What is laser vaginal rejuvenation (LVR)?

Vaginal tightening is also known as “vaginal rejuvenation.” A vaginal opening that gaps due to childbirth usually does not detract from sexual function and response; nevertheless, some women desire a tightening of the vaginal opening. This procedure, called perineoplasty, involves making a small incision just inside the vagina, taking out a small V-shaped segment of skin, and restoring things to a pre-pregnancy appearance. Often, vaginal tightening is performed as part of a more extensive surgery, such as repair of a dropped bladder, rectum, or an incontinence procedure.

The goal is to restore normal anatomy without making things too tight. Some women are curious if we need to know the measurement of the penis in her life prior to surgery. Fortunately, that’s not necessary, but of course every gynecologist has had the experience of the witty guy who requests “an extra stitch to tighten things up for me” during a pre-op consultation. The best response? To look piercingly at the guy’s crotch and inquire just how small he needs it.
Age, childbirth and other issues can cause the vagina to stretch and its supportive muscles to lose tone and control, diminishing sexual gratification. Laser vaginal rejuvenation (LVR) is a one-hour outpatient surgical procedure that addresses these issues. LVR can decrease the internal and external vaginal diameters as well as build up and strengthen the perineal body – the area immediately outside the vagina and above the anus. The companion procedures of designer laser vaginoplasty (DLV) are intended to aesthetically enhance the vulvar structures.
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