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analgesia and wound hygiene.","restrictions":["No heavy lifting","Avoid prolonged sitting","No tampons or baths"]},{"phase":"Weeks 1–2","description":"Pain and swelling settle; sutures dissolve; return to desk work.","restrictions":["No intercourse","No strenuous activity"]},{"phase":"Weeks 4–6","description":"Gradual return to exercise; healing check.","restrictions":["Intercourse only after surgeon clearance (usually about 6 weeks)"]},{"phase":"Months 2–3","description":"Tissues fully healed and final result evident.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after surgical tightening; no formal rehabilitation program required."},"result_longevity":"Results typically last several years but gradually diminish with ageing, weight change, hormonal changes and future vaginal childbirth, which can reverse tightening. Longevity varies by technique and tissue quality.","revision_rate_pct":{"min":2,"max":8,"unit":"percent","qualifier":"Repeat surgery for scar tightness, dehiscence, recurrent laxity or dyspareunia within several years."},"scars":"Scars are mostly within the vaginal wall or at the perineum and are usually inconspicuous once healed; occasionally tender or tight scar tissue forms.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"One surgical procedure."},"stages":[{"code":"surgery","label":"Surgical vaginal tightening (single operation)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Surgical protocol only; non-surgical laser or radiofrequency treatments are separate protocols and not included."},"success":{"metric":"Patient-reported improvement in vaginal laxity and sexual satisfaction","value":80,"unit":"percent of patients","horizon":"6-12 months","population":"Adult women with postpartum or age-related vaginal laxity after surgical vaginoplasty","evidence_status":"limited"},"techniques":[{"name":"Posterior colporrhaphy with perineoplasty","suits_whom":"Women with posterior wall relaxation, widened vaginal opening or perineal laxity after childbirth.","recovery":"Desk work in about 1–2 weeks; intercourse after about 6 weeks."},{"name":"Vaginoplasty with levator muscle plication","suits_whom":"Women with generalized vaginal canal laxity seeking narrowing of the canal.","recovery":"Desk work in about 1–2 weeks; exercise and intercourse after about 4–6 weeks with clearance."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":1,"max":2,"unit":"hours","qualifier":"Single surgical vaginoplasty/colporrhaphy with perineoplasty."},"initial_assessment_documents":["Recent cervical smear (Pap) result","Report of pelvic floor or prolapse examination","Prior pelvic surgery or delivery reports","Current medication list including blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-10 days for first wound check. Later follow-up can be done locally or remotely."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Confirm the surgeon is trained and experienced in the exact procedure you are considering, not just in surgery generally","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Verify that the surgeon is trained and experienced in performing the procedure you are considering.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Ask for certification information and the name of the body that certified the surgical setting","scope":"treatment_abroad","source":{"url":"https://www.isaps.org/discover/patients-home/considering-your-procedure-abroad/finding-a-surgeon-abroad/","host":"isaps.org","quote":"Ask for certification information and the name of the certifying body when assessing a surgical setting.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check that the surgeon who consults with you is the same person who will carry out the procedure","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Check that the surgeon you consult with, will be the same person carrying out the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Expect two consultations with the treating surgeon before any surgery, which also gives you time to reconsider","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/conditions/cosmetic-procedures/cosmetic-surgery-abroad/","host":"nhs.uk","quote":"You should have 2 consultations with the surgeon treating you before any surgery.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Ask whether a doctor is always present in the clinic and whether a high dependency or intensive care unit exists","scope":"treatment_abroad","source":{"url":"https://www.bapras.org.uk/public/patient-information/cosmetic-surgery/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"Is there always a doctor in the clinic and is there a high dependency or intensive care unit?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Blood-soaked dressings","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Blood-soaked dressings, which can be a sign of excessive bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Yellowish discharge from the incision","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Infections, which can cause a fever or yellowish discharge from the incision.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Pain that doesn't respond to pain medications","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Pain that doesn’t respond to pain medications.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Abnormal swelling in groin or lower leg","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21572-vaginoplasty","host":"my.clevelandclinic.org","quote":"Signs of blood clots, such as abnormal swelling in your groin or lower leg.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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