Hi Marsha, Vaginoplasty - designer vagina-vaginal repair etc tec are fad words for the same thing..developed and popularized in the US by David Matlock.from Beverly hills.a cosmetic gynaecologist..The American OBGYN society thinks it is controversial..but the public demand is only increasing.
1. Main goal is tightening and claims sexual glorification satisfaction..some call it LVR..Laser Vag Rejuvenation..same thing ..new clothes for the emperor..
Our approach and other colleagues with me..essentially revise the whole inner pelvic structures...anatomy and try and restore it in original condition..
a/ First we begin from inside working our way out..these technique have been there for years..
b./ They have difficult Laitin names and are documented..in textbooks..like colporrhaphy anterior and posterior..etc..
c/ The vagina is a muscular tube with muscles in 2 directions, knowledge of pelvic anatomy is essential..if the bladder is lax or if there are incontinence issues..that can be repaired..lifted as well..
d/ So after deliveries..a gapping vagina can be be tightened ..to a sort of virginal state .what ...is technically possible..and there are special sutures for it..and instruments.
e/ What is left after placing the muscular layer back in its origin size : is redundant mucosal tissue..( the inner lining of the V..)..and we then tailor tuck and remove excess tissue with sometimes a laser or radio frequency device for coagulation.. closed in layers..mostly dissolvable sutures. The laser does not contribute to any gimmick..as such. NO PROOF scientifically speaking, just hype.
f/ Healing time is 6 weeks..after which..sex activity can gently be commenced..of course the feeling will be noticeable..in general patients are happy and feel improvement..refurbished actually.
g/ Every introduction of penis size or vibrator will eventually adapt..its not a stretchy thing..meaning there is no gimmick..the laser of heat application methods that being mentioned now in the media..lots of devices..just are not proven.
h/ Everybody tries to have a bite of the cake..marketing.
In conclusion : Yes, vaginoplasty has a place in modern aesthetic surgery today, and to improve aesthetics of the outer appearances ..like inner lips ..scar tissue- gaping introitus..etc can be lifted just like a face lift.) clitoral cap etc..can be trimmed to liking until a point that is SAVE. We have changed due to pornofication of society..nothing wrong with that..just reality..our grand parents did not have these..? " luxuries" or need to do it..back then...things change with time..attitude of human being is always evolving...in 50 yrs time ..it will be something else. i have travelled the Africa and rainforest and came across rituals with plants shower and steaming ..etc..with the same purpose..
TVT ..is a modern surgical technique that is being used to lift the bladder neck e.g. to fix spurts of urine loss when coughing laughing ..( increase of abdominal pressure).
Originally from Sweden, nowadays there are various modifications..we used fascia in he beginning with same success rates..
I would he vigilant to go for quick fixes..by a machine ..with heat application..men would not place their sexual organs..in a blender either..
So food for thought..choose a legitimate center,..do not go for cheap, since if this is done correctly- which is essential- and with care..it is labor intensive pelvic surgery..,,and therefore..a bit more expensive..longer hrs..and highly specialized.
Hoping to have clarified the possibilities we have today a bit more, proper research is an essential part of ..seeking care in this direction. Any other queries, do not hesitate to ask..As a surgeon, my responsibility FIRST is to inform and educate...and do no harm.
Kindest regards, Dr Rebin.