Once the amount of tightening to be done is determined the surgeon can remove excess skin and tissues, pull the pelvic floor muscles closer together, tighten the length of the vaginal canal, and reduce the size of the vaginal opening through an incision in the perineum (the area between the vaginal opening and the anus). Once the vaginal canal has been tightened, the mucosal skin is sutured closed.
Your surgeon may perform the procedure using a scalpel or surgical knife. More recently surgeons use a laser beam for a more accurate cut. The laser-cut can also reduce bleeding and recovery time. A surgeon will decide which method to use depending on your specific needs. The incisions are placed in the natural folds of skin where they will be less noticeable.
The procedure typically takes between one to three hours depending on whether it is performed with additional procedures. For better results and more comfort, general anesthesia is the rule for this surgery. However, in some patients, local anesthesia may be chosen depending on your preference and your plastic surgeon’s discretion.