Vaginal wall reconstruction (vaginal reduction surgery)
VAGINAL TIGHTENING
Vaginal Reduction Surgery for Natural Tightness! Vaginal Wall Formation to Regain Confidence
- Custom-made design that understands the delicate structure of the vagina brings you closer to your ideal
- Approaches to vaginal loosening due to childbirth and aging! Responding to women's specific concerns
- A full nightlife! Balancing Formation Techniques for Sexual Life Satisfaction
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.
Careful suturing and design skills based on anatomical knowledge to achieve an attractive masterpiece.
At Bianca Clinic, we emphasize anatomical knowledge in the field of gynecologic plastic surgery and utilize precise suture techniques and design skills. Dr. Akiko Miyamoto, an obstetrician-gynecologist certified by the Japan Medical Specialty Organization, is in charge of the procedure, and we have a system in place that allows you to feel comfortable discussing any concerns that are delicate and difficult to talk about.
In vaginal wall reduction surgery, the goal is not simply to narrow the vaginal wall, but to achieve a natural and functional result that takes into account the structure of the vaginal mucosa and muscular layer. We offer custom-made proposals tailored to each individual, taking into consideration the comfort of sexual life and prevention of future gynecological problems.
In addition, our clinic focuses on femcare, helping women to live a positive life in their own way. Our privacy-protecting space and attentive counseling services allow you to consult with us with peace of mind.
Downtime
DOWNTIMERecommended for people like this
RECOMMENDED FOR:Features
CHARACTERISTICS
What is vaginal wall reconstruction (vaginal reduction surgery)?
Vaginal wall augmentation (vaginal reduction surgery) is one of the gynecologic plastic surgery procedures that reinforce the vaginal walls, muscles, and fascia that have widened due to childbirth or aging, and make them feel naturally tight. By reinforcing mucous membranes and muscle layers damaged by childbirth and other factors while taking into consideration the structure of the vagina and the function of the muscles, we aim to reduce discomfort and improve the comfort of daily life.
It is often targeted at those who suffer from symptoms such as discomfort during intercourse, urine leakage, or vaginal leakage after bathing, and is characterized by the fact that it can be custom-designed. In addition to a cosmetic perspective, this procedure may lead to the prevention of pelvic organ prolapse and gynecological problems in the future, and is attracting attention as part of femcare.
Leakage and water leakage care with specialized plastic surgery for vaginal loosening
Vaginal loosening is considered a major cause of damage from childbirth, muscle weakness due to aging, and low estrogen levels, and can lead to daily discomforts such as "urine leaks when coughing or sneezing," "vaginal water leaks after bathing," and "menstrual blood leaks easily when using a tampon.
Vaginal wallplasty carefully sutures and tightens the vaginal walls and mucous membranes, regulating the spreading tissues and addressing daily discomforts. The ability to provide not only cosmetic improvement but also functional care is a key feature of this procedure.
At Bianca Clinic, we design custom-made treatment plans based on detailed confirmation of the patient's vaginal condition and life stage. We also consider the risk of future pelvic organ prolapse, and provide support from a comprehensive perspective that goes beyond mere “looseness care. We value creating an environment where you can consult with us with peace of mind and improve your quality of life (QOL).
Sensitivity is increased through balance formation with an eye toward sexual life!
Vaginal wall reduction at Bianca Clinic is not a vaginal reduction procedure that aims only to narrow the vagina, but rather to balance the vaginal anatomy and functionality of the vagina.
The vaginal wall is formed by an obstetrician certified by the Japanese Medical Association for more than 18 years* of experience in obstetrics and gynecology, so the vaginal wall is not slightly stitched at the entrance of the vagina, but is firmly reinforced to the back of the vagina and in front of the cervix.
By properly adjusting the vaginal walls and mucous membranes, it reduces discomfort and looseness during intercourse and helps restore a natural tight feeling. As a result, sexual satisfaction is increased, leading to improved relationships with partners and self-esteem.
We do not use forced designs, but rather take care to maintain a comfortable and natural state over the long term. We support those who wish to improve the quality of their nightlife while being conscious of both appearance and functionality. We provide consultations in an environment that respects your privacy, so you can feel comfortable discussing any sensitive concerns you may have.
*...as of January 2026
Benefits
MERIT
Restores tightness! Supports women's vaginal problems
By realigning the spreading vaginal walls, it boosts vaginal tightness and reduces daily discomfort.
