Vaginal Rugae Rejuvenation

This surgery is suitable for females without labor via vaginal delivery. Because these patients have a relatively tight vagina inside, regional tightening correction is conducted, and it targets the mucosal folds at the vaginal opening to increase the sensitivity of friction between the penis and vagina and elevates the intimacy during sexual intercourse. It is mainly conducted by stitching the loose skin and mucosa adjacent to the vaginal opening for tightening, which extends inward by approximately 3–5cm from the vaginal opening. Dr. Chuang first implements regional longitudinal resection of the vaginal mucosa at the vaginal opening, then detach the annular sphincter below the vaginal wall and properly tighten the sphincter with strong sutures, and finally, stitch the wound at the vaginal mucosa. Vaginal opening tightening effectively narrows the vaginal opening to within the width of two fingers and creates prominent or relatively rough skin folds, which not only improve pleasure from the friction of male genitals but also enable females to feel the tight sensation during sexual intercourse. Therefore, due to the effective improvement in the quality of sexual behaviors, it is accepted by numerous patients without natural birth.

Surgical conditions


  • Type of anesthesia: IV sedation + local anesthesia
  • Surgical incision: Extends approximately 3–5 cm inward from the vaginal opening
  • Recovery: 2–3 days
  • Removal of stitches: No

General instructions

No food and water on the day of surgery

  • Avoid the surgery during the menstrual period.
  • Try to wear loose underclothes for 1 week postoperatively to avoid friction on wounds.
  • Avoid sexual behaviors for 1 month postoperatively.
  • Prevent the lower body from being exposed to dirty water for 1 month postoperatively (such as swimming pool and sea water)

Ideal candidates

  • Patients with vaginal laxity who have never had a natural birth via vaginal delivery
  • Those with congenital vaginal opening slackness or dilation
  • Those with vaginal opening slackness due to aging or excess sexual behaviors
  • Those with vaginal opening laxity that causes insensitive feelings to the male partner

Potential complications

  • Excess vaginal tightening (temporary)
  • Vaginal laceration
  • Results short of expectation

Surgical advantages

  1. The surgical field is limited to 3–5 cm near the vaginal opening, and the postoperative recovery is rapid.

  2. The tightness and folds of the vaginal opening are customized based on patient’s requirements to increase the satisfaction of sexual life.

  3. It is re-conducted once if the patient finds the results unsatisfactory.

Surgical drawbacks

  1. It is not indicated for patients with natural delivery via the vagina or for those with birth canal laceration.

  2. Tightening results are only confined to areas adjacent to the vaginal opening.

  3. The surgical results may not last long.