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VAGINAL REJUVENATION

1WHAT IS VAGINAL REJUVENATION?
Vaginal rejuvenation covers anything that changes the vaginal anatomy including internal and external structures. The term most commonly used for the combination of vaginoplasty and/or labiaplasty. Vaginolplasty is a functional vaginal surgical procedure designed to tighten the vagina, surrounding muscles and soft tissues, while labiaplasty is a cosmetic vaginal surgery performed to reduce the length of the labia minora by removing excess skin. The procedures can be performed alone, however most commonly performed in combination to improve the vagina’s cosmetic appearance or function by achieving a more tone and enhanced sensitivity of the vagina.
2WHAT ARE THE CAUSES OF VAGINAL RELAXATION?
Vaginal relaxation is most commonly caused by childbirth. However, the cause may also be the result of the following:

⦁ Genetics

⦁ Aging

⦁ Dramatic weight changes

⦁ Chronic cough

⦁ Chronic constipation

⦁ Weight lifting

3WHO IS A GOOD CANDIDATE FOR VAGINAL REJUVENATION?
Ideal candidates for vaginal rejuvenation is the ones who are in overall good health and have realistic expectations about the procedure. Some of the common reasons to consider a vaginal rejuvenation procedure are given below and you are a good candidate if you have one or more of the following conditions:

⦁ seek for a more refined labia and vulva contour

⦁ seek for a more symmetric inner labia

⦁ have enlarged labia minora

⦁ have the vaginal structures become more lax as a result pf pregnancies, aging or weight loss

⦁ have discomfort during sex

⦁ have discomfort from scarring due to previous genital surgeries

⦁ have stress urinary incontinence and seek to combine a ‘vaginal lift’ procedure with another appropriate procedure

⦁ desire for a tighter vagina

⦁ desire to reduce the size of mons pubis

⦁ bothered by the look of the vagina

⦁ feel self-conscious about the vagina appearance when wearing certain type of clothing and swimsuits

4WHAT DO I NEED TO DO BEFORE THE SURGERY?
Following needs to carried out prior to the surgery in order to ensure that the patient is healthy enough for the procedure:

⦁ stay away from smoking and alcohol for a few weeks

⦁ undertake medical tests

⦁ previous medical history will be checked

⦁ maintain a stable weight

⦁ avoid all sorts of blood thinners

⦁ any other medications will also be checked thoroughly as they might lead to complications

⦁ stay hydrated

⦁ sleep properly

5WHAT TYPES OF VAGINAL REJUVENATION SURGERY ARE AVAILABLE?
MediExpert performs four main types of vaginal rejuvenation surgery which are outlined below and the type of procedure is chosen in order to meet with the specific goals of each patient based on the areas for correction or enhancement.

⦁ Vaginoplasty (Vaginal Tightening)

⦁ Labiaplasty - Reduction of the labia minora (inner lips)

⦁ Reduction or augmentation of the labia majora (outer lips)

