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2025.09.30

What is Vaginal Tightening? Pain, Downtime, and Results Explained by Dr. Akiko Miyamoto, Bianca's Aesthetic Gynecology Specialist!

宮本 亜希子
Supervising Physician
Board-certified cosmetic gynecologist/ Board-certified obstetrician-gynecologist, Japan Medical Specialty Organization Akiko Miyamoto

After engaging in general obstetrics and gynecology practice, including infertility treatment, perinatal care, and other insured treatments, I decided to shift my career to free practice and gynecological aesthetics, with the hope of “supporting women to enjoy their life as a woman” after my own experience fighting against illness. Today, while still being involved in insured medical care as an obstetrician/gynecologist, I am facing women's health issues based on medical evidence through "real femtec" such as gynecologic plastic surgery, Vaginal Growth® injections, and vaginal hyaluronic acid injections, based on my deep anatomical knowledge and skills. We are a leading provider of gynecological services in Japan.
She is also committed to social activities related to the dissemination of sex education, HPV vaccine awareness, and the improvement of women's quality of life. He is also actively involved in educating the public about medical knowledge, such as writing Chapter 7, "Vaginal Hyaluronic Acid Injection," in his specialty book, "The Basics of Cosmetic Surgery," which is the first book he reads when he becomes a cosmetic surgeon.

膣縮小ってどんな施術?痛みやダウンタイム、効果まで|ビアンカの美容婦人科指導医 宮本亜希子が解説!

 

Hello, I am Dr. Miyamoto, an OB/GYN specialist at BIANCA CLINIC, where I focus on gynecological plastic surgery and vaginal aesthetics.

 

Today, I'll introduce what vaginal tightening surgery entails—addressing the uniquely female concern of vaginal laxity.

 

Many people must be wondering, "What exactly is vaginal tightening? It sounds painful... Is the downtime long?" In fact, I receive many similar inquiries at my clinic.

 

What exactly is vaginal laxity? Why does it happen?

 

First, let me briefly explain what "vaginal laxity" is.

 

Weakening vaginal tone is often linked to natural life events for women, such as aging and childbirth. Childbirth, in particular, places significant strain on the pelvic floor muscles, ligaments, and vaginal mucosa, which can cause the vaginal support structures to loosen.

 

Actual data also indicates that compared to women who have never given birth, damage increases as follows.

 

● Having one child increases the risk by about four times
● About 8 times more for two people
● For 3 to 4 people, it's 9 to 10 times

 

For more details, please check the video below.

 

 
 
 
 
 
View this post on Instagram
 
 
 
 
 
 
 
 
 
 
 

Dr. Akko🎀 Obstetrician-Gynecologist, Certified Vaginal Hyaluronic Acid Instructor (@akko__1122) shared a post

 

This damage can cause the vaginal muscles and mucous membrane to loosen and lose their firmness, potentially altering sensations during intercourse, creating a hollow feeling, and increasing the risk of pelvic organ prolapse.

 

As a result, many people report feeling "somehow looser" or experiencing "a sense of discomfort with their partner." Additionally, concerns such as urinary leakage or vaginal discomfort may arise.

 

This is by no means something to be ashamed of; it's a natural change that can happen to anyone. However, it's also true that many people feel they "can't enjoy their sex life" or "have lost confidence" because of it.

 

What does vaginal tightening surgery involve?

 

Bianca Clinic's vaginal tightening surgery is performed by board-certified OB/GYN specialists, allowing access not only to the vaginal entrance but also deep into the area near the cervix. By thoroughly reinforcing damaged muscles and ligaments, we aim for fundamental improvement.

 

This treatment can address the following concerns:

 

  • looseness of the vagina
  • Decreased fit during intercourse
  • Leakage of bathwater after bathing
  • The vagina opens, revealing the mucous membrane inside.
  • Vaginal dryness

 

From a specialized obstetrics and gynecology perspective, we provide careful treatment tailored to each individual's condition.

 

Is vaginal tightening surgery painful? What about downtime and impact on daily life?

 

The procedure is generally performed under a combination of intravenous and local anesthesia, allowing you to undergo treatment while drowsy and asleep. The surgery takes approximately 60 to 120 minutes, and because the anesthesia is fully effective, you will feel almost no pain during the procedure.

 

After the procedure, you may experience mild swelling, bleeding, or pain around the vaginal area. However, the vaginal canal itself has reduced sensitivity, so the pain should not be severe.

 

The level of pain varies from person to person, but for most people, it can be managed with pain medication. Bleeding may continue for about a week, but the amount should not be excessive.

 

Showering is possible starting the day after surgery, but to prevent infection, soaking baths should be avoided for approximately2Please refrain for 4 weeks. Sexual intercourse can be resumed after 4 to 6 weeks, depending on the condition of the wound.

 

Why Bianca Clinic's Vaginal Rejuvenation Surgery is Chosen

 

When you hear "vaginal rejuvenation," it might sound like a big step for some people. But actually, many patients come to Bianca Clinic to discuss this procedure.

