Vaginal Tightening
Vaginal Narrowing, Vaginal Rejuvenawion

This is a phenomenon that affects women immediately after pregnancies ending in vaginal deliveries. Perhaps it was not really that intense before, but now it is even less so: vaginal stimulation during sexual intercourse!

Sexual stimulation is heavily dependent on the intensity of mechanical friction along with a whole host of other factors. If the friction is not strong enough, the stimulation is too weak, especially in order to reach climax. If it is too strong, it can cause pain. It goes without saying that a small penis inside a large vagina is not very pleasurable.

Many couples suffer as a result of this fact. It is not uncommon for couples to split up because a significant component of the life they share together as husband and wife has dwindled.

A harmonious partnership cannot, of course, be reduced to sexual satisfaction and pleasure alone. Nevertheless, the desire for sexual fulfillment is one of the greatest and most basic human needs. A harmonious and thus sensual partnership requires the ability to both enjoy pleasure as well as give it.

As women age, anatomical changes can be considerable, especially after childbirth. Filling out a very stretched vagina,hen, is a difficult feat for a man with an average-sized penis.

Adapting a penis to these changes through surgical means is not possible. Although it can be lengthened to some extent, it is not possible to effectively increase its girth.

However, narrowing the vagina and resetting it along with all the structures that have been stretched and lost their tension over time is certainly a possibility. The end result aims to replicate the anatomy of a youthful woman who has not yet had a vaginal delivery, creating the conditions for optimal sexual stimulation.

The aim is to increase frictional pressure during sexual intercourse as much as possible.

It is merely an anatomical change that returns your body to the condition it was in before giving birth – or even better. However, if you are no longer sexually attracted to your partner, there is not a great deal we can do!

After a physical examination and some questions regarding your medical history, which focuses primarily on your gynecological situation (especially the number and type of births), we will suggest and discuss with you the therapy that we feel would be most promising for you.

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 8,800 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.

In short: 
Vaginal laser treatment (ThermiVa, FemiLift (Alma), CO2 Laser etc.) is either useless or harmful for vaginal tightening!

The industry soon realized that the desire for a fulfilling and stimulating sex life is a huge market. Not so long ago, various lasers and instruments resembling dildos were developed for insertion into the vagina to achieve a narrowing of the vagina primarily through heat and warmth to simulate the effect of surgical vaginal tightening or narrowing.

As already mentioned, sexual stimulation is mainly about friction. If the friction is not strong enough, there is no stimulation. The main reason for this is a disparity between the size of the vagina (more precisely, its diameter) and the penis girth. If the vagina and pelvic floor muscles have been greatly stretched after childbirth, it becomes difficult or impossible even for a man with a very large penis to fill the vagina and create friction through movement.

Vaginal laser treatment promises a shrinking effect on the vagina using heat. The aim is to contract the collagen fibers of the vaginal skin and thereby narrow the vagina in order to create stimulation again. The fact is, however, that only intense heat has the effect of tightening the skin and shrinking collagen fibers. The heat must be such that it burns or scalds the skin, corresponding to a second-degree burn. However, this would irreversibly damage the skin blood flow and also the sensitive nerves. The skin dies, necrosis develops and there is scarring with loss of sensation instead of soft, sensitive vaginal skin. This type of damage is irreversible. The heat from vaginal lasers offered for this purpose is therefore relatively low, producing only temporary irritation and reddening of the vaginal skin, and is therefore useless. These treatments are very expensive and have to be repeated at intervals, with the intention of eliciting even more money from you…

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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.

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 on our information page or by visiting 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.