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After childbirth or menopause, the vaginal wall may be less firm and vaginal dryness is possible. This can lead to a burning sensation, itching or pain, especially during sex, as well as a decrease in sexual desire.

Local treatment with estrogen in the vagina (creams, gels, suppositories) usually gives good results, but vaginal dryness may return after stopping treatment.

A so-called fractional CO2 laser treatment is very successful. It had already been used for a long time in dermatology for the treatment of scars due to acne or burns, in particular.

With this treatment of "vaginal rejuvenation", also called MonaLisa Touch, Diva Tight Laser or IntimaLase, small microscopic burns are carried out on approximately 6 to 7% of the vaginal wall. During the connective tissue natural recovery process, not only the firmness and elasticity of the skin is restored, but in addition, the mucous membrane gains moisture. In a last step, the lactobacilli reinstall themselves. They constitute a barrier of defense against vaginal infections.

The treatment consists of 3 sessions and an annual maintenance treatment.

It is currently performed in our country by several gynecologists and hospitals. The price of a treatment is € 400 per session, or € 1200 in total for the first year, since three treatments are necessary. This treatment is not reimbursed.

During a natural menopause , this laser treatment has a success rate of 84 to 86%. When menopause occurs abnormally early, for example after chemotherapy or radiotherapy or after surgical removal of both ovaries, a success rate of 75% is reported.

For other vaginal conditions - for example for so-called vaginal recovery after childbirth - this treatment is also recommended by some websites.

What security and what efficiency?

There are hardly any independent scientific studies on the short or long term efficacy and safety of this treatment.

Contrary to what the websites of companies and doctors offering this treatment claim, it has not been approved by the Food and Drug Administration (FDA), the US health authority. In mid-2018, the US administration even explicitly warned against this treatment and banned its promotion for, among other things, vaginal rejuvenation. According to the FDA, it could cause recurring burns, scarring and pain, and even incontinence.

The American Association of Gynecologists also advises against the use of this technique for vaginal problems.

Vaginal rejuvenation

Vaginal tightening and restoring the tension of her muscles

Vaginal rejuvenation is a tightening of the vagina and the restoration of the tension of its muscles.

Relaxed vaginal walls, caused by childbirth, age or hereditary origin, can cause urine loss and decreased sexual pleasure due to lack of friction during coitus.

With laser vaginal rejuvenation, you will enjoy better sex and no longer have problems with involuntary urine loss.

VAGINAL REJUVENATION

A common condition of the female reproductive system is a dilated vagina during childbirth. This increase in the vaginal opening can lead to a decrease in pleasure during intercourse. The goal of the procedure is to tighten an enlarged vagina. Several methods are used for vaginal rejuvenation. Traditionally, reduction is done by suturing the vaginal wall (colporrhaphy) or by plicature on the muscles of the perineum (perineorrhaphy).

In plastic surgery the technique used is gentler, it is the injection of fat between the wall of the vagina and the muscles (lipoffiling). The fat is taken directly from the patient's body. The operation lasts 30 minutes and is usually performed under general anesthesia. It must nevertheless be performed by a qualified specialist.

VAGINAL REJUVENATION: INNOVATIONS AND NOVELTIES FOR THE INTIMACY OF WOMEN!

For vaginal rejuvenation, there is a new bio-degradable injectable hyaluronic acid, specific for the intimacy of women. These new injection techniques concern the beautification and rejuvenation of the region of the lips and vagina.

VAGINAL REJUVENATION: WHAT ARE THE BENEFITS?

• This exclusive hyaluronic acid is designed for aesthetic, restorative and functional gynecological indications (ulcerations, pain during intercourse, etc.)
• This new product regenerates vulvovaginal atrophy, volumizes the labia majora for the protection of the vulva and to give them a more youthful appearance ...

VAGINAL REJUVENATION: HOW IS IT GOING?

The reduction or symmetrization of the labia minora is surgical (local anesthesia) using the radiofrequency scalpel, resulting in better healing.

In postmenopausal women, there is atrophy of the labia majora and the mont de venus which can be injected with hyaluronic acids or the patient's own fat, with a cannula.

Certain new lasers can allow the re-tensioning of the genital region after several deliveries (under experimentation).

In the labia majora you can put secure threads of Polydioxanone (PDO), to increase the production of local collagen, which improves the appearance especially in women who are not taking hormone replacement therapy.