 

Here's what Bianca Clinic prioritizes to ensure you can undergo vaginal rejuvenation with peace of mind.

 

Reliable treatment by experienced gynecologists

 

"Don't you think gynecological plastic surgery is the same no matter where you get it done?"

 

In truth, gynecological plastic surgery is a delicate field where experience and aesthetic sense greatly influence the outcome.

 

At Bianca Clinic, Akiko Miyamoto, with her specialized knowledge and extensive experience, provides attentive counseling while carefully listening to your concerns and anxieties. She then proposes the optimal treatment tailored to each individual.

 

The state of the vagina and concerns about it truly vary from person to person. We strive to provide treatments that are attuned to both your mind and body, considering not only visual beauty but also the sensation upon touch and the impact on sexual activity.

 

Please feel free to consult us about anything, no matter how small. Let's work together to create days filled with smiles for you.

 

Minimize pain and downtime

 

"I want to avoid pain as much as possible..." I understand that feeling all too well. At our clinic, we strive to minimize patient burden and perform procedures with the utmost consideration for pain, swelling, and bleeding.

 

We maintain rigorous anesthesia management to minimize anxiety and discomfort during surgery. Additionally, we offer "edema reduction IV drips" and "postoperative oral medication sets" for those who request them.

 

Thanks to these thoughtful details, we've received many happy comments like, "It was easier than I expected!" So even if it's your first time, you can rest assured and leave it to us.

 

Vaginal tightening procedures cause anxiety because people don't know about them. Take the first step toward peace of mind with accurate knowledge.

 

"I'm worried about vaginal looseness, but I don't know what to do..."
"I've lost confidence in my relationship with my partner."
"I want to restore my body to how it was before giving birth."

 

Such concerns are by no means unusual. In fact, many women experience similar anxieties regardless of age or childbirth experience.

 

Vaginal rejuvenation surgery is one option that can medically and effectively address such concerns.

 

Of course, since it is surgery, some pain and downtime are unavoidable. However, we receive many comments saying, "I'm glad I had it done" and "I wish I had consulted sooner."

 

To help patients take that first step with confidence, we always provide accurate information and maintain a trustworthy treatment environment. Please come in for a consultation first.

 

Dr. Akiko Miyamoto Profile
https://biancaclinic.jp/doctor/miyamoto/

After graduating from university, she worked in general obstetrics and gynecology, providing insurance-covered treatments such as infertility therapy and perinatal care. Later, prompted by her own battle with illness, she reevaluated her career path. Driven by the desire to "support women in enjoying their femininity throughout life!", she transitioned into private practice and gynecological aesthetics. The deep knowledge and solid technical skills she cultivated as an OB/GYN are highly regarded in the field of aesthetic gynecology. She is particularly recognized as a leading figure in Japan for female genital medicine, especially in vaginal rejuvenation. Since joining BIANCA CLINIC, she has served as a leading aesthetic gynecologist supporting women's beauty and health, addressing diverse concerns for numerous patients. She also actively contributes to sex education across various media, HPV vaccine promotion, and improving women's OQL (Organic Quality of Life). Her commitment to medical knowledge dissemination includes authoring Chapter 7, "Vaginal Hyaluronic Acid Injections," in the specialized textbook The Fundamentals of Aesthetic Surgery: What Every Aesthetic Surgeon Should Know First.

 

▷BIANCA CLINIC|About "Gynecological Aesthetics" by Dr. MiyamotoHere

 

<Dr. Akiko Miyamoto's Medical Services>
◆Vaginal Tightening & Darkening Treatment (Vaginal HIFU, Radiofrequency Therapy, etc.)
◆Labia Minora Reduction Surgery
◆Subcutaneous Tissue Removal Surgery
◆Clitoral Hood Reduction Surgery
◆Vaginal Reduction Surgery (Vaginal Wall Reconstruction)
◆Vaginal Opening Reconstruction
◆Vaginal Hyaluronic Acid
◆Vaginal Rejuvenation® Injection

 

<Professional Affiliations and Qualifications>
◆Japanese Society of Obstetrics and Gynecology
◆Japanese Society of Reproductive Medicine
◆Japanese Society of Aesthetic Surgery (JSAS)
◆Board-Certified Obstetrician and Gynecologist by the Japan Board of Medical Specialists
◆Japanese Society for Sexology
◆Certified Menopause Specialist by the Japanese Society of Psychosomatic Medicine for Women
◆Japanese Society for Psychosomatic Medicine in Women
◆AV Production Mine'S Exclusive Consulting Physician
◆Japanese Society of Female Pelvic Floor Medicine
◆Medytox Certified Vaginal Hyaluronic Acid Injection Instructor (KOL: Key Opinion Leader)

 

<Check here for more information about Ms. Akiko Miyamoto>
Dr. Akiko Miyamoto's Instagram account (@akko__1122) isHere
The official Instagram account for Bianca Clinic (@biancaclinic) isHere

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