Minimal Invasive Vaginal Tightening and PRP Procedure (MIV+P)
The MIV+P Procedure is a modern, office-based technique designed to enhance female sexual satisfaction by tightening the muscles at the hymenal ring and rejuvenating vaginal tissues with Platelet Rich Plasma (PRP). The treatment takes approximately 20 minutes, is performed under local anesthesia, and patients are able to return home immediately afterward.
Normally, the vagina is positioned in a downward manner which allows the penis or toy to enter the vagina at an “angle” (angle of pleasure) during penetration. This leads to stimulation of the G Zone and an overall increase in sexual gratification with the associated achievement of vaginally activated orgasms.
In some women, with age and advancing child birth, this angle CAN be permanently lost due to the perineum (distance between the opening of the vagina and the anus) shortening and flattening. This causes the opening of the vagina to widen and the “angle” to become horizontal (vs downward) in nature which leads to a loss of stimulation of the G Zone and an overall lack of sexual gratification. There may also be an associated pelvic relaxation or loss of tone at the opening of the vagina and / or it’s entire length.
Traditional vaginoplasty/perineoplasty procedures rectifies this problem by reducing the internal and external diameters of the vagina and the cosmetic reconstruction of the perineum. This results in a narrower vaginal barrel and restoration of the “angle” with the additional benefit of giving the perineum a more youthful look. There is a subsequent increase in sexual gratification. This procedure is extremely effective with a 95% success rate and good patient satisfaction. It is also intended to be a permanent procedure.
The MIV+P Procedure is a modern, office-based technique designed to enhance female sexual satisfaction by tightening the muscles at the hymenal ring and rejuvenating vaginal tissues with Platelet Rich Plasma (PRP). The treatment takes approximately 20 minutes, is performed under local anesthesia, and patients are able to return home immediately afterward.
The original Vagilangelo™ procedure was pioneered by NYC Cosmetic Gynecologist Dr. Amir Marashi (@nycgyno). The MIV+P represents a heavily modified advancement of that foundation—developed to deliver superior results, greater precision, and faster recovery while maintaining safety and patient comfort.
How the MIV+P Works
1. PRP Enhancement of the G-Zone - Platelet Rich Plasma is injected into the G-Zone, boosting sensitivity, lubrication, and orgasmic response. This encourages vaginally stimulated orgasms and improves overall sexual function.
2. Targeted Tightening of the Hymenal Ring Muscles -Using fine absorbable sutures, the vaginal entrance is carefully tightened. This reduces the vaginal diameter, recreates the angle of pleasure, and increases friction—leading to heightened sexual gratification.
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Benefits Compared to Traditional Surgery
MIV+P provides:
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Quick recovery (patients typically cleared for intercourse at 4 weeks
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Fewer risks and complications
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Preservation of the ability for future vaginal deliveries
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On the other hand, traditional vaginoplasty/perineoplasty, while highly effective, involves:
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6–8 week recovery
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Higher risk of complications such as wound breakdown
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Permanent loss of vaginal delivery option
The MIV+P is long-lasting but is not a substitute for women who require or desire the more extensive correction offered by traditional vaginoplasty.
It is intended to be permanent, but with time, decreasing blood flow and hormone levels, in the future, a repeat procedure maybe necessary.
Cost
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$3000 USD — MIV+P with one PRP shot
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$3500 USD — MIV+P with two PRP shots
(Comparable procedures retail for $4500 USD or more in the United States.)
Post-Operative Care & Follow-Up Instructions
Congratulations on completing your MIV+P procedure. To ensure optimal healing and results, please follow these important aftercare guidelines:
Week 1:
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Avoid all forms of exercise
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Take prescribed antibiotics and pain medication if required.
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Stay well hydrated.
After Week 1:
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You may gradually resume exercise with weights
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Oral sex is permitted at this stage.
For the First 3 Weeks
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Absolutely no penetrative intercourse (penis, toys, tampons, or fingers).
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Between weeks 3-4 the absorbable sutures may fall out, and this is absolutely normal.
Follow-Up Appointments:
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1–2 weeks post-procedure: Initial review to monitor healing.
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4 weeks post-procedure: Final clearance assessment for penetrative intercourse. If necessary, a second PRP injection may be given at this visit to further enhance the G-Zone response.
The MIV+P procedure offers a safe, minimally invasive option for women seeking enhanced tightness, improved sensitivity, and greater sexual gratification—with faster recovery and fewer risks than traditional surgery.
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