VAGINAL REJUVENATION

The term vaginal rejuvenation covers several different procedures. It is sometimes called female genital plastic surgery, female genital rejuvenation surgery, female genital cosmetic surgery, vulvovaginal plastic surgery and designer vagina surgery, among other terms. Among the procedures that comprise female genital plastic surgery are labiaplasty, O-shot, and vaginal tightening.

Labiaplasty:
The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia. Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and selfconsciousness. The goal of the procedure is to reduce the labia minora so that they don't hang below the hair-bearing labia majora. A labiaplasty may be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit.

Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia. The most common type of labiaplasty is the trim procedure, in which the extra tissue is removed and sewn up directly. Next in popularity is the wedge procedure, which maintains a natural border after a pie-shaped piece of tissue has been removed. Extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

The risks associated with labiaplasty include those of most surgical procedures, including bleeding, hematoma and infection. The most common complication is over-resection. While some women desire an aggressive reduction, this can result in chronic dryness, scarring at or near the vaginal opening and pain
with intercourse. Healing problems are more likely to occur with a wedge procedure, particularly if the patient is exposed to substances that cause blood vessels to shrink.

Most patients take a week off from work, during which they can reduce swelling and pain by icing with a cold pack sandwiched between the patient's underpants and an elastic garment, like Spanx. This can be done "twenty minutes on, twenty minutes off." The patient can also lie with her bottom elevated to reduce swelling. Patients can resume wearing tampons or having intercourse after four to six weeks. Trim labiaplasty generally allows for a quicker recovery. While the most distorting swelling is gone by 6 weeks, residual swelling may take six months to disappear.

Labiaplasty typically results in shorter labia that no longer hang down below the level of the hair-bearing labia majora. Most patients who experienced symptoms from twisting and tugging of their labia generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of over 90 percent.

During your labiaplasty consultation be prepared to discuss:

  • Your aesthetic goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous treatments

Your surgeon will also evaluate your general health status and any pre-existing health conditions or risk factors:

  • Discuss your options
  • Examine your mons, vagina, perineum
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of a labiaplasty treatment, and any risks or potential complications
  • Discuss the type of anesthesia, if any, that will be used.

O – shot:
An O – shot or “G spot shot” is a procedure whereby either platelet rich plasma (PRP) or adipose derived stem cells (from liposuctioned fat) [ADSC] is injected into the front one third of the vagina to enhance sexual responsiveness. This procedure is completed with local anesthesia placed in the area of the injection, then the PRP or ADSC is injected into the area.

During your O - shot consultation be prepared to discuss:

  • Your aesthetic goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous treatments

Your surgeon will also evaluate your general health status and any pre-existing health conditions or risk factors:

  • Discuss your options
  • Examine your mons, vagina, perineum
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of an O-shot treatment, and any risks or potential complications
  • Discuss the type of anesthesia, if any, that will be used.

Vaginal tightening:

Vaginal tightening is completed with surgery. The surgical method is referred to as a vaginoplasty (also known as posterior colporrhaphy). It is a procedure designed to tighten the vagina. An alternative is noninvasive vaginal tightening through heating tissues with radiofrequency waves or laser. Patients with significant laxity may not experience a benefit from these treatments and may be better candidates for surgical tightening with vaginoplasty. After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to sexual dysfunction. A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance.

While a vaginoplasty can be done under local anesthesia, many opt to have it done under general anesthesia. Patients are asked to do a bowel prep prior to surgery. Once the amount of tightening to be done is determined, a pie-shape wedge is marked to delineate the extra skin to be removed from inside the vagina. Beneath the skin, the tissues are tightened with strong sutures. Once the vaginal canal has been tightened, the mucosal skin is sutured closed. If there is external skin that protrudes, this can be reduced as well for a more aesthetic result. This procedure typically results in a tighter vaginal canal, which can help enhance sexual satisfaction.

During your vaginal tightening consultation be prepared to discuss:

  • Your aesthetic goals
  • Medical conditions, drug allergies, and medical treatments
  • Current medications, vitamins, herbal supplements, alcohol, tobacco and drug use
  • Previous treatments

Your surgeon will also evaluate your general health status and any pre-existing health conditions or risk factors:

  • Discuss your options
  • Examine your mons, vagina, perineum
  • Take photographs
  • Recommend a course of treatment
  • Discuss likely outcomes of a vaginal tightening treatment, and any risks or potential complications
  • Discuss the type of anesthesia, if any, that will be used.

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