Increased sex satisfaction and restored confidence
The natural result leads to a more comfortable sexual life and helps restore femininity and confidence.
Day surgery is possible and less stressful on the body
The procedure is performed under anesthesia and is virtually painless. No hospitalization is required, and the procedure is performed in consideration of the burden on the body.
Recommended Features
RECOMMENDED POINTS
Reshaping the vagina in response to vaginal loosening after childbirth
Childbirth puts a great deal of strain on the vagina, and many women are more likely to experience vaginal looseness after childbirth. In many cases, the widening of the vagina causes discomfort during intercourse, urine leakage, water leakage after bathing, and other problems in daily life.
We carefully examine the patient's birth history and vaginal condition to provide a customized treatment tailored to each individual's concerns. Rather than simply narrowing the vagina, we emphasize a natural design that takes into account the structure of the mucous membrane and muscular layer. We also take into consideration functional aspects such as excretion and sexual intercourse, aiming for both comfort and beauty. Please do not give up on the changes after childbirth as "inevitable.
Prevention of gynecological problems by regulating the supportive tissues of the vagina.
If left untreated, vaginal loosening increases the risk of future pelvic organ prolapse, such as pelvic organ prolapse, in which the bladder and uterus are lowered. Pelvic organ prolapse not only affects urination and defecation, but can also greatly impair quality of life. Vaginal wall augmentation is a procedure that can also be expected to improve the supportive tissues of the vagina and may help prevent these gynecological problems in addition to adjusting the cosmetic appearance.
At Bianca Clinic, our obstetricians and gynecologists with over 18 years* of experience in obstetrics and gynecology practice understand the structure of the vaginal wall and muscles and perform sutures not only in the front but also in the back, emphasizing natural and functional results. We design not only for appearance, but also for long-term comfort. This is a useful option to protect your physical health, not only for those who want to solve their current problems, but also for those who are concerned about their future.
*...as of January 2026
Simultaneous treatment with other gynecologic plastic surgery is possible.
Although vaginal wall augmentation can be performed as a stand-alone procedure, in some cases it is easier to achieve a better overall balance by performing it at the same time as "vulveoplasty (perineoplasty)". In some cases, adjusting multiple areas at the same time can help achieve a consistent look, leading to greater patient satisfaction.
The advantage of simultaneous treatment is that multiple problems can be addressed at one time, but it is important to carefully check for indications.
At Bianca Clinic, we will carefully listen to your wishes and life background during the consultation and discuss a reasonable plan with you. We support our clients so that they can undergo treatment with peace of mind, while attending to the delicate concerns unique to women.
Treatment area
TREATMENT AREAvaginal wall
Treatment Process
CONTENT OF TREATMENT. Medical Examination and Counseling
First, the doctor will carefully examine you and ask you about the condition of your vagina and your concerns in detail. The doctor will explain the indications, methods, and possible risks of the procedure in an easy-to-understand manner, and respond to any concerns or questions you may have. After a thorough consultation, the patient will be asked to proceed to the next step once he or she is fully satisfied with the results.
Design
We design a custom-made procedure to achieve a natural-looking result, taking into account each patient's vaginal condition, life plan, and desires. Rather than simply narrowing the vagina, we take into consideration the balance of the mucous membrane and muscular layer, and design a vagina that emphasizes harmony between functionality and appearance. The design is not unreasonable, and we are also conscious of future comfort.
treatment
After local anesthesia is administered, the vaginal mucosa and muscle layers are carefully sutured and adjusted. Because we place great importance on minimizing the burden on the body, hospitalization is not required and the procedure can be performed on a day trip. Swelling and discomfort may occur after the procedure, but proper care following the doctor's guidance will help ensure a smooth recovery.
Schedule of Charges
PRICE LISTLabia Minora Reduction
| Treatment Details | Standard rate |
|---|---|
| Suture removal required | ¥275,000 |
| No suture removal | ¥398,090 |
clitoral foreskin
| Treatment Details | Standard rate |
|---|---|
| Suture removal required | ¥152,020 |
| No suture removal | ¥220,000 |
Subcutaneous tissue removal
| Treatment Details | Standard rate |
|---|---|
| Suture removal required | ¥220,000 |
| No suture removal | ¥298,100 |
labia majora reduction
| Treatment Details | Standard rate |
|---|---|
| Suture removal required | ¥330,000 |
| No suture removal | ¥498,080 |
BIANCA METHOD
| Treatment Details | Standard rate |
|---|---|
| Labia Minora Reduction + Clitoral Hood Reduction + Frenulum Removal | ¥481,580 |
virgin birth canal incision
| Treatment Details | Standard rate |
|---|---|
| virgin birth canal incision | ¥165,000 |
*This treatment is for those who have difficulty having sexual intercourse due to virgin membrane toughening.
