1. If you have any concerns or issues with your private parts and think the area either does not feel right or does not look right, you should consult a qualified Aesthetic surgeon without feeing embarrassed.

2. Vaginoplasty : In case after having children especially by natural vaginal delivery, , if you and your partner feel that the vaginal musculature passage is too loose or lax, then it can be tightened quite well to improve the grip of the musculature as well as tighten the vaginal passage to normal dimensions.

Picture showing female external genitalia

Feminine rejuvenation procedures reduce, reshape or tighten female genital tissues to help restore a firmer tone and/or a more youthful, symmetrical appearance. Patients choose feminine rejuvenation for cosmetic reasons as well as to improve comfort and alleviate problems caused by vaginal tissue laxity, such as painful intercourse or stress urinary incontinence.

Today, patients have both surgical and non-surgical options for feminine rejuvenation.

LABIAPLASTY:

If you feel that the labia minora or the inner lips as they are called, are too large and flappy and they tend to hurt /get pulled in tight clothes, or just do not look right because of their excessive size, then they can be surgically reduced to an aesthetic and functionally better size.

LABIA MAJORA:

If you feel that the labia majora or the outer lips of your vagina are shrunk and flat making the area look poorly aesthetic and aged, they can be plumped up using your own fat to look youthful.

The labia majora can be very nicely plumped up by fat grafting, the final results of which are fully apparent in about 2-3 months.

VAGINOPLASTY:

In case after having children especially by natural vaginal delivery, especially when an episiotomy to facilitate delivery may have been done, if you and your partner feel that the vaginal musculature passage is too loose or lax, then it can be tightened quite well to improve the grip of the musculature as well as tighten the vaginal passage to normal dimensions.

CLITORAL HOODPLASTY:

Clitoral surgery can also be done to enhance clitoral sensations in case of an excessive overhanging hood (reduction of clitoral hood) or reduce oversensitivity (clitoral recession).

HYMENOPLASTY:

Hymen repairs can also be done surgically, in case of past trauma, which may have caused psychological issues and social problems in younger women. They are often asked for when the woman wishes to start a fresh relationship.

MONS PUBIS REDUCTION:

Removes excess fat and skin from the mons pubis to restore a more streamlined appearance to the pelvic area.

• Most of these procedures can be done as purely a Day care procedure, either under local anaesthesia with sedation or under spinal anaesthesia or even general anaesthesia.

• If the patient is generally healthy, it is safe and pain is only mild in the post-operative period for 24-48 hours which can be taken care of with analgesics. A majority of patients can go back to work practically the next day after surgery, with a few precautions.

• Many of those procedures can be safely combined together in the same sitting.

Sagging, overly large, or misshapen labia can cause considerable discomfort when wearing certain clothing or exercising, as well as interfere with a woman’s self-confidence.

Loss of vaginal tone following childbearing or menopause can lead to issues such as urinary leakage, vaginal dryness, and painful or dissatisfying sexual intercourse.

Feminine rejuvenation can address these issues by restoring a more normal tone and appearance to the vagina and labia. The appropriate procedure, performed by an experienced, board certified cosmetic surgeon, can achieve one or more of the following:

• Help tight clothing and swimsuits fit more comfortably
• Reduce or eliminate stress urinary incontinence
• Alleviate vaginal dryness
• Improve sensation during sex for a patient and her partner
• Provide cosmetic improvements to the genitals

The single most important decision you will make when considering feminine rejuvenation is who will perform your procedure. Surgical procedures such as labiaplasty require highly specialized training and skills to ensure your safety and achieve a successful outcome.

Even non-surgical feminine rejuvenation procedures require special training and should only be performed by a highly experienced, licensed medical plastic surgeon —don’t have these treatments at a spa or other practice without a qualified surgeon supervising.

LABIAPLASTY

Labiaplasty is a surgical procedure and is typically the most appropriate procedure to treat the following:

• Overly large or misshapen labia
• Moderate to severe sagging in labial tissues
• Significant cosmetic issues that bother a patient – Sagging, overly large, or misshapen labia can cause considerable discomfort when wearing certain clothing or exercising, as well as interfere with a woman’s self-confidence.

Aging, childbearing, and hormonal changes can affect female genital tissues in a way that interferes with a woman’s quality of life. A highly skilled cosmetic surgeon can help, with feminine rejuvenation procedures to reduce, reshape Labia minora to help restore a more youthful, symmetrical appearance.

AM I A CANDIDATE?

If you have any concerns or issues with your private parts and think the area either does not feel right or does not look right, you should consult a qualified Aesthetic surgeon without feeing embarrassed.

PROCEDURE

Labiaplasty is an outpatient procedure, typically performed using Local anaesthesia and rarely general anesthesia.

Small incisions are made in the labia majora, labia minora, or both, excess tissue is removed, the remaining tissue tightened and shaped to restore symmetry, and incisions are closed with sutures.

Clitoral hood reduction: removes excess tissue over the clitoris to improve sexual experiences and/or alleviate discomfort caused by an enlarged clitoral hood.

RECOVERY

Recovery is relatively straightforward for most patients. Discomfort after surgery is typically mild and easily controlled with prescription pain medication.

With labia minora reduction or labia majora augmentation, there is discomfort for only 24-48 hours and the local swelling can last for a week to 10 days.

In clitoral surgery, normal sensations usually return in 2 weeks post-surgery.

A course of antibiotics and anti-inflammatory medications is always prescribed by your Aesthetic Surgeon to prevent local infection.

