Trends in plastic gynecology change periodically. At the moment, a period has come when there is a rethinking of surgical possibilities and the addition of techniques from cosmetology. Aesthetic gynecology – the branch of medicine that really allows to minimize surgical interventions. Olga Tyan spoke about the latest methods of intimate plastic surgery, their advantages and disadvantages especially for estet-portal.com , obstetrician-gynecologist of the highest category, candidate of medical sciences, lecturer at the Department of Plastic and Reconstructive Surgery of the National Medical University. A.A. Bogomolets.
- Labioplasty: strict indications
- Recovery after childbirth: the possibilities of intimate plastic surgery
- Vaginal Reconstruction: Basic Techniques
- Vaginal dryness: can it be solved with intimate plastic surgery
- Anorgasmia: intimate plastic surgery of the clitoral zone
Labioplasty: strict indications
Labioplasty is the most common operation that is performed unreasonably when patients come for biased reasons.
The labia minora is one of the main factors for achieving pleasure during intercourse, therefore, in such a situation, it is often necessary to suggest the introduction of volume-forming fillers into, in fact, already rudimentary formations with scarring changes to somehow improve the quality of a woman's sexual life. Such an outcome is unacceptable. The operation must be performed according to strict indications.
There is International classification of labia minora hypertrophy, according to which the indications for labioplasty are determined.
Recovery after childbirth: the possibilities of intimate plastic surgery
We are talking about SOS procedures in postnatal rehabilitation, with complaints such as urinary incontinence, changes in sensations during intercourse, injuries. Surgical interventions are not always appropriate in this situation. Especially when such problems are treated by patients under the age of 45, it is impossible to perform a serious vaginal plastic surgery, since we do not know for 100% whether the woman plans to give birth again.
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In this regard, patients are offered all kinds of bulking agents that can be injected into the urethra, while at the same time augmenting the point G due to its proximity location.
Read also: How to choose the right filler for intimate plastic surgery in women
You can also use lifting. This is a rather serious operation: special mesh loops are placed. After performing this operation, the woman will not be able to give birth on her own.
Minimally invasive one-hour operations are preferred, when local anesthesia is used, the woman leaves 15 minutes after the operations and gets the desired result.
So we're back to volume-forming fillers. At the moment, it is best to use biorecombinant hyaluronic acid with a cross-linked molecule, given the allergization of the population. Fillers come in different densities, so the most important – choose the right filler and insert it into the required anatomical points. All actions should be aimed at minimizing interventions and maximizing patient benefit.
After the administration of hyaluronic acid, it is necessary to give the patient appropriate care recommendations related to the temperature properties of the substance – decomposes with temperature changes.
Recommended:
- No bathing;
- Delay sex for 7 days;
- Restrict sports activities to prevent rapid disintegration of the drug.
All this increases blood flow to the genital area and raises the local temperature.
If the recommendations are correctly given, the part of hyaluronic that remains will continue to work, and during the next procedure after 3 months the drug will accumulate and will be applied in the future. The next procedure should be carried out in 6 months.
Vaginal Reconstruction: Basic Techniques
We need to understand what we are dealing with. The base goal is – close the entrance to the vagina as much as possible.
Read also: Features of surgical correction of the female intimate zone
If a woman plans to have a child in the future, minimally invasive techniques are again preferred:
- Injection of bulking fillers
- Laser correction
- PRP Method
One of the promising methods of vaginal reconstruction is introduction of perineal threads. Threads are placed subcutaneously, only 3-4 small injection points remain on the skin. In the future, the threads dissolve, in their place a fibrous scar is formed, which has an effect for 8 years.
The perineal threads actually align the back of the perineum, thus pulling up the back wall of the vagina.
The technique is suitable for patients planning the birth of a child.
One of the most annoying complications of using perineal sutures is granuloma, as with any thread or injection correction. Along the wound channel, excess tissue is formed that opposes the thread that was injected. In this case, the threads are not removed, they need to be loosened, but even in this position, the desired result will be the narrowing of the vagina.
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If the patient is in adulthood, the vaginal reconstruction procedure should be approached radically. If possible, it is recommended to carry out a rather serious plastic surgery with preservation of the organ. There are various ways to correct:
- Laparoscopic;
- Mesh techniques;
- Thread lifting – deep layers of muscles work, which can be tightened from the perineum.
The tone of the vagina can also be improved physiologically with the help of intimate gymnastics.
Vaginal dryness: can it be solved with intimate plastic surgery
Before dealing with vaginal dryness, you need to clearly understand the general condition of the woman. The cause of this symptom can be diabetes mellitus, which manifests itself in the form of atrophic colpitis, and age-related hormonal imbalance, characterized by a lack of estrogens. Perhaps biorevitalization will solve this problem, but the approach should be complex.
Read also: Women's health: the possibility of safe correction of intimate areas
CBC, blood glucose, liver tests, pelvic exam and flora smear should be done before making recommendations.
Anorgasmia: intimate plastic surgery of the clitoral zone
The problem can be solved by correcting the clitoral zone with hyaluronic acid fillers. By enlarging the clitoris, a woman's sexual sensitivity improves. The procedure is quite painful due to the large number of nerve endings in this area. Since the clitoral zone has a serious vascular network, the procedure may be accompanied by such complications as bleeding, thrombosis.
Intimate plasty will improve the quality of life of patients using minimally invasive techniques with the achievement of results in a short time.
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