Vaginal Opening Reconstruction (Perineal Body Reconstruction)
| Treatment Details | Standard rate |
|---|---|
| Vaginal Opening Reconstruction (Perineal Body Reconstruction) | ¥275,000 |
Vaginal Wall Reconstruction (Vaginal Reduction Surgery)
| Treatment Details | Standard rate |
|---|---|
| Vaginal Wall Reconstruction (Vaginal Reduction Surgery) | ¥550,000 |
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
Vaginal Wall Formation (Vaginal Reduction Surgery) Frequently Asked Questions
Q&A
Who is vaginal wall shaping suitable for?
It is suitable for those who are concerned about vaginal loosening due to childbirth or aging, or who suffer from daily discomfort symptoms such as discomfort during intercourse, urine leakage, or vaginal water leakage after bathing. In many cases, it is difficult to feel the effects of self-care, and more and more cases are being considered as gynecologic plastic surgery.
It is also recommended for those who have a drooping vaginal wall and are not suitable for vaginal hyaluronic acid injections.
How long does it take to perform a vaginal wall shaping procedure?
The procedure takes approximately one to two hours. The procedure does not require hospitalization and can be performed on a day trip, but the time may vary depending on the patient's constitution and the extent of the procedure. After the treatment, the patient can take a break before returning home, making it relatively easy for even busy people to undergo the treatment.
Is there pain in vaginal wall formation?
Anesthesia is used during the procedure so that pain is taken into consideration. After the surgery, mild pain, swelling, and bleeding may be observed, but most of them will settle down in a few days to a week. For those who are sensitive to pain, we will prescribe painkillers.
When is intercourse possible after vaginal wall formation?
In general, sexual intercourse is possible 4 to 6 weeks after the procedure. Since the recovery of scars and other injuries varies from person to person, it is important that the doctor checks the condition of the patient at the second visit and allows the patient to resume sexual intercourse only after the doctor gives permission. Be sure to follow the doctor's instructions, as straining can lead to pain and problems.
Does vaginal wall shaping leave scars?
Because the procedure is performed inside the vagina, it is unlikely to leave a scar that is noticeable from the outside. Redness and swelling at the suture site may occur temporarily, but will subside over time. The doctor will also carefully explain the postoperative course and self-care.
Can I have vaginal wall augmentation at the same time as other procedures?
Vaginal wallplasty (vaginal reduction surgery) can be combined with vulveoplasty (perineoplasty) and other procedures. In some cases, it is easier to achieve an overall balance if performed at the same time as other gynecologic plastic surgeries. We will propose the best plan after confirming your wishes and physical condition.
How long do the effects of vaginal wall shaping last?
In many cases, the effects of vaginal wall augmentation (vaginal reduction surgery) are long-lasting, but there is a possibility that the vagina may change again due to the effects of aging. It is recommended that you consult with us in advance to discuss your future life plans as well. Periodic checkups to check the condition are also recommended.
Can I have a female doctor handle the procedure?
At Bianca Clinic, female doctors specializing in obstetrics and gynecology are in charge from the consultation to the procedure. There are not many clinics in Japan where you can receive vaginal wall formation by a specialist who is familiar with the anatomy and function of the vagina. We have a system in place that allows those who are uncomfortable sharing their delicate concerns with the opposite sex to consult with us with peace of mind.
Can I have a treatment during menstruation?
During menstruation, it is difficult to perform the procedure properly due to bleeding and the vaginal environment, and we ask that you refrain from performing the procedure due to the risk of infection. It is generally recommended that you make an appointment to avoid your menstrual cycle. If your schedule does not allow it, please contact us in advance.
Can I have a baby after vaginal wall formation?
Vaginal wall augmentation (vaginal reduction surgery) is a procedure to tighten the vagina by removing and suturing loose vaginal walls. Therefore, this procedure is basically not suitable for those who are planning to have a baby in the future. It is suitable for those who have already given birth or have no plans for pregnancy or childbirth in the future.
Description of procedure] Vaginal wall formation (vaginal reduction surgery)
【Estimated Treatment Period and Number of Sessions】Typically 1 session ※May vary depending on your condition.
Risks and side effects] Pain, bleeding, swelling, etc.
