Hi Kiddies
Most plastic surgeons have been well trained to perform labiaplasty. Very few of us perform vaginal tightening procedures. The 'standard' tightening procedure involves removing a wedge of vaginal wall to decrease the circumference of your vagina. The resulting (internal) scar can be very painful and cause complications that are worse than the problem that you are trying to fix.
Good Luck
Dr Gavin Sandercoe

Hi Kiddies.
Labiaplasty and vaginal tightening are two different issues. Most plastic surgeons are well trained in performing labiaplasty (generally for removal of excess labial tissue). If vaginal atrophy is the problem, then non-surgical methods such as mona lisa touch can be considered.
All the very best.
Dr Ray GohValley Plastic Surgery