Reduction of the introitus with fat grafting or plastic surgery
Some women will find that as they get older or after childbirth, the vaginal entrance is dilated, which can cause practical problems in intimate situations. There are options for tightening the vagina and the outer part of the vagina. Some clinics offer laser treatment, but little is known about the long-term side effects. On the other hand, there are other methods where we build up the wall on the inside of the vaginal entrance with fat, and/or we can use a method that tightens the actual mucous membrane and muscle. Both methods give good results and reduce the size of the vaginal opening and canal. You must first undergo a thorough assessment to determine which intervention will provide a definite improvement for you, or a combination of methods.
The procedure involves injecting relatively small amounts of fat at the vaginal entrance. Normally, the fat is incorporated (grows) well in the receiving area, but it must be assumed that the body absorbs (absorbs) about 30% of the amount of fat in the first few months. You therefore fill a little more than you need (overcorrect) to compensate for this. Minor unevenness may therefore occur after surgery, but this can be corrected within the warranty period.
In a standard fat injection, you will have small scars of about 1-2 mm or more where the cannulas must be inserted to inject the fat. We close the wound with stitches that dissolve by themselves.
During the consultation, your wishes and needs are thoroughly assessed with regard to the whole and the area where the fat is to be taken. If there is an indication for other procedures, we will consider whether they should be performed at the same time or as a separate operation.
Before surgery
You must be healthy on the day of surgery. If you are in doubt whether you have a cold or similar, please contact us. The operation is not performed when you have influenza with fever, cough or other infection in the body. Before the operation, you will receive a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.
The day before surgery and on the day of surgery, you should wash your entire body with Hibiscrub solution in the shower. This is a disinfectant soap that should be rinsed off with water and the skin dried with a clean towel. Put on clean clothes when you leave home. Do not use perfume and lotion. All jewelry, piercings and nail polish/false nails must be removed no later than the day before surgery and replaced 7 to 10 days after surgery.
For the best possible result and to avoid complications, it is recommended that you have a normal weight and not an excessively high BMI. If you smoke, or use nicotine such as snus or electronic cigarettes, you must quit at least 2 weeks before surgery and 2 weeks after surgery.
You should come to the surgery fasting. This means that you should not eat food including fruit or drink juice with pulp or dairy products 6 hours before surgery. You may drink water, juice, juice without pulp or coffee/tea without dairy products or chew chewing gum/drops/throat lozenges up to 4 hours before surgery. Any medication that you may need to take on the day of surgery can be swallowed with 1 glass of water max. 100 ml up to 1 hour before the start of anesthesia.
It is important that you stop taking blood-thinning medication about 14 days before the operation, preferably in consultation with your GP or us. For other medications, please consult the clinic before the operation. A lot of garlic and health food preparations should also not be consumed.
You must arrange in advance for someone to pick you up at the clinic approx. 1 hour after the surgery, as you cannot drive, take public transport or a taxi on your own.
On the day of surgery
You will be met by our staff who will prepare you for the operation before the surgeon sees you. Before the actual procedure, the surgeon will go through the procedure, outline the planned procedure and answer any questions you may have. Anesthesia staff will also come and greet you and answer your questions.
When the surgery is about to begin, the surgical nurse will pick you up and clean the surgical area while the anesthesia staff gives you a sedative in your arm so that you sleep during surgery. In addition, the surgeon will place a local anesthetic in the surgical area for a long-lasting analgesic effect in the surgical area after surgery, which also reduces bleeding in the area.
After the operation, you will be moved to the recovery room where you will have your own bed. You will then rest for 1-2 hours and be served food and plenty of drinks in the form of bread, yogurt and juice (remember to inform us of any allergies). Painkillers are given if necessary.
The surgeon will check on you before your return home/hotel stay and you will be cleared by anesthesia staff before you go home with an adult companion. The PVK attached to your hand will be removed before you leave. A car or taxi must be used as a means of transportation immediately after surgery, we do not recommend public transport or walking.
After surgery
All patients come for a post-operative check-up the day after surgery. We recommend that you do not travel by air for the first 48 hours after surgery. During this time, a check-up appointment will be arranged in the clinic and you should come to the clinic for a check-up the day after surgery.
In the first few hours after surgery, you may feel a little tired and sometimes a little nauseous. It is important that you take painkillers as prescribed and as needed, and make sure you drink plenty of fluids for the first 24 hours. Some people may feel a little dizzy, so it's a good idea to take a few minutes to get up. For the first two days, you should rest and lie as still as possible. For the next five days, you can move around gently. If you have an active job, it is a good idea to stay at home.