Patients typically return to work within 3 to 5 days and Can resume exercise within 2 to 3 weeks. Sexual intercourse is permitted after about one month.

RESULTS

Results of labiaplasty are long-lasting.

Although labial tissues may begin to sag again due to normal age-related changes, this is usually mild in comparison to what patients would have experienced without surgery.

In case after having children especially by natural vaginal delivery, if you and your partner feel that the vaginal musculature passage is too loose or lax, then it can be tightened quite well to improve the grip of the musculature as well as tighten the vaginal passage to normal dimensions.

Cosmetic Plastic surgeons perform both surgical and non-surgical procedures to restore tone, improve appearance, and improve function of vaginal tissues.

Can significantly improve:

• Tone
• Stress urinary incontinence
• Vaginal dryness
• Pain during intercourse
• Sexual pleasure for patient and partner

Today, patients have both surgical and non-surgical options for feminine rejuvenation.

Vaginoplasty surgically tightens loose or stretched vaginal muscles.

Results can last for many years;

Best suited for women who do not plan to have more children

• Most of these procedures can be done as purely a Day care procedure, either under local anaesthesia with sedation or under spinal anaesthesia or even general anaesthesia.
• If the patient is generally healthy, it is safe and pain is only mild in the post-operative period for 24-48 hours which can be taken care of with analgesics.
• A majority of patients can go back to work practically the next day after surgery, with a few precautions.
• Many of those procedures can be safely combined together in the same sitting.

RECOVERY:

Vaginal tightening requires abstinence from sexual intercourse for about 3-4 weeks till healing is complete.

Use of lubrication for a couple of weeks is recommended after sexual activity is restarted.

Proper hygiene of the area needs to be maintained post-operatively, with regular gentle douching and use of antiseptic creams till good healing has occurred.

A course of antibiotics and anti-inflammatory medications is always prescribed by your Aesthetic Surgeon to prevent local infection.

Non-surgical vaginal rejuvenation treatments provide women with an alternative to surgery that achieves results nearly as quickly, if not for as long. These treatments use highly focused energy, either radiofrequency or laser, to invoke tissue contraction and promote collagen production in the vulvovaginal tissues.

All are essentially non-invasive—no incisions, tissue ablation, or needles are involved, although certain treatments use an instrument that is inserted internally (much like a transvaginal ultrasound device).

BENEFITS OF NON-SURGICAL FEMININE REJUVENATION

• Treatments typically take less than 15 minutes to perform
• Many patients notice significant improvements within 1 to 2 days after treatment, which continue to improve with time
• No downtime is needed; even sexual intercourse can be resumed the same day
• Results can last up to 1 year before another round of treatments are needed

LIMITATIONS

Non-surgical vaginal rejuvenation can be a great option for women suffering the effects of vaginal atrophy; however, it is not an optimal solution for every patient. Limitations include:

• Multiple treatments are typically needed for optimal results
• Results are temporary, lasting up to 1 year
• May not be effective to treat significant tissue laxity or severely sagging labia

Sagging, overly large, or misshapen labia can cause considerable discomfort when wearing certain clothing or exercising, as well as interfere with a woman’s self-confidence.

Loss of vaginal tone following childbearing or menopause can lead to issues such as urinary leakage, vaginal dryness, and painful or dissatisfying sexual intercourse.

Feminine rejuvenation can address these issues by restoring a more normal tone and appearance to the vagina and labia. The appropriate procedure, performed by an experienced, board certified cosmetic surgeon, can achieve one or more of the following:

• Help tight clothing and swimsuits fit more comfortably
• Reduce or eliminate stress urinary incontinence
• Alleviate vaginal dryness
• Improve sensation during sex for a patient and her partner
• Provide cosmetic improvements to the genitals

As with all areas of a woman’s body, the hair-bearing mound of fatty tissue above the convalescence of the outer lips is susceptible to aging. This area, known as the mons pubis, loses fullness as women age.

To help restore the appearance of the pubic mound, monsplasty surgery, also known as a mons pubis reduction, may be recommended.

Monsplasty surgery involves a fat grafting technique to help improve the appearance of this area, restoring volume and fullness.

In other cases, the fullness in this area is exaggerated and liposuction and/or skin excision may be performed in order to restore a more natural look.

• Fat grafting is used to plump up a deflated mons pubis, creating the perfect curve.
• During the procedure, autologous fat is extracted by liposuction from areas that have excess fat tissue such as the abdomen, hips, or thighs. The fat is purified and then injected into the volume-deficient pubic mound. Unlike artificial fillers, fat grafting is considered a safer method of restoring volume.
• Performed under local anesthesia, this walk-in-walk-out treatment takes about two hours and requires minimal downtime.
• You will be monitored for an hour after the procedure before you can go home. Any pain you experience will be managed by prescribed painkillers.
• Have someone drive you home and stay with you overnight. Take the opportunity to rest.
• Compression garments may be used to reduce swelling.
• You may shower one day after surgery with a watertight dressing over the incision, with no baths or swimming until healing of the incision is complete.
• Any visible swelling should improve after three weeks.
• Physical activity should be restricted for two to six weeks.
• You may return to work the week after the surgery, depending on your occupation and your pain level.

When performed by a highly qualified provider, feminine rejuvenation procedures can help a woman feel more comfortable and confident in her body, enhancing many aspects of her life.

The best way to learn more is to meet with a board certified cosmetic surgeon for a consultation.