Among all the areas that aesthetic medicine includes today, aesthetic gynecology is especially popular and in demand today. It is not surprising, because it is intimate correction that can significantly improve the quality of a woman's intimate life, which is reflected in all areas of her activity. However, the professionals who perform this procedure must learn the answers to many important questions regarding aesthetic gynecology.
Valeria Rabizo, an obstetrician-gynecologist, dermatovenereologist, member of the European Academy of Dermatovenereology (EADV), member of the Spanish Society of Aesthetic, Reconstructive and Physiological Gynecology (SEGERF), answered many of them in an exclusive interview for estet-portal.com.
What request do patients usually ask you for?
B. R.: Usually, patients don't make such requests at all, and therefore we have to ask them ourselves, for example, when we correct the face.
I was lucky because I was a gynecologist in the past, and then retrained as a dermatologist, and almost all of my long-term patients know this.
But when I tell them that I also do intimate plastic surgery, without even recommending it, but just casually talking about it, they still do not immediately open up to me. At first they say that everything is fine with them, and after a while they ask if I can look and determine if they need such a procedure. Often the conversation even ends with a discussion of the types of orgasm, and I advise how to technically improve what a woman cannot experience, and help to solve this problem with the help of injections.
How to offer the patient an intimate correction?
B. R.: For example, the way I do it: I just casually say that intimate correction is now very developed, and just as we correct certain age-related imperfections on the face, the same imperfections can be corrected in the intimate zone.
They need to be voiced, because patients often do not know, and even ask what may be wrong in the intimate area. And when the doctor lists what can happen from a medical and aesthetic point of view, any patient has a desire to correct something. In the end, everyone wants to improve the sensations during sex.
What intimate correction procedures do you do most often?
B. R: Mainly for correction of the intimate area I use hyaluronic acid filler injections. I do not use hardware, and I usually send patients who are interested in hardware procedures to specialized clinics.
And I recommend that all specialists do not hesitate to refer patients to their colleagues, who can do a certain procedure more professionally. In this case, you will be able to achieve a better result and be more respected by your patients.
How do you feel about the use of thread techniques in aesthetic gynecology?
B. R.: I believe that the vagina – this is a fairly extensible organ, so the use of thread techniques to narrow it probably does not make sense. Maybe we are talking about the use of absorbable threads that stimulate the production of collagen, which improves the quality of tissues?
Also, during childbirth, some women experience perineal ligament rupture, and with the help of just thread techniques, we can solve this problem by improving the strength of the perineal ligaments, but without working with the volume of the vagina. In this case, of course, there is a result, especially if we also use injections of fillers based on hyaluronic acid.
What is the most difficult thing in aesthetic gynecology?
B. R.: The most difficult thing is that, firstly, a large volume of the drug is needed, even with sufficient tone of the intimate muscles. When the muscle tone of the vagina is reduced, many patients think that using 5-8 syringes of the hyaluronic acid preparation, and paying a large amount of money, they will achieve a result, and all problems will be solved. But no, you also need to work on muscle tone, and if the doctor sees that the patient has a weak muscle tone of the vagina – you must first recommend him to increase muscle tone with the help of special exercises or devices, and only then perform a correction with the help of fillers. Unfortunately, I had such an experience when a patient with reduced muscle tone of the vagina really asked, and I injected her with the drug.
Of course, I recommended doing exercises after the procedure to increase muscle tone, but after leaving the office, the patient thinks that since he did the procedure – there should be a result, but it is not. Therefore, here you need to be able to refuse a patient or postpone the procedure.
What complications can a doctor face when working in the intimate area?
B. R.: In aesthetic gynecology, there are all the same complications that are encountered in aesthetic cosmetology. Every doctor who works with fillers knows that any side effects and complications that occur on the face can also be in the intimate area.
Therefore, we must work with high-quality fillers of the latest generation, which, due to their properties, help to avoid the occurrence of various complications, and, importantly, give us the opportunity to work without anesthesia. Therefore, doctors just need to work with quality drugs and know how to deal with the complications that may arise.
What new products in aesthetic gynecology do you expect?
B. R.: Now more and more preference is given to own fat.
Lipofilling – this is a well-known technique, but its use in the intimate area is now gaining momentum.
Moreover, traditional liposuction and lipofilling with macrofat are done, of course, by plastic surgeons, but now there are also procedures that allow the use of reticular stem cells from a small amount of adipose tissue.
By grinding and injecting the drug into the required zone, we stimulate our own tissue regeneration, including in the intimate area. And both a dermatologist and a gynecologist can do this in their office, without using a specially deployed operating room.
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