World-renowned specialist for Vaginal Rejuvenation
Prof. asoc. Dr. Gress
Professor Gress is one of the
top specialists internationally
by specially developed, internationally leading surgical technique “Composite Reduction Labiaplasty”
With the most operations in
the female genital
First point of contact for international media for all questions relating to intimate surgery
What would you like to find out more about?
Prof. Dr. Gress
Experience makes the difference
- More than 4700 procedures in the female genital area
- Over 20 years of experience
- Inventor and developer of the “Composite Reduction Labiaplasty”
- Internationally recognized top specialist
- Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
- Professor and Lecturer in Plastic Surgery
In the most important national and international specialist societies
Vaginal narrowing, vaginal tightening
directly proportional to the friction forces during sexual intercourse.
It goes without saying that a small penis in a large vagina creates little pleasure.
Principle of the procedure (vaginal surgery)
Anatomically speaking, the vagina is like a tube and is the counterpart to the penis. If the vaginal tract is too wide, it is surgically possible to narrow it. However, narrowing the vagina by removing skin alone would not be sufficient as vaginal skin is very elastic – how it is designed to be for childbirth. As the skin is stretched again, e.g. during sexual intercourse, the result would therefore not be a permanent solution (that is why lasers that purport to tighten the vaginal skin do not really work!).
It is important that the muscles surrounding the vagina (pelvic floor muscles) are also tightened so that external pressure can be applied to the vagina, thus preventing the vaginal skin from stretching excessively again. Additional padding and thickening of the vaginal wall using autologous fatty tissue intensifies this effect.
The procedure involving these three steps provides the optimal anatomical basis for ideal sexual stimulation. It goes as far as is medically possible and is extremely successful and effective. We are proud to be able to say that, up to this point, every patient has been highly satisfied with the results of this operation.
The individual steps of vaginal narrowing (vaginal rejuvenation)
1. Narrowing the vaginal canal Vaginal skin is removed from the posterior wall of the vagina. Tissue can also be taken from the anterior wall if the vagina is very wide and the patient is experiencing urinary incontinence. Tightening the anterior wall of the vagina simultaneously lifts the base of the bladder, treating incontinence problems.
2. Tightening the pelvic floor muscles and fascia This provides the vagina with external pressure, support, and firmness. It is straightened up again, just like in your younger years. This is the vital step that ensures the long-term success of the treatment and counteracts renewed overstretching of the vaginal skin.
3. Padding and thickening the vaginal wall with autologous fatty tissue Fatty tissue is a wonderful filler that can be used to create volume. Injecting the body’s own fatty tissue into the vaginal wall thickens and pads it out without the need for additional incisions and scars.
The fatty tissue is removed from the (outer) thighs or the inside of the knees, specially prepared, and injected circularly into the middle section of the vagina (the most sensitive part of the vagina) through thin cannulas under the vaginal skin.
The duration of the procedure is around two-and-a-half hours and is performed on an inpatient basis at the clinic. The inpatient stay is two nights.
Vaginal narrowing using autologous fat injections alone
This is a very elegant method of vaginal tightening that requires no incisions and leaves no scars. However, the extent to which the vagina can be narrowed is limited. A narrowing of around 20% can be achieved by injecting autologous fat.
This is the method of choice for women who have not yet given birth and want improved vaginal stimulation!
However, after a vaginal delivery, this therapy is not very effective as the overstretching of the tissue caused by childbirth is not corrected to a satisfactory level and a vaginal narrowing of around 20% does not usually go far enough to achieve a noticeable change.This procedure can be performed under local anesthesia on an outpatient basis. Major aftercare is not necessary. Sexual intercourse is permitted again after two weeks.
Good to know
alle wichtigen Fragen
Statutory health insurance providers shall only bear the costs, if at all, in accordance with their rates and after examination by the medical service. We do not work in partnership with any of the statutory insurance companies.
Private insurance companies, on the other hand, are less restrictive and cover part or all of the costs if there is a medical indication. A medical indication exists if there are functional impairments, such as significant impairment of sexual function, urinary incontinence, etc.
It is advisable to inquire in advance with your insurance company whether or to what extent the procedure is covered. We would be happy to provide you with a cost estimate.
Vaginal narrowing, tightening the pelvic floor muscles, and lining the vagina with autologous fat:
EUR 9,500 plus anesthesia and clinic costs for inpatient accommodation. The procedure is exempt from VAT as there is a medical indication. There are also costs for anesthesia and inpatient stay for two nights.
Operation duration is around two-and-a-half hours
Filling with autologous fat:
EUR 2,900. The procedure is exempt from VAT as there is a medical indication
Operation duration is around one-and-a-half hours
The fee for the operation must be settled before the day of the surgery. A deposit of EUR 500 is required to secure an appointment for surgery
The stitches are made of absorbable sutures and do not need to be removed.
