Overview

Changes in genitalia can occur as a result of pregnancy, hormonal changes, and aging in women. Vaginal laxity, stress urine incontinence, loss of vaginal lubrication, a decrease in sexual experience, and loss of tone of the labia majora are all changes that can have an influence on a woman's quality of life. As women, their doctors, and the media finally start talking about these concerns, the number of therapies available grows.

Radiofrequency or laser light is used to promote collagen tightness in devices designed to treat any or all of these alterations. Fillers are also used to inject into the clitoris and/or the "G-spot." Though not all investigators agree that the G-spot exists, it's described to be an erotic area just inside the front wall of the vagina.

The area of nonsurgical cosmetic genital operations is expanding as women's genital alterations gain attention. Let's start with the anatomy before we get into each one.

 

What are Aesthetic Genital Procedures?

Female genital tissues are reduced, reshaped, or tightened during feminine rejuvenation operations) Aesthetic Genital Procedures) to assist restore a stronger tone and/or a younger, symmetrical look. Female rejuvenation is chosen by patients for aesthetic reasons as well as to increase comfort and alleviate difficulties caused by vaginal tissue laxity, such as painful intercourse or stress urine incontinence.

Patients can now choose between surgical and non-surgical feminine rejuvenation procedures.

 

External Anatomy of the Female Genitalia

The external genital structures include the mons pubis, labia majora, labia minora, and clitoris. The area containing these structures is called the vulva.

The external genital structures have three main functions:

• Allowing sperm to enter the body
• Protecting the internal genital organs from infectious organisms
• Providing lubrication and sexual pleasure

The pubic bone is covered by a spherical mound of fatty tissue called the mons pubis. It is covered with hair throughout puberty. Oil-secreting (sebaceous) glands in the mons pubis release chemicals implicated in sexual desire (pheromones).

The labia majora (literally, large lips) are soft tissue folds that encircle and protect the other external genital organs. Sweat and sebaceous glands create lubricating fluids in the labia majora. Hair grows on the labia majora throughout puberty.

The labia minora (literally, small lips) can be extremely small or as broad as two inches. The labia minora are located directly inside the labia majora and enclose the vaginal and urethral openings. The pink tint of the labia minora is due to a dense supply of blood vessels. These blood veins get engorged with blood during sexual stimulation, causing the labia minora to expand and become more responsive to stimulation.

The perineum is the region under the labia majora between the entrance of the vagina and the anus. Its length ranges from about 1 to more than 2 inches (2 to 5 centimeters).

The skin on the labia majora and perineum is identical to that on the rest of the body. The labia minora, on the other hand, are coated with a mucous membrane, the surface of which is maintained moist by fluid released by specific cells.

The introitus is the entrance to the vagina. The vaginal aperture serves as an entering point for the penis during sexual intercourse as well as an exit point for blood during menstruation and the baby after delivery.

When aroused, Bartholin glands (found inside tissue next to the vaginal entrance) release a viscous fluid that acts as lubricant during intercourse.

The opening to the urethra, which carries urine from the bladder to the outside, is located above and in front of the vaginal opening.

The clitoris, located between the labia minora at their upper end, is a small protrusion that corresponds to the penis in the male. The clitoris, like the penis, is very sensitive to sexual stimulation and can become erect. Stimulating the clitoris can result in an orgasm.

 

How can Aesthetic Genital Procedures Help Me?

When wearing specific clothing or exercising, sagging, too big, or malformed labia can cause significant discomfort, as well as interfere with a woman's self-confidence. Loss of vaginal tone after childbirth or menopause can cause urine leaks, vaginal dryness, and painful or unsatisfying sexual intercourse.

Feminine rejuvenation can treat these disorders by returning the vagina and labia to their normal tone and appearance. 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

 

Non-Surgical Aesthetic Genital Procedures Benefits/Limitations

Non-surgical vaginal rejuvenation procedures provide women an alternative to surgery that delivers similar, if not identical, outcomes. These treatments employ highly focused energy, such as radiofrequency or laser, to cause tissue contraction and collagen formation in the vulvovaginal tissues.

ThermiVA, FemiLift, and FemiTight are three FDA-approved non-surgical feminine rejuvenation procedures. All are fundamentally non-invasive—there are no incisions, tissue ablation, or needles involved, however some treatments include a tool that is implanted within (much like a transvaginal ultrasound device).

• Benefits:
  • 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
  • Can significantly improve:
  • Stress urinary incontinence
  • Vaginal dryness
  • Pain during intercourse
  • Sexual pleasure for patient and partner
• 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

 

Who is a Good Candidate For Non-Surgical Aesthetic Genital Procedures?

