I. What is vaginal laxity? What are the causes of vaginal laxity? Vaginal laxity is a common problem in women after childbirth. It is caused by the passage of the fetus through the birth canal, which expands the local mucous membrane, fascia and muscle tissue, resulting in the relaxation of the vaginal wall, anal raphe and structures related to the urogenital diaphragm. The degree of laxity is also related to the frequency of sexual intercourse, the way the patient has sex, age and trauma. Vaginal laxity is mainly associated with decreased sexual satisfaction, mild stress incontinence, mild vaginal prolapse, increased inflammation in the vagina, and changes in the shape of the vestibule. Causes of vaginal laxity: 1. Birth injuries from natural childbirth, vaginal injuries from midterm induction of labor, multiple deliveries often cause tearing of muscles and fascia of the pelvic floor, vaginal dilatation and laxity, and collapse of vaginal elastic fibers; 2. Women after abortion and medical abortion:: In the early stage of pregnancy, the muscles of the vagina and pelvis already start to lax. During abortion and medical abortion, the vagina is dilated and the elasticity is weakened. After the operation, unclean tissues remain in the vaginal folds and posterior vault and enlarge the vaginal wall; 3. Years of sexual life make the vagina expand and the elastic fibers break and shrink, while the tension and toughness of the pelvic floor muscles decrease. II. What is vaginal tightening? Vaginal tightening surgery can help women repair the damage around the vagina, strengthen the loose muscles and fascia, enhance the elasticity of the vagina, and restore the vaginal tightness. Vaginal tightening surgery can also prevent and improve problems such as uterine prolapse, stress urinary incontinence and habitual constipation caused by lax pelvic floor tissues. The surgery can help prevent and treat uterine prolapse and vaginal wall bulge due to pelvic floor laxity. The surgery is performed according to the patient’s age, the degree of vaginal laxity and perineal damage. It also improves the quality of sexual life and restores women’s self-confidence. What is the principle of vaginal tightening? By reinforcing the muscles and fascia around the vagina, which were irreversibly damaged during childbirth, the tissues that were injured by the extreme expansion are surgically re-sutured and reinforced so that the tissues around the vagina are tightened again, thus achieving a tightening effect. Who is suitable for vaginal tightening? 1, vaginal sagging sensation, vaginitis and odor; 2, vaginal entrance is open and water is leaking into the vagina; 3, ageing ovarian function gradually decreases and estrogen decreases, causing degenerative changes in the muscles and fascia around the vagina, decreasing muscle tone and mucosal atrophy. Women with vaginal aging, severe laxity, air leakage and pussy blowing; 4, those who fail in intimate plastic surgery and want to repair again; 5, women who have a history of perineal lacerations or lateral perineal incision, muscle damage around the vagina, wide and loose vaginal opening and reduced contraction force; 6, women with congenital vaginal problems, like those who have laxity before delivery; 7, women who want to have more pleasure in their newlywed life. V. What is the procedure, anesthesia and operation time of vaginal tightening and what are the risks? Procedure: Before the surgery, the patient’s age, vaginal laxity and perineal damage are evaluated, the patient’s reproductive history is understood and those situations that are not suitable for the surgery are excluded. The scope of surgery and the procedure may vary depending on the patient’s age, the degree of vaginal laxity, the age and sexual function of the partner, and the patient’s requirements for post-vaginal tightening. A successful repair of vaginal laxity requires a preoperative evaluation to detect hidden signs and symptoms, to identify psychological causes and to avoid possible risks in order to improve the safety and postoperative results. Anesthesia and surgery time: The surgery is performed under local or general anesthesia and usually lasts 2 hours. An incision is usually made at the vaginal hymenal margin, and the posterior vaginal wall is completely separated to expose the muscle tissue beneath it. The muscle strength is rebuilt by tight sutures to reduce the vaginal circumference, while the perineum is reconstructed and the vaginal mucosa is finally repositioned. The vaginal mucosa is usually not removed during the procedure, which not only increases the vaginal folds and enhances the postoperative sexual experience, but also maintains the patient’s vaginal delivery function. Vaginal rejuvenation surgery is safe and the intraoperative and postoperative risks can be greatly reduced with the treatment of an experienced intimate plastic surgeon. Possible intraoperative complications include bleeding, blood in the stool, local edema, rectal injury, etc. Postoperative wound infection and poor healing may occur, but the incidence is low. Even if they occur, there will be corresponding treatment measures, so do not worry too much. VI. What are the precautions before surgery? 1. Do not take aspirin and other anticoagulant drugs before surgery, and do not drink and smoke. 2, three days before the surgery, should be used every day with 0.1% of the new Jelim cleaning vulva, to keep the pubic dry and clean, and should prohibit sexual intercourse. 3.Before the surgery, the patient should usually undergo a gynecological examination to make sure there are no other gynecological diseases, such as cervical lesions, pregnancy, normal menstruation, skin diseases, and general health. 4. In addition, the best time to have vaginal tightening is 7-10 days after menstruation. Vaginal rejuvenation can be performed under local anesthesia and the method used is relatively simple. Generally, only 3-5 cm of the vaginal mucosa is removed from the vaginal opening and then the mucosa is tightened and sutured. What are the precautions after surgery? 1. To prevent infection, take the appropriate medication under the doctor’s instruction and take a sitz bath for 10-15 minutes after urination and defecation and every night for 3 consecutive days. 2, as far as possible to keep the perineum clean and dry, wear loose, cotton underwear, do not use sanitary napkins and sanitary pads. 3.Try to rest in bed for three days after surgery, avoid getting out of bed. 4.Do not ride a bicycle and do not do strenuous exercise within one month after surgery to avoid wound cracking at the suture site. 5, do not take aspirin, do not drink and smoke, do not eat spicy and stimulating food, do not drink cold drinks and cold food, eat more vegetables and fruits, etc. to avoid constipation after surgery.