “non-surgical vaginoplasty,” “laser vaginoplasty” and surgical vaginoplasty should not be used as though they are synonymous.

How Is Anaesthesia Determined in Vaginoplasty?

ASPS states that aesthetic vaginoplasty may be performed under local or general anaesthesia. The appropriate anaesthesia approach should be determined according to the extent of the procedure and the person’s medical condition.

Because the anaesthesia decision requires an individual medical assessment, it cannot be said that one particular method is safer or better for everyone.

What Are the Possible Risks of Vaginoplasty?

Vaginoplasty is a surgical procedure and is therefore not risk-free.

Possible complications listed by ACOG and ASPS include:

• bleeding,
• infection,
• pain,
• scarring,
• changes in sensation,
• pain during sexual intercourse,
• healing problems,
• dissatisfaction with the result,
• the possibility of requiring further surgery.

Because the individual level of risk may be related to the technique used, the extent of the procedure, the person’s health condition and healing characteristics, these factors should be discussed in detail with the doctor before the operation.

What Should Be Asked Before Vaginoplasty in Ankara?

When researching vaginoplasty in Ankara, it may be more useful to understand why the surgical plan has been created in a particular way rather than asking only “How is the surgery performed?”

The following questions may be asked during the examination:

• What is the source of my vaginal looseness complaint?
• Do I need an additional pelvic floor assessment?
• Is there prolapse or another gynaecological problem?
• Which tissues are planned to be treated in my case?
• Does excess mucosa need to be removed?
• What type of restructuring is planned for the supporting tissues?
• Is perineoplasty also necessary?
• How will the type of anaesthesia be determined?
• What are the risks of excessive tightening?
• What are the possible complications in my case?
• How will the recovery and follow-up process be planned?

You can review the service page for detailed information about vaginoplasty in Ankara.

You can schedule an appointment to evaluate the source of your vaginal looseness complaint and which tissues the surgical plan should target.

Frequently Asked Questions

What is done during vaginoplasty surgery?

During vaginoplasty, the vaginal canal and supporting tissues are evaluated. Depending on the surgical plan, supporting tissues may be brought closer together with sutures, and excess vaginal mucosa considered necessary may be removed. The extent of the procedure varies according to the person’s anatomy.

Are the muscles sutured during vaginoplasty?

The ASPS explanation of aesthetic vaginoplasty states that separated supporting tissues or muscle structures may be brought closer together. Whether this is necessary and the extent of the procedure should be determined through an individual anatomical assessment.

How much tissue is removed during vaginoplasty?

There is no standard amount that applies to everyone. The surgical extent is planned according to the vaginal tissues, supporting structures and the person’s anatomy. The brand’s current content also states that the same procedural plan is not applied to everyone.

Are vaginoplasty and perineoplasty the same surgery?

No. Vaginoplasty targets the vaginal canal, while perineoplasty targets the perineal area between the vagina and anus. In some cases, they may be considered together.

Is laser vaginal tightening the same as vaginoplasty?

No. Surgical vaginoplasty and laser or radiofrequency treatments are different methods. Cleveland Clinic distinguishes them as surgical and non-surgical methods, respectively.

Is vaginoplasty performed in the same way for everyone?

No. The extent of surgery may vary according to vaginal anatomy, supporting tissues, pelvic floor, previous childbirths, accompanying problems and the person’s expectations.

Does more tightening produce a better result?

No. The surgical goal is not to achieve the greatest possible degree of tightening. ACOG lists pain and pain during sexual intercourse among the possible complications of genital cosmetic surgery; therefore, anatomical and functional balance is important.

Main Sources of Information

• American College of Obstetricians and Gynecologists (ACOG)
• American Society of Plastic Surgeons (ASPS)
• Cleveland Clinic