• Women with mild to moderate vaginal looseness(laxity). 
• Women who have not yet had a child but feel themselves “wide” inside.
• Women with laxity after childbirth who need a non-surgical tightening. 
• Women with mild urinary incontinence. 
• Women who wish to avoid a surgical procedure. Post-menopausal women with dry, atrophic changes in the vagina

 

What is Vaginal Relaxation?

Vaginal relaxation is simply the removal of vaginal "tightness." This is caused by typical changes in the vaginal lining, vaginal muscle laxity, and the surrounding support tissues. It is commonly related with natural aging and is exacerbated by delivery, whether vaginal or cesarean. Multiple pregnancies exacerbate the alterations to these structures.

The vaginal muscles relax throughout the vaginal relaxation phase, resulting in diminished tone, strength, control, and support. With extensive stretching of the vaginal wall and decreased frictional forces created during intercourse, the vaginal diameter rises. This reduces sexual pleasure and has a bad impact on sexual pleasure.

 

What is Vaginal Atrophy (atrophic vaginitis)?

The vaginal lining thins and gets significantly drier as we age and lose hormonal assistance. This is known as vaginal atrophy, and it can cause painful intercourse and bleeding, prompting many women to avoid intercourse altogether.

Until now, only invasive surgical techniques such as anterior and posterior vaginal surgery could provide effective vaginal relaxing benefits. These operations are connected with post-operative problems and a degree of dissatisfaction with the results. Hormone replacement treatment is often used to treat postmenopausal atrophy.

 

How to Prepare?

You will have a thorough consultation with our physician before beginning any vaginal treatments.

Before beginning any therapy, the following conditions must be met.

• PAP smear throughout the previous year (you should have this at your GP or gynaecologist before coming to see us)
• No bladder /urine infection
• Not pregnant
• Not a heavy smoker
• No chronic cough
• Not a lifestyle with daily heavy lifting
• Not obese, the best is a body-mass index (BMI) < 30
• No menstrual bleeding at time of procedure
• If diabetic, this should be under good control

 

Surgical Aesthetic Genital Procedures 

Surgical methods of vaginal rejuvenation typically involve sedation or anesthesia. A gynecologic or plastic surgeon performs these procedures. Some common surgical procedures for vaginal rejuvenation are:

• Labiaplasty: Reshaping your labia or the “lips” of your vagina.
• Vaginoplasty: Tightens or repairs the vaginal canal after childbirth.
• Clitoral hood reduction: Removes extra tissue that covers the clitoris.
• Monsplasty: Removes fatty tissue from the public bone area.
• Vulvoplasty: Reshapes the vulvar area (external genitalia).
• Perineoplasty: Strengthens the perineum (space between your vaginal and anus).

 

Non-Surgical Aesthetic Genital Procedures

Nonsurgical vaginal rejuvenation procedures are noninvasive and require little recovery time. They tighten and tone your vaginal region without the use of needles or surgery. The top layers of vaginal tissue are heated during nonsurgical vaginal rejuvenation. This stimulates the underlying tissue to produce more collagen and newer, tougher tissue.

Nonsurgical therapy options include:

• CO2 laser treatment: The laser heats the upper layers of your vaginal tissue, forcing the bottom layers to produce more collagen. This firms and tightens the skin. Laser device brands include MonaLisa Touch®, FemTouch®, and FemiLift®.
• RF (radio frequency) therapy: RF treatment employs electromagnetic radiation comparable to microwave waves (but to a lesser extent). RF waves stimulate blood flow and collagen formation in the vaginal region. RF device brands include Viveve®, Emsella®, and ThermiVA®. RF and laser treatments are performed in the office. During the process, very little, if any, local anesthetic is administered. You can usually continue with your day without needing to rest.

 

How do they do Laser Vaginal Rejuvenation?

Tightening and toning occur when a probe (or wand) is inserted into your vagina or directed across your external genitals during this sort of vaginal rejuvenation. The probe is equipped with a light-like top that warms the tissue. To disperse heat in the afflicted regions, your surgeon or provider twists the wand or applies moderate strokes.

The duration of a laser (or RF) vaginal rejuvenation treatment ranges from five to thirty minutes, depending on the kind and strength of the laser or RF waves used, as well as the technique.

Nonsurgical vaginal rejuvenation is painless and does not necessitate anaesthetic. If you have discomfort, your clinician may administer a topical anesthetic. During the operation, the treatment region may feel warm or sting like a bee. You must abstain from intercourse and tampon use for three to five days. For the greatest outcomes, follow all of your provider's post-procedure recommendations.

After treatment, you may notice some redness or swelling, but this should go away within 24 to 48 hours. You may require multiple treatments before you get your desired result.

