If the vagina is moderately sagging, vaginoplasty involves injecting fat (lipofilling) or hyaluronic acid into the vaginal walls and possibly the G-spot. If the entrance to the vagina is very distended (multiple deliveries, episiotomies, etc.), a vaginal plasty will be performed, alone or in addition to fatty injections or fillers. During a vaginal plastic surgery, the surgeon tightens some abnormally relaxed muscles and removes excess vaginal mucosa.