The final result can only be assessed after 3-6 months. Follow-up check-ups are arranged with the clinic; the day after surgery, after 1-2 weeks and 3-6 months, as well as a final check-up after one year. You must call to arrange the check-ups yourself, or make an appointment with the clinic on the day of surgery.
Bleeding and infection are uncommon and in very few cases require reoperation and/or antibiotic treatment. Anesthetic complications, such as allergic reactions to anesthetics, are extremely rare.
Physical exercise and hard physical work should be postponed for about 4 weeks.
If correction is necessary due to complications or unsatisfactory results, this is done free of charge within one year, provided that there is a medical indication and a clear potential for improvement. This is our guarantee period.
Pick-up and accommodation
You must arrange in advance for someone to pick you up at the clinic approx. 1 hour after the end of the operation, as you cannot drive, take public transport or a taxi on your own. You must also have someone with you the same day and the first night.
If you live far from the clinic, we recommend that you stay overnight in Oslo, either with family/friends or in a hotel.
Hotels close to Oslo Plastic Surgery;
Hotel Gabels Hus in Gabelsgate 16.
Frogner House Apartments, Bygdøy Allé 53.
(We have an agreement with Frogner House Apartments, inform about us when booking a room).
Ask for guidance and advice
We can provide the best advice face-to-face. We will guide you to the optimal solution for your needs.
The responsible physician is Dr . Amin Kalaaji, senior consultant dr.med, specialist in plastic surgery and head of clinic at Oslo Plastic Surgery, and head of the Norwegian Society for Aesthetic Plastic Surgery (NFEP) 2018-2020.
Dr. Kalaaji holds many positions and gives lectures and training around the world. This benefits all our patients as he is always up to date on the latest and most advanced treatments and surgical techniques.Â
Patient safety, high quality and individual treatment are always our top priorities at Oslo Plastic Surgery.Â
FAQ - Frequently asked questions
Oslo Plastic Surgery answers frequently asked questions here, and we hope this will provide you with good information. We want to be helpful in the process before an operation. If you have any further questions, just write or call us.
All patients must undergo a consultation before surgery. The consultation is conducted by our experienced plastic surgeon, who will ask you questions about your medical status; previous or current illnesses, previous operations, use of medication, etc. An examination will then be carried out and the surgeon will consider a possible operation.
If you are suitable for surgery, you will receive information about the surgery itself, precautions for the time before and after the procedure, and you will get answers to your questions.
For patients with long travel distances, we offer consultations by telephone and/or video consultation. We will then send you a health information form to be completed and returned to us before the consultation. You also send us some photos.
Should surgery be required, the surgeon will conduct a thorough assessment the day before the planned surgery.
You must be healthy on the day of surgery. If you are in doubt whether you have a cold or similar, please contact us. The operation is not performed when you have flu and/or fever or cough or other infection. Before the operation, you will receive a prescription for antibiotics, painkillers and Hibiscrub solution 40 mg/ml, which you can buy at the pharmacy.
We can also offer a preliminary examination with a 3D imaging system. We take pictures of your body and can use image simulation to show you what an expected result will look like with different sizes and types of implants.
If correction is necessary due to complications or unsatisfactory results, this is done free of charge within one year, provided there is a medical indication and a clear potential for improvement. This is our one-year guarantee agreement.
This procedure will not leave visible scars in the vagina, but small 2mm incisions where the fat is harvested. These are closed with dissolvable stitches.
1. For the first 48 hours, it is very important to keep the area dry and clean. Do not shower, and when you urinate, you can use a soft cloth/cotton to push very lightly upwards 2-3 times. Remember to wipe from front to back so that bacteria from the rectum do not reach the sutures. Remember not to wear tight pants or panties, and 'air' your abdomen as much as you can in the first few weeks.
2. In some cases, your surgeon will tell you if you need to use Jelonet and Q-tips to lubricate and remove any smegma that forms in the folds to keep the area clean.
3. On day 3, you can start washing once a day. It is important not to leave the shower directly against your lower abdomen, but to let the water run downwards from your pubis/lower abdomen. Do not use soap, only lukewarm water. You can use Hibiscrub if you wish. Do not be afraid to stir between the folds and wash well, but do it with a light hand and do not try to remove sutures/wounds with your fingers.
