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Vaginal Rejuvenation

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Vaginal Rejuvenation

Vaginal rejuvenation is a broad term for vaginal corrective treatments. These procedures can be done for cosmetic reasons or to solve age-related problems, such as lack of vaginal tightness and urinary incontinence.

What is vaginal rejuvenation?

Vaginal rejuvenation is a broad term that describes various vaginal corrective procedures. Due to causes ranging from childbirth and aging to genetics, your vagina and its surrounding tissues may lose elasticity and strength. This leads to several issues like incontinence (leaking urine), vaginal dryness, sagging skin and lack of sexual pleasure. Many women or people assigned female at birth (AFAB) look to vaginal rejuvenation to improve these conditions and restore the look and function of their vagina. There are surgical and nonsurgical options for vaginal rejuvenation.

Why do people get vaginal rejuvenation?

People get vaginal rejuvenation to address common issues associated with having children or menopause, including vaginal looseness, lack of lubrication and loss of sexual intimacy. Treatment can help minimize these symptoms as well as:
  • Loose skin around the vagina.
  • Leaking urine when jumping, sneezing or laughing.
  • Not being able to hold your urine.
  • Decreased libido.
  • Excess dryness.
  • Painful sex.
  • Loss of sensation and sexual satisfaction.
  • Lack of confidence or low self-esteem.

What are the different kinds of vaginal rejuvenation?

Vaginal rejuvenation procedures can be surgical or nonsurgical. Treatment affects the vulva (the outer part of the female genitals) and the vaginal canal (where penetration occurs during sex or where you put a tampon).

Surgical methods of vaginal rejuvenation

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).

Nonsurgical methods of vaginal rejuvenation

Nonsurgical methods of vaginal rejuvenation are noninvasive with a short recovery time. They help tighten and tone your vaginal area without needles or surgery. Nonsurgical vaginal rejuvenation involves heating the top layers of vaginal tissue. This causes the underlying tissue to create extra collagen and new, firmer tissue.
Nonsurgical treatment includes:
  • CO2 laser treatment: The laser heats the upper layers of the tissue in your vagina, causing the tissue in the lower layers to make more collagen. This makes the skin firmer and tighter. Brand names of laser devices include MonaLisa Touch, FemTouch and FemiLift.
  • RF (radio frequency) treatment: RF treatment uses electromagnetic waves, similar to the waves used in a microwave (but to a lesser extent). RF waves heat the vaginal tissue, encouraging blood flow and collagen production. Brand names of RF devices include Viveve, Emsella and ThermiVA.
RF and laser treatments are done in an office setting. Little, if any, local anesthetic is used during the procedure. You can typically continue with your day without needing any recovery time.

PROCEDURE DETAILS

How do they do surgical vaginal rejuvenation?

It depends on the type of surgery. First, you’ll meet with a surgeon to discuss your symptoms and what you hope to achieve with surgery. Use this time to ask questions and understand the risks and benefits of the procedure.
Most vaginal rejuvenation surgeries last one to two hours, but it depends on the procedure, the level of work involved and the method the surgeon uses. In most cases, surgical vaginal rejuvenation is done under general anesthesia in an outpatient facility. Once you’re asleep, the surgeon makes incisions (cuts) on your vulva or in your vagina and the surrounding tissues and muscles. The location of the incisions varies depending on the type of surgery. Finally, they close the incisions with dissolvable stitches.
Your surgeon will give you post-operative instructions, including a list of restricted activities (like sex). You’ll be allowed to use ice packs and pain relievers for discomfort. Since you’re asleep, you won’t experience pain during the surgery.
Before consenting to surgical procedures, make sure you understand the treatment method and risks. As with any surgery, there are post-operative instructions you need to follow to prevent infection and injury.

What are the benefits of vaginal rejuvenation?

Vaginal rejuvenation can:
  • Improve the tightness of your vagina.
  • Help with incontinence (leaking urine).
  • Increase lubrication and moisture.
  • Increase vaginal sensitivity and sensations.
  • Strengthen weak vaginal and pelvic muscles.
  • Improve painful intercourse.
  • Enhance the appearance of your vulvar area (labia, clitoris or vaginal opening).

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