⦁ Clitoral hood reduction

6VAGINOPLASTY
Vaginoplasty also known as ‘Vaginal Tightening’ is a surgical procedure to tighten the vaginal walls and the vaginal opening to add firmness to the body in order to increase sensation during sexual intercourse. Many women find that the vagina become loose after childbearing as the vagina stretches to allow the baby to pass through during birth. The vagina gradually return to a normal diameter once more, but not quite reaching the previous degree of tightness, elasticity or tone resulting in loss of sensation from sexual intercourse due to decreased friction and difficulty reaching climax. In addition to the displeasure, weakened vaginal muscles are often bring pain during intercourse and result in women with a feeling of an emotional insecurity and a loss of femininity. On the other hand, many women have been dissatisfied with the vaginal size or laxity for their entire lives even they have not had a childbirth. Moreover, some experience natural loss of tightness and tone as a result of aging and hormonal changes. Whatever the cause of laxity, this often makes women feel less confident about their bodies and themselves due to loss of tightness and tone. Vaginoplasty is a very popular procedure with millions of women undergoing the procedure every year which can assist on women boosting their confidence, improving their sexual satisfaction during intercourse and can also help them feel more feminine and youthful.
7HOW IS VAGINOPLASTY PERFORMED?
Procedure begins with an administration of general anesthesia or sedation. Surgeon will choose the best option consulting with the patient. Incisions are made either using a laser or traditional scalpel method which the final outcome is same. The surgery generally involves pulling the pelvic floor muscles closer together, trimming excess vaginal lining, tightening the perineum and strengthening the supporting tissues. Incisions are then closed with fine dissolvable sutures which naturally absorb into the body not requiring any removal. Incisions are placed in the natural folds of the skin for the scars to be almost not noticeable over time. Vaginoplasty procedure typically takes between 1-2 hours resulting in a tighter and toned vagina which will ultimately provide more pleasure during intercourse due to increased degree of friction.
8CLITORAL HOOD REDUCTION
A clitoral hood reduction also known as ‘Hoodectomy’ or ‘Clitoral Unhooding’ or ‘Clitoral Remodeling’ is a cosmetic surgical procedure designed to reduce the size of the clitoral hood by removing excess tissue. The procedure is generally performed in combination with labiaplasty. The role of clitoris hood is to protect the clitoris from being constantly rubbed as constant friction may lead to desensitization, over-stimulation and even sometimes pain. It also assists on keeping the area moist and complementary for the appearance of female genital area. Although serving a crucial function, clitoral hood may sometimes be too lengthy or large, or not retract during sexual intimacy. This may be caused due to childbearing, genetics or trauma. The clitoris may sometimes appear enlarged or lengthy due to excess or redundant tissue of the clitoral hood and can be bothersome for women. It can make women feel embarrassed to show the genital area and create discomfort during sexual intercourse. Moreover, excessive clitoral hood may be visible through tight clothing making women feel self-conscious. Severe discomfort may also be experienced due to constant rubbing and irritation. When it comes to appearance clitoris, slight changes can make a world of difference. The clitoral hood reduction procedure can assist on minimizing the projection and length of an enlarged clitoral hood by a simple life-changing procedure resulting in improved comfort and sensation.
9HOW IS CLITORAL HOOD REDUCTION PERFORMED?
The procedure begins with an administration of local anesthetic or IV sedation. Surgeon will choose the best option consulting with the patient. Incisions are made either using a laser or traditional scalpel method which the final outcome is same. The excess tissue is marked according to the patient’s anatomy. Incision is made in the clitoral hood and the appropriate amount of tissue is removed. Closure is done then with absorbable sutures which will dissolve within the body not requiring removal at a later visit.This pain-free procedure takes around half an hour resulting in increase in sexual pleasure and aesthetically more pleasing appearance of the vulva.
10LABIAPLASTY
Labiaplasty is a minor surgical procedure performed to adjust the labia folds of the inner or outer labia. Women requesting this procedure are those who have an enlarged or longer labia minora which may sometimes protrude beyond the labia majora (outer labia) Some women have naturally have large, thick or uneven labia, while some develop due to aging and childbearing in which the appearance not found aesthetically pleasing among many whatever the reason might be. Large labia can be a source of embarrassment when wearing swimsuits and certain type of tight clothing that creating an appearance of camel toe and can also be extremely uncomfortable when labia rubs against underwear causing labial irritation which can create discomfort during daily activities. Furthermore, some women experience pain during sexual intercourse, exercise and other vigorous activities. Moreover, it may sometimes be difficult to keep the labial area clean. Whatever the cause, whether cosmetic, pain relief, hygienic or functional reasons, there is absolutely no reason to live with something that interfering in your life and lowering your confidence. Labiaplasty can be a relief and an incredible life changing solution that can boost your confidence by a minor simple procedure.
11HOW IS LABIAPLASTY PERFORMED?
Procedure begins generally with an administration local anesthetic and a placement of numbing cream twenty minutes prior to the procedure. Some cases general anesthesia or sedation is administered. Surgeon will choose the best option consulting with the patient. Incisions are made into the soft tissue and there is little to no bleeding by either using a laser or traditional scalpel method which the final outcome is same. The procedure is usually done just after the patient has had her period. The targeted excess labia lip is surgically trimmed and reshaped to be more symmetrical. The area is trimmed just enough so that they no longer extend beyond the outer lips. Fat is occasionally injected into the labia majora (large lips) in order to create a firm and plump look. The soft tissue is then closed in layers and the skin is sealed with dissolvable sutures and antibiotic cream is applied. Incisions are placed in the natural folds of the skin for the scars to be almost not noticeable over time. Labiaplasty procedure typically takes less than an hour resulting in a more attractive vagina. Same procedure can be applied for labia majora reduction (outer lips) as well, however it is not recommended to combine with labiaplasty as the incisions for both surgeries are connected. Simply put, healing from labia majora reduction effects some of the labiaplasty tissue and vice versa. In the case of suffering from both, we do recommend to begin with the more bothersome area and proceed with the other after allowing the area to heal. On the other hand, both labiaplasty and labia majora reduction can be performed in combination with clitoral hood reduction.(also known as hoodectomy which is the removal of the skin excess around the clitoris)
12WHAT ARE THE BENEFITS OF VAGINAL REJUVENATION?
Some of the benefits of vaginal rejuvenation procedure are as follows:

⦁ Shortened labia minor that no longer hang than labia majora

⦁ Feel increased friction and pleasure during an intercourse

⦁ Tighter and youthful vagina as close to before pregnancy and youth

⦁ Improvement of overall vagina health and hygiene, decreasing the risk of urinary and yeast infections

⦁ Increased ability during exercise and intercourse

⦁ Increased versatility for wearing tight fitting pants, undergarment, swimming costumes and certain types of clothing