 

Genital Aesthetic Procedures Performed with Laser

• External genital area whitening

Darkening of the vaginal area in women can develop as a result of hormonal changes, pregnancy, delivery, incorrect underwear selection, and the progression of aging.

• Genital area whitening

One of the topics that many women who encounter this are curious about is genital region whitening or intimate area whitening. There are several ways to resolve this problem. Laser whitening is one of the most popular procedures. This is now achievable thanks to modern technologies. External genital whitening is the process of rejuvenating the region by using a fractional CO2 laser device to emit rays to the darkened area. It is not an unpleasant operation. There are no negative side effects. It is done in two or three sessions. The treatment takes around 10-15 minutes. Patients can resume their normal life soon following the surgery. It is a pleasant and secure surgery. The operation improves the patient's quality of life and self-confidence.

• Vagina tightening

Loss of elasticity can be noted with multiple births, hormonal changes, senior age, and weakening of muscle and connective tissue in the vaginal region. This scenario can lead to a variety of issues, including urine incontinence in women and the inability to engage in sexual intercourse.

Many women who are terrified of vaginal tightening surgery continue to suffer from this condition. However, vaginal tightening without surgery is achievable. The thermal (heating) and ablative properties of laser light can be used to renew, rejuvenate, and tighten vaginal tissue without the need for surgery.

Especially in patients with few problems of vaginal enlargement and sagging, vaginal tightening with a laser can be quite useful at first step. The advantages of laser vagina tightening can be listed as follows;

• • It is indolent and painless
  • Absence of risks related to surgery
  • Immediately after the procedure, the patient can return to daily work and social life
  • Prohibition of sexual intercourse is only 1 week

• Urinary incontinence

Urinary incontinence is a prevalent condition among women that lowers their quality of life. Urinary incontinence, which often worsens with age, can be seen in young women, but infrequently. Laser therapy is one of the most used ways for treating urinary incontinence. Laser urinary incontinence therapy, which has become increasingly popular in recent years, produces excellent results in moderate and mild urine incontinence.

The advantage of laser urinary incontinence treatment is that effective results are obtained in a short time and the risk of infection is minimal, since there is no surgical intervention.

• Genital wart

Human Papillomavirus, a sexually transmitted virus, is the most prevalent cause of genital warts (HPV). The size and prevalence of genital warts are considered while deciding on the best treatment technique.

If the genital warts are small and infrequent, laser therapy may suffice. Laser therapy begins with a narrow, long tool known as a fractional laser. Laser beams are used to heat and dry the base of the genital warts, causing minimal injury to the surrounding tissue. Small wounds may occur in the patient during laser treatment of genital warts since the wart root is entirely eliminated, but these wounds heal quickly.

• Vaginal dryness

Vaginal dryness is a condition that can occur after menopause owing to factors such as estrogen shortage, working in a demanding profession, vaginal infections, or frequent vaginal cleaning. Vaginal dryness is a serious condition, especially for women who have busy sex lives, because it causes discomfort during intercourse.

The treatment of vaginal dryness is determined by the status of the vagina. In general, the first options that come to mind are estrogen-boosting pills or lotions. However, in individuals who are unable to utilize estrogen, vaginal dryness can be treated with a laser, which is one of the least risky options.

In laser treatment for vaginal dryness, tissue stimulation with laser beams is provided at a microscopic level. This stimulation allows new blood vessels to form in the tissue. Thus, the healing and balancing feature of the body's mucous membranes is activated again. The changes in the vaginal tissue initiate the production of collagen and elastin, and the effect is experienced even in a single session.

 

How Long Should I Wait to Have Sex After Aesthetic Genital Procedures?

If you undergo a nonsurgical treatment, you should wait at least three to five days before having sex. Before participating in sexual intercourse, look for symptoms of infection or bleeding. During the recovery period, you should also avoid wearing tampons or introducing anything into your vagina.

Surgical therapy may need a period of abstinence from sex for many weeks until the region has healed and the sutures have disintegrated. Consult your surgeon or provider for detailed recovery recommendations.

 

How Long Does The Procedure Last?

It depends. Laser and RF treatments usually need to be repeated over several sessions. Results are not permanent. Surgical procedures may last longer, but there is no guarantee that the results will last forever.

 

Conclusion

Vaginal rejuvenation is a wide word that refers to a variety of vaginal rejuvenation procedures. Your vagina and surrounding tissues may lose suppleness and strength due to factors ranging from delivery to aging to heredity. This causes incontinence (leaking pee), vaginal dryness, sagging skin, and a loss of sexual pleasure. Many women and adults who were designated female at birth (AFAB) seek vaginal rejuvenation to alleviate these issues and restore the appearance and function of their vagina. Vaginal rejuvenation can be accomplished surgically or nonsurgically.