Vaginoplasty (Vaginal Tightening) – A vaginoplasty procedure focuses on reducing the width of the vagina. Although naturally designed to stretch during sex and childbirth, the tissues of the vagina can lose elasticity over time, particularly following multiple childbirths. This permanent stretching can sometimes affect a woman’s enjoyment during sex. During a vaginoplasty, a cosmetic surgeon may use techniques such as tightening the perineal muscles or making repairs to the rear vaginal wall, reducing the overall width of the vagina and “tightening” the tissues. While vaginoplasty is typically sought as a cosmetic procedure, it can also be used as a reconstructive procedure to address birth defects or tissue injuries that may have occurred during childbirth.