Can a Vaginoplasty Get Your Sexy Back?

You’ve all heard about it, so now I’m going to tell you about it. Vaginoplasty. Vajayjay repair. Designer Vagina. There are lots of names but there’s primarily one procedure. As an Indianapolis cosmetic surgeon, a board certified OB/GYN and a woman, I’m uniquely qualified to perform them, and to explain what a vaginoplasty is and why you might need one.

First, what is a Vaginoplasty?  A vaginoplasty is a cosmetic surgery procedure. The purpose is to tighten the vagina by eliminating excess lining and tightening the soft tissues and muscles in the vaginal area. In Indianapolis, Vaginoplasty is performed here in my cosmetic surgery practice quite often.

Why would someone want a Vaginoplasty?  Have you ever given birth vaginally? Are you over 45? Does your vaginal area seem looser than it used to, either when you insert a tampon or when you have intercourse? If you answered any or all of those questions with a “yes,” then a vaginoplasty might be right for you.

Childbearing affects the size of your vagina. As you know if you’ve delivered one or more children vaginally (that is, as opposed to having a C-Section), your vaginal area expanded a great deal during delivery. This is because the tissues and muscles in your vagina are designed to stretch to accommodate childbirth. Unfortunately, after that big stretch,  your vagina will never be as tight as it was before babies poked their little heads through it. And in fact, the more babies you deliver, the looser you’ll become.

Some women experience what’s called “vaginal prolapse” after childbearing, but this isn’t treated with a vaginoplasty. If your symptoms go beyond a feeling of vaginal looseness and include a “heavy” feeling in the vaginal area, a sense that something’s protruding in the vagina, painful intercourse, and/or difficulty with bowel or bladder elimination, I’ll be able to diagnose that on examination and recommend the proper treatment for you, which might include a surgical procedure in addition to a vaginoplasty.

Aging can cause vaginal sagging.  As we age, things become looser everywhere, don’t they? We start to wrinkle as our facial tissues become looser; our breasts start to droop with age; our butts lose volume and become droopy and flat and, unfortunately, so does our vaginal area. Aging contributes to vaginal laxity as much as can childbirth! The combination of childbirth plus aging can really make a gal miss the days when she was young and childfree!

So what’s wrong with a loose vagina?  For most women, vaginal laxity decreases sensation during intercourse, which means less sexual satisfaction. Some women find that it’s harder to reach orgasm because their vagina is loose; some women don’t reach orgasm through vaginal stimulation so that’s not a problem for them. Some women aren’t even aware that their vagina is much different until their partner brings it up. Remember, a looser vagina provides less friction for your partner, resulting in less enjoyment for both of you.

What about Kegels?  Kegels are exercises that can be done by women of any age who want to tighten things up “down there.” Imagine being in the middle of urinating and you wish to stop the flow of urine. The same muscles you use to stop urinating are the muscles you use when performing a kegel exercise. For years women were told to perform kegels to tighten up the vaginal area after childbirth or aging. Unfortunately, kegels can only do so much and when muscles and tissue are loose, no amount of kegels will restore your original vaginal tightness.

What will a Vaginoplasty do for me?  Because a vaginoplasty tightens the vagina to pre-baby size, increased sexual satisfaction is a direct result.  As a side benefit, a tighter vagina wraps more tightly about things inserted into the vagina, whether it’s electric, battery powered or human. In short, sex is righter when you’re tighter.

Are there any risks to a Vaginoplasty?  There are risks with any surgery, whether it’s cosmetic or reconstructive, including infection, scarring and bleeding. The risk of these occurring are, however, very small. Bleeding is carefully controlled during the procedure. Scarring is carefully managed by judicious application of the tiniest sutures possible. Infection is essentially pre-treated by giving you antibiotics after your procedure. As with any surgery, smoking afterwards increases your risks of infection and poor healing, so smoking is definitely out for a month before and at least six weeks after vaginoplasty. Besides, why get all sexy’d up and then destroy your sex appeal with a lit cigarette hanging from your mouth? Best to stop altogether. You’ll smell better and heal faster without nicotine.

With any surgery, there are recommendations made about activity. It would be obvious that after a tummy tuck, for example, you’d be advised to avoid heavy lifting. In similar fashion, after a vaginoplasty, I’d want you to avoid heavy lifting, certain physical exercises and intercourse until I tell you it’s OK to resume those activities.

How long does a Vaginoplasty procedure take?  Generally 1-2 hours plus 1-2 hours in the recovery room.

What kind of anesthesia would I have?  Vaginoplasty can be performed under conscious sedation or general anesthesia. We’d discuss that during our private consultation in my Indianapolis cosmetic surgery office. Don’t worry, as a woman myself, and as a board certified physician, you won’t suffer pain during your procedure under my watch!

Will I have stitches?  Yes, you will, but they’re all inside and they dissolve with time; you don’t have to come in for me to remove any sutures. I will see you for postoperative checkups, but not for suture removal.

How long must I stay off work or social activities?  Most of my vaginoplasty patients find that taking a week from work is plenty. Those who have the surgery on a Wednesday or Thursday often feel good enough to return to work the next Monday. Much depends on the type of work you do: if you are an office worker and spend your day at a desk, you’ll feel OK to return to work sooner than someone who is a FedEx delivery person!

What about Labiaplasty?  You can have labiaplasty at the same time as a Vaginoplasty. A labiaplasty addresses the labia, which, for some women, are overly large or don’t match on both sides. Some women have labia so large that it’s painful to wear tight pants or jeans or when they sit on a bicycle seat. Some women are embarrassed in exercise wear or swimwear because their labia are so obvious. It’s a simple enough procedure that you really should have it done if any of the above descriptions fit your situation. Feel free to ask me about this at your consultation in my Indianapolis cosmetic surgery office.

What does a Vaginoplasty cost?  It varies a bit depending on the kind of anesthesia we use, but in general, you should expect to pay less than $6000 for the procedure and all the adjacent fees for anesthesia, OR time, etc. This includes all your exams and postop visits as well. We have financing available if you’d like to budget your procedure and we do accept all major credit cards.

Isn’t this kind of procedure a bit over the top? I mean, who really “needs” something like this?  Truthfully, there’s everything right with feeling beautiful and comfortable all over, including in your vajayjay! It’s your right and privilege to take advantage of safe, proven procedures that help you feel youthful and happy. Sex is fun and pleasurable and a normal human desire. If making your vagina tighter increases that pleasure and helps you feel closer and more intimate with that special someone in your life, I don’t see how that can ever be a bad thing.

To your health & beauty,

Dr. Michelle Jones Singer


About Michelle Jones Singer, MD

Michelle Jones Singer, M.D., is a licensed and board certified M.D. in the State of Indiana with over 20 years' experience serving Indianapolis, Fishers, Carmel, Noblesville and Zionsville. As a cosmetic surgeon, Dr. Jones Singer specializes in body sculpting, breast enhancements, Mommy Makeovers and minimally-invasive treatments such as Botox, dermal wrinkle fillers, and skin treatments such as microdermabrasion. Visit her website at or call us today at 317.708.4228.
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