The aesthetic attractiveness of the vulva is becoming an increasingly urgent problem for women. Most often, the complaints of patients are associated with age-related changes or with the consequences of childbirth. The aesthetic component of the problem is often accompanied by the presence of painful conditions or a deterioration in the quality of intimate life. Intimate contouring and biorevitalization with polynucleotides – procedures that will help improve the quality of life of such patients. In an interview for estet-portal.com, Doctor Danilyuk Andrey – surgeon, other specializations - traumatology-orthopedics and emergency conditions. He worked as an aesthetic surgeon at the Center for Non-Surgical Face and Body Correction «Lux– C", certified trainer in invasive techniques in aesthetic and regenerative medicine, director of the center of expert cosmetology and the training center "Aesthetic-Sensei", expert of the company TOTIS.
What is the essence of the procedure of intimate rejuvenation
Dr.D.A.: There are different types of intimate rejuvenation. With age, there is both a loss in volume and a decrease in the quality of the mucosa. The lack of volume leads not only to the appearance of aesthetic defects, but also to the development of such borderline health-related conditions as vaginal dysbiosis. This happens because the entrance to the vagina opens slightly, which entails the risk of infection from the perineum, the development of dryness and disruption of the normal microflora of the vagina.
Therefore, filling the labia, which have lost volume, with a filler allows you to close the entrance to the vagina and solve the above problems. Thus, intimate contour plastic – it is not only aesthetics, but also in some cases paragynecological care.
Dryness and discomfort in the vaginal area, which can occur regardless of age, can be eliminated by procedures such as biorevitalization and polynucleotide injections. Biorevitalization with polynucleotides in papular technique over the entire mucosa is often fully justified.
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What is the duration of the effect after intimate biorevitalization
Dr.D.A.: The effect after intimate biorevitalization lasts for several months, after a course of – up to six months and even longer. The first step is to identify the cause of the problem. If it is hormonal in nature, it is necessary to prescribe hormone replacement therapy; if the problem occurs due to volume loss, volumetric changes in the external genital organs should be corrected. Accordingly, the duration of the effect depends on the cause of the problem and the characteristics of the patient's body – how well he will take the drug.
The duration of the effect depends on the cause of the problem and the characteristics of the patient's body – how well he will take the drug.
How many sessions of intimate rejuvenation are needed
Dr.D.A.: When it comes to contouring, the calculation is carried out depending on the degree of tissue deficiency. Often large volumes of – 2 & ndash; 3 ml, which are not administered in one procedure. Correction is carried out with 2 ml of the drug, and after 2-3 weeks, taking into account the wishes of the patient, an additional amount of filler can be introduced. The required amount of preparation for contouring is determined by clinical need and the desire of the patient. The therapeutic volume is introduced during the first procedure, and the aesthetic – within the next session and depending on the wishes of the patient.
As for biorevitalization and polynucleotides from the official distributor TOTISPHARMA GROUP LTD, the course is designed for at least 3 procedures with an interval of 2–3 weeks. The effect is noticeable already after the first procedure, but to increase its duration, at least 3 sessions are required.
How painful is the intimate contouring procedure and how is the rehabilitation period tolerated
Dr.D.A.: Modern level of anesthesia provides complete comfort and painlessness for the patient during mucosal injection work.
For contouring, some doctors perform the procedure with a needle, but because of the pain and risk of ischemia, I prefer to use a cannula.
Cannula contouring is sensitive, but completely tolerable – patients do not complain of significant pain.
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Rehabilitation after contouring is more associated with trauma and resorption of hematomas, which can last 7-10 days.
However, hematomas are not felt inside, and the risk of them appearing outside when using cannulas is minimal.
What is the likelihood of complications after intimate rejuvenation
Dr.D.A.: Subject to basic safety – proper collection of anamnesis and rules for the procedure – complications usually do not occur. But if there is, for example, a latent infection that does not appear and is not reflected in the tests, trauma during the intimate rejuvenation procedure can provoke some kind of exacerbation. But such risk factors, unfortunately, are often impossible to find out before the procedure.
In general, if you follow all the rules of asepsis and antisepsis, the complications associated with the procedure and the doctor are minimized.
In Europe, this procedure is very popular, but in our country it has not yet been promoted. It needs to be popularized, because people believe that cosmetology – it is only for beauty, and they are not informed about the health benefits. Therefore, it is important to cooperate with gynecologists who will carry out educational work and explain to patients that contour plastic surgery allows us to solve not only aesthetic problems, since health is a priority for our women.
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What are the main fears of women who need contouring
Dr.D.A.: The main fear of such patients is not related to the procedure, but that it is hard for them to talk about the problem. A beautician is not considered competent in gynecological matters. And gynecologists are not competent in matters of aesthetic correction. This is called succession. We already have gynecologists who are developing intimate plastic surgery, starting to work with threads and smoothly moving on to PRP, biorevitalization, polynucleotides.
Mastelli (the official distributor of the brand – company TOTIS) are ahead in this regard, as they are now developing drugs for gynecologists. Most likely topical gynecological polynucleotides.
There are general contraindications for all injection techniques. In addition, infections of the genital organs, about which the patient must inform the doctor. They must be treated, especially when it comes to purulent infections, which are an absolute contraindication to any injection procedures.
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Is it possible to increase the sensitivity of the vagina with the help of intimate rejuvenation
Dr.D.A.: It is important to understand that a young, non-parous girl will not become more sensitive. Decrease in sensitivity after natural childbirth occurs due to overstretching of the vagina and, accordingly, reduced contact during intercourse.
By injecting the drug under the G-spot, we push it forward. Thus, sensitivity increases by increasing stimulation of nerve endings. But, if before the birth the problem of insufficient sensitivity already existed, contouring will not solve the problem.
The fact is that the number of sensitive receptors in all women is approximately the same, but they can be located in different areas of the vaginal mucosa. According to the results of a study conducted by sexologists, the accumulation of these sensitive cells can be localized in 17 different places. That is, if the classic G-spot is absent (which is observed in about 13% of women), sensitive receptors are located elsewhere, which can be found, for example, during wumbling using special balls or cones, or during the so-called yoni -massage.
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Contour plastic or laser intimate rejuvenation – which procedure is more effective
Dr.D.A.: These are completely different procedures that cannot be compared. The essence of laser rejuvenation lies in the point burning of excess mucous membranes that appear as a result of vaginal stretching after childbirth. As a result of laser exposure, the mucosa is reduced and during intercourse a closer contact with the penis is ensured – due to this, the sensitivity that was before childbirth returns. Plus, regeneration is accompanied by an improvement in blood circulation, which cannot but affect the quality of tissues.
Since intimate rejuvenation with a laser – the procedure is quite traumatic, after which rehabilitation is required for healing and contraction of the mucosa. During the recovery period (at least 2 weeks), the patient is shown abstinence, as well as other restrictions.
Laser and injection intimate rejuvenation procedures can complement each other.
"As for contouring, I strongly do not recommend this procedure for the purpose of obtaining" new sensations ". In addition to experiences during the procedure itself, this will not give any result at all. And such urogynecological problems as stress urinary incontinence, dystopia of the urethra - should be solved not by a beautician, but by a gynecologist.
Therefore, intimate contouring with a volumetric filler involves working with the external genitalia. Accordingly, laser and injection intimate rejuvenation procedures can complement each other.
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