Many women have a weakened vaginal sphincter for various reasons, and the mucosal walls become less and shallower, so during intercourse and exercise, the air enters and exits the vagina without control, making abnormal sounds and affecting normal activities and sexual harmony. A study in the United States showed that the sexual function of normal men and women can generally be maintained until the age of 65 or older, and individuals can still be more vigorous until the age of 70 or older. However, in China, it is generally believed that older people over 65 years old have automatically or forcibly given up their sexual life as a couple before their sexual function is completely lost. The reason for this situation is not only social reasons, but also an important factor for older women to lose their sexual stimulation to men due to the decrease of estrogen secreted by ovaries, the decrease of elasticity of vaginal wall, loosening of vagina and weakening of contraction function. Therefore, if middle-aged or older women find that their vagina is loose and wide, they can visit a cosmetic surgeon in time and if necessary, they can receive good results with half the effort by having this vaginal tightening surgery. Who is suitable for vaginal rejuvenation? Vaginal tightening can be considered for those who have unsatisfactory sex life due to vaginal laxity after vaginal delivery, old perineal tears, poor wound healing after lateral perineal incision or congenital causes. After delivery, the vaginal mucosa, muscles and other soft tissues are relaxed and even vaginal lacerations are caused. When having sex, due to the weakening of friction, both men and women will experience less pleasure or even disappear, which seriously reduces the quality of life of both spouses and even affects their relationship. In this case, surgery can be performed to tighten the vagina to relieve your stress and increase your interest in life. What do I need to do before surgery? If you smoke, you should stop smoking before the surgery and refrain from taking medications that can cause increased bleeding, such as aspirin. Vaginitis or vulvovaginal infection needs to be treated before surgery. Before the surgery, the patient should usually be clear that there are no other gynecological diseases, such as the presence of uterine lesions, uterine size with or without pregnancy, normal menstruation, skin diseases, and general health. In addition, the best time to schedule the surgery is 7-10 days after menstruation. 3 days before the surgery, you should wash your vulva with 0.1% Neosporin every day to keep it dry and clean, and you should not have sexual intercourse. How is vaginal rejuvenation performed? Due to individual factors, vaginal rejuvenation is not performed exactly the same way for everyone. Your plastic surgeon will choose the right procedure for you depending on the situation. Generally, the posterior vaginal wall is freed under the mucosa and the fascia muscles of the posterior vaginal wall are sutured right and left opposite to each other to strengthen the vagina. Vaginal rejuvenation can be performed under local anesthesia and the method currently used is relatively simple. Generally, no large amount of tissue is removed and only 3-5 cm of the vaginal mucosal folds inside the vaginal opening are removed and then the mucosa is tightened and sutured. If the vaginal opening is too loose, two mattress stitches can be made in the levator muscle under the vaginal mucosa to tighten the vaginal opening and increase the tightness of the vaginal opening. If the outer vaginal opening is damaged by tearing caused by childbirth, it is possible to improve the shape of the outer vaginal opening while completing the tightening of the vaginal opening to make it more aesthetically pleasing. What are the risks of the procedure? Complications of vaginal rejuvenation are relatively rare. Possible risks of the surgery include hematoma, infection and reaction to anesthesia. You should follow your plastic surgeon’s medical advice and instructions before and after surgery as this will greatly reduce the risks. What happens after surgery? The surgery is usually performed in a hospital outpatient operating room. The surgery is performed with local anesthesia. After the surgery, the vagina is filled with gauze to prevent hematoma formation. You can go home straight after the operation. You should stay in bed for 12 to 24 hours after the operation and take oral antibiotics to prevent infection. Take a sitz bath with 1/5000 potassium permanganate solution twice a day for 7 to 10 days. Sexual life is forbidden for 6 weeks after surgery. When can I return to normal work after surgery? Excessive force, bending and lifting heavy objects should be avoided in the early postoperative period. Usually you can resume work 1-2 weeks after surgery, and after 4 weeks you can resume physical exercise. What are the results of vaginal tightening? Your vaginal tightening results may be dramatic or mild, depending on how lax you were before surgery. The results of the surgery are long-lasting. Vaginal rejuvenation can improve sexual problems caused by vaginal laxity, but it does not solve problems caused by psychological or other reasons. After the above treatment, after two months, when the couple resumes sex, there is a feeling of being “held tight” after the penis is inserted into the vaginal opening, so it can be considered as a blessing for the couple’s sex life and will make their sex life more harmonious.