There are no serious risks or complications associated with a vaginal tightening. Severe pain is not to be expected; patients may experience a slight to moderate feeling of pressure on the perineum, but this quickly subsides. You should drink a large glass of water daily, especially before breakfast, to ensure soft bowel movements. Once the bladder catheter is removed the day after the procedure, you should be able to urinate independently again. However, if patients have more severe swelling, this can prove more difficult, meaning the bladder catheter must remain in place for a little longer. But this is very rarely the case.
The industry has long since discovered the market for female genital surgery and developed vaginal lasers that promise to produce a tightening effect simply by applying impulses to the skin of the vagina. Our experiences with this technology have been anything but positive! If the vagina is very overstretched, only very little effect or none at all can be felt. The costs are high.
This method has been discontinued from our range of treatments due to its inefficiency!
We perform the procedure using a radiofrequency surgical device. Similar to a laser, the tissue is cut using thermal energy; however, the tissue is separated through contact between the wire and the skin, instead of a light beam. The advantage is that any trembling of the hand is not transferred to the incision line, as is the case with a laser.
If you are planning to become pregnant after vaginal tightening, it is advisable not to attempt a vaginal delivery but to undergo a cesarean section, as otherwise the result of the achieved narrowing would be reversed.
A vaginal delivery is no problem after an autologous fat injection alone.
Having your period on the day of surgery does not constitute a problem. You should, however, remember that you cannot use a tampon for four weeks, only a sanitary pad.
We will issue you with a prescription for two effective painkillers to treat your pain. These should prove sufficient. Patients usually experience moderate pressure pain in the perineum after vaginal tightening. This is caused by the suture in the pelvic floor muscles. This does, however, only last for a few days.
You should avoid chlorine-treated water in public swimming pools for three weeks. You are allowed to swim again in lakes or the sea after one week.
You can take a shower after two days, but may only use clear water for one week. Please only use pH-neutral products. Do not take a bath as this would soften the wound edges!
Sexual intercourse is permitted six weeks after vaginal tightening, but only after the check-up at the practice.
If the vagina has been narrowed using autologous fat injections, you can resume sexual intercourse after two weeks.
You should not do any strenuous sports or lift heavy loads for six weeks. Protect your pelvic floor muscles!
For inpatient vaginal tightening procedures (tissue tightening, pelvic floor surgery), you will need three appointments: consultation/preliminary examination, surgery and, a follow-up examination about six weeks after the operation. The consultation and surgical procedure may not take place on the same day. There should be an interval of at least 7-14 days between the consultation and surgery so that you can take your time to think about the operation.
For outpatient vaginal tightening procedures (padding with autologous fat), you will need a total of three appointments:
consultation/preliminary examination, surgery, and a follow-up examination the morning after the operation. The consultation and surgical procedure may not take place on the same day.
As described above, a study by Master and Johnson revealed that the degree of pleasure gain is directly proportional to the frictional forces being applied during sexual intercourse.
The aim of the procedure is to correct existing vaginal dilatation and to create an anatomical situation that allows vaginal stimulation to be enjoyable again.
Experience has shown that the procedure can significantly improve and increase the stimulation ability of both women and men during sexual intercourse, making sex pleasurable again for both.
Of course, this cannot be guaranteed, just as the success of medical treatment can never be guaranteed. That said, vaginal narrowing with pelvic floor tightening in particular is extremely successful when it comes to the ability for sexual stimulation. We are proud to be able to say that, up to this point, every patient has been highly satisfied with the results of this operation.
However, if you are no longer sexually attracted to your partner, there is not a great deal we can do!
The type of procedure can only be decided after a physical examination, in which the degree of vaginal laxity is determined.
If the aim is to achieve only a discreet narrowing of the vagina, injecting the vaginal wall with autologous fatty tissue can achieve the desired effect. This is usually the method of choice for women who have not yet had a vaginal delivery.
In the case of more extensive dilatation, the vagina may need to be tightened by tightening the pelvic floor muscles. If the patient is also experiencing incontinence problems (involuntary bladder voiding), they will require vaginal pelvic floor tightening including lifting of the base of the bladder.
We will be glad to help you find a suitable hotel of any kind. We have a partnership with Hotel Vier Jahreszeiten Kempinski, Munich, which means our patients are offered more favorable rates. They should, however, refer to our practice when booking the hotel or make the booking with our assistance .
Please completely shave your genital area before the procedure.
You can return to work the day after the procedure
Please understand that we are unable to provide any financing ourselves. However, MEDIPAY has been our reliable partner on this matter for many years now. You can find all the relevant information by clicking on the following link www.medipay.de.
You can request further information or arrange an appointment here. This is non-binding information free of charge. We have set up a telephone advice service for you. Call +49 (0) 89 24 22 39 22 for advice on your own surgical needs. This personal advice service is non-binding and free of charge.
Aesthetic and Functional Labiaplasty
The internatioanl Textbook
written by Prof. Gress
Published in January 2018 by Springer Verlag, it has developed into an international bestseller and standard work in plastic surgery