⦁ Very low risk of complication rate

⦁ Minimal pain following the procedure

⦁ Quick recovery

⦁ High patient satisfaction

⦁ Restored confidence and self-assurance about the body

⦁ Increased feelings of femininity

13HOW LONG IS THE PROCEDURE?
Vaginoplasty and labiaplasty procedures typically take between 1-2 hours, whereas clitoral hood reduction procedure takes around half an hour.
14IS THE VAGINAL REJUVENATION PROCEDURE PAINFUL?
Individuals will not feel any sort of pain during the procedure, since the procedure is performed under anesthesia. Although pain tolerance may vary, most of the patients experience minimal to mild discomfort after the procedure which is manageable and overcome by prescribed pain relievers. Limited pain may only be expected within the first 24 hours, while most of the patients stop taking pain medication after 4 days following the procedure. Most patients report that the procedure and the recovery hurt much less than they thought it would be.
15WILL I HAVE A SCAR AFTER VAGINAL REJUVENATION?
All the surgeries generate some scarring into a particular extent, fortunately scarring from vaginal rejuvenation tends to be very small. Moreover, it is well hidden in the natural folds of the vagina due to its wrinkled appearance that it may not be possible for the gynecologist to notice it. After the stitched dissolve within a month period, the scar tissue will initially become firm, then will soften after several months.
16HOW LONG IS THE RECOVERY TIME?
Most patients experience slight swelling, soreness and some bruising which should subside in a few days. It is recommended to apply ice packs or cold compresses between the thighs to minimize swelling during the first 48 hours. Urinary hesitance may be experienced and pads and liners should be used instead of tampons during menstrual period. Loose clothing and panties should be worn to avoid rubbing during the recovery period. Daily activities can be resumed after 2 days by ensuring minimal friction to the incisions, however activities such as jogging, running, horse riding, motorcycles, cycling, jet skis and swimming should be avoided up to 6 weeks until the full recovery from the surgery is expected to be completed.
17SHOULD I NEED TO STAY AT THE HOSPITAL FOLLOWING THE PROCEDURE?
There is no need to stay at the hospital overnight since it is typically an outpatient procedure.
18WHEN CAN I GO BACK TO WORK?
Most patients return for a desk job within 4-5 days following vaginal rejuvenation, while 2-3 days are required whether labiaplasty performed alone.
19WHEN CAN I HAVE SHOWER?
It is recommended to take a shower only 6 hours following the procedure. After that, there is no limitation on the frequency. However, bathtub or hot tub should be avoided for 4 weeks following the procedure.
20WHEN CAN I HAVE SEX AFTER SURGERY?
Sexual intercourse and masturbation should be avoided for 5-6 weeks in order to achieve best results.
21WILL VAGINAL REJUVENATION IMPROVE MY SEX LIFE?
The primary purpose of vaginal rejuvenation is to tighten the vagina to ensure greater stimulation during sexual intercourse by increasing friction. Moreover, elongated skin that overgrows from outer labia may also be uncomfortable for women during an intercourse A patient’s sex life can ultimately improve as a result of the increased libido and self-confidence. Recent studies indicate that almost 90% of vaginal rejuvenation patients report an improved sex life following the procedure.
22CAN I DRIVE AFTER THE PROCEDURE?
Patients can drive 48 hours following the procedure unless not taking any narcotics.
23WHEN WILL THE STITCHES REMOVED?
Sutures are dissolvable type and do not need to be removed as the body naturally absorbs them as the area heals.
24WHAT ARE THE POSSIBLE SIDE EFFECTS AND COMPLICATIONS?
Vaginal rejuvenation is considered a minor surgical procedure and the significant complications are infrequent. Although the complication rates are very rare, all the surgeries carry some risk of complication. Some of the rare complications from a vaginal rejuvenation procedure are as follows:

⦁ Anesthesia risks

⦁ Bleeding

⦁ Incision breakdown

⦁ Scarring

⦁ Irritation

⦁ Allergic reactions

⦁ Changes in sensation

⦁ Hematoma or seroma

⦁ Minor infection

25CAN VAGINAL REJUVENATION COMBINED WITH OTHER SURGERIES?
Most of the patients combine vaginoplasty with labiaplasty for a full feminine make over. The most common, but not limited performed in combination with vaginal rejuvenation is abdominoplasty, liposuction body lift, mons pubis reduction, arm lift and breast augmentation. There are benefits of having these surgeries at once as initially it avoids the risks of two surgeries, anesthesia applied one at a time and advantageous in terms of minimizing recovery process, saving time and money accordingly.
26HOW LONG WILL RESULTS LAST?
The results will be permanent as long as not gaining significant weight or becoming pregnant. Aging may slightly relax the vaginal area, however it will never be the same degree of relaxation experienced before the surgery.
27WHEN CAN I SEE THE FINAL RESULTS?
Some of the aesthetic benefits of the vaginal rejuvenation procedure will be visible immediately, however it may take 2-3 months for the final results to be appreciated.
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