There are multiple reasons why women seek vaginal tightening through a vaginoplasty procedure. For one, while childbirth is a beautiful and amazing experience, certain physical changes can occur, altering the appearance of a woman’s genitalia and/or diminishing sexual function or sensation. Dr. Okasi, a top cosmetic gynecologic surgeon in Maryland, has performed hundreds of vaginal tightening procedures, both surgical and nonsurgical, so you can rest assured you are receiving the very best care. She is committed to helping her clients fall in love with their body, experience greater sexual satisfaction, and feel their sexiest and most confident in the bedroom.

Frequently Asked Questions

What is Vaginoplasty?

Vaginoplasty (also known as posterior colporrhaphy) is a procedure designed to tighten the vagina. An alternative is noninvasive vaginal tightening through heating tissues with radiofrequency waves or laser. (link to vaginal rejuvenation page featuring Viveve?) Patients with significant laxity may not experience a benefit from these treatments and may be better candidates for surgical tightening with vaginoplasty.

Reasons patients want a surgical vaginoplasty:

After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to sexual dysfunction.

What does a vaginoplasty do?

A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance.

Is anesthesia used during a surgical vaginoplasty

Dr. Okasi typically performs a surgical vaginoplasty under local anesthesia.

What to expect during a surgical vaginoplasty procedure:

Once the amount of tightening to be done is determined, a pie-shape wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. If there is external skin that protrudes, this can be reduced as well for a more aesthetic result.

What are the results of a vaginoplasty?

This procedure results in a tighter vaginal canal, which can help enhance sexual satisfaction.

request your consultation



Vaginal Rejuvenation


G-Spot Shot (G-Shot Amplification)




The Labiaplasty procedure is an outpatient procedure that reduces the size of the labia and improves the look and feel of a woman’s most private area. Recent studies have shown that more women in the United States are considering the Vaginal Rejuvenation and our Labiaplasty procedure. In Virginia and Washington DC areas, more and more women are looking into this option to correct and improve the look and feel of their overall physical appearance of their labia.

Contact Us