Vaginoplasty (rejuvenation of the vagina) involves “tightening” and rebuilding of the vaginal muscles and the perineum. Childbirth, (especially multiple), aging, and genetic factors often cause the vaginal muscles to loosen, tear, and weaken. The diameter of the vagina gets bigger and there is a loss of feeling (and pleasure). Vaginoplasty returns the vagina to “pre-pregnancy” state and recreates sexual excitement and pleasure for the woman (and the man)! Some doctors use a laser for vaginoplasty and or labiaplasty surgery. You may hear varaitions of terms such as: labiaplasty or laser labiaplasty or vaginal rejuvenation and vaginoplasty or laser vaginoplasty or vaginal tightening. The difference is that some doctors are trained to use the laser for cosmetic vaginal surgery and reconstructive vaginal surgery and some use a scalpel.

When the vagina becomes stretched from aging and child birth vaginoplasty tightens and restores the vagina and supporting structures to a "pre-pregnancy" state, thereby re-establishing friction that increases sexual gratification for both women and men!

In vaginal relaxation, the muscles are relaxed and have poor tone, strength, and control. The internal and external diameters increase. The muscles of the perineum are weak and poorly supported. Under these circumstances, the vagina is no longer at its optimum physiological state. As a result, the sensual side of sexual gratification is diminished. Vaginoplasty can enhance sexual gratification for women who for whatever reason lack an overall optimum architectural integrity of the vagina.

No one wants to age or lose optimal function anywhere, and this includes the vaginal and vulvar structures.
Vaginoplasty Surgery Recovery

After surgery, the patient is usually able to walk comfortably within a few days and may return to sexual activities within 4-6 weeks.
hymenoplasty and hymen restoration surgery in Bangkok Thailand HospitalsAbout Hymenoplasty and the Hymen Restoration Surgery

Most surgeons only perform hymenoplasty or hymen repair (hymen restoration surgery) at the request of someone who needs the surgery for ethnic, cultural, or religious reasons. Also, most surgeons will not perform hymenoplasty surgery in a woman who has given birth.

The hymen is a ring-like skin membrane that sits in the lower 1/3 of the vagina. It marks the spot that the vulvovaginal bulbs fuse with the Mullerian ducts from above then hollow out to form the vagina. Most often there is a 5 or 6 pointed star opening in the hymen after maturity. With first intercourse or by accident from falling or tampons, 2 or 3 areas tear in the hymen. Most often there is bleeding at the time of tearing.

The hymenoplasty procedure (to reconstruction the hymen), is after using local anesthesic for tissue dissection and to stop small blood vessels from bleeding, the areas which were torn are "denuded" meaning the upper layer of tissue is removed. This is so that they will grow back together when they are approximated with stitches. Then after they are denuded, the edges are brought back together to reform the star-shaped "ring" as it was prior to relations, accident etc. It is made small enough, so that when first sexual relations occur later on, it will "tear" again, there will be some pain, and there will be bleeding.

Sources: http://www.thaimakeover.com/cosmetic-plastic-surgery-bangkok-thailand/vaginoplasty-bangkok-thailand.html