The injection can be done in the doctor's office under local anesthesia.

The purpose of this article is to give an overview of this new technique, but does not replace a consultation with the specialist.Vaginal rejuvenation or vaginal rejuvenation is to improve, beautify or repair the genital area. Today, injections, lasers, radiofrequencies, lipofilling and facelifts no longer only concern the face and allow many women to keep seeing and regain a satisfactory quality of sexual life .

Intimate aesthetic medicine

§  Genital hyaluronic acid (HA) injections:

Hyaluronic acid is a real revolution in this field. Originally used in ophthalmology and medicine

aesthetic, he found a major and very effective indication in aesthetic and functional gynecology. Hyaluronic acid can be used in the following indications:

• vaginal dryness,
• enlargement of the labia majora,
• amplification of zone G (point G).

Vaginal dryness is a common problem that affects many women today with over 40% of postmenopausal women significantly hampering these women in their sex life.

Vaginal dryness does not only affect postmenopausal women but also some under mini-dose contraception, during pregnancy or taking certain anti hormonal drugs (post cancer) or antidepressants. Vaginal dryness presents itself in the form of vulvar irritation, burning or itching especially during intercourse, making it difficult or even impossible. Until recently, there were only local treatments that were little or badly used by patients who finally accepted this painful situation.

Hyaluronic acid injections are a new, simple therapeutic weapon that gives full satisfaction to more than 70% of users.

In practice, an injection of specific hyaluronic acid (Desirial) is made at the entrance to the vagina about 2 times / year. Currently only Desirial from the French brand Vivacy has a CE mark for this indication. The injection is very quick and painless. The effect appears after a few weeks and lasts for several months.

This innovative treatment is still unknown and more and more doctors are training in these techniques through diplomas such as the DUMEG (University Diploma in Genital Aesthetic Medicine) in Créteil.

Other innovative methods can treat vaginal dryness such as vaginal laser, PRP injections, LEDs and more recently; stem cell injections (Nano fat).

§  The enlargement of the labia majora:

In some women, the labia majora are poorly developed which accentuates the size of the labia minora. Otherwise in the majority of cases, the large "empty" their fat either after weight loss or after pregnancy, or with aging ( menopause ).

Women who want to restore shape to the labia majora can benefit either from an increase by injection of fat (Lipofilling) or by injection of hyaluronic acid. In general, 30 to 40 g of fat are taken and approximately 15/20 g per lip are injected because the fat can partially melt (up to 50%) but a new re-injection is possible remotely. The result is immediate with a duration of several months to years at constant weight.

Another solution is to inject hyaluronic acid, which is usually used to fill in wrinkles. The advantage is that the injection can be done in the office with or without local anesthesia. The quantity injected is generally lower than the fat between 2 and 4 cc / side because the product is filled with water and it is more volumizing than the fat.

Filling by injections of hyaluronic acid gives a flexibility comparable to skin tissue, but the benefits disappear over time because the product is absorbable in 12 months on average. The injection is done in the office with a little local anesthesia and only takes a few minutes. It takes on average 2 to 3 ml to reshape a large lip. The result is immediate and lasts more than 12 months.

The interest of increasing the labia majora is mixed because it provides in addition to aesthetic remodeling, a physical pad that protects the entrance to the vagina and limits local irritation.

§  G-spot amplification:

The G or Grafenberg point has been described as the female "prostate", it is an excitable zone and in connection with the

arm of the clitoris.

This G zone and not this G point measures approximately 2 cm2 and is located at the anterior wall of the vagina on either side of the urethra (urine outlet).

The injection of hyaluronic acid into this area increases the volume of the G area and therefore mechanically amplifies its stimulation during intercourse. Therefore trigger more vaginal orgasms in these patients. The injection is done in the office without anesthesia in a few minutes with HA. This injection is delicate, requires training because the risk is to injure the urethra and interferes with the exit of urine, but fortunately only temporarily.

This is an injection of 1 to 2 ml of specific hyaluronic acid. The effect obtained is a stimulation of the para-urethral glands and their secretion, facilitating the lubrication of the area, as well as a volume effect. This injection is almost painless and performed on an outpatient basis. The increase in volume of this area will make it more easily stimulable, and improves these sexual disorders. The effect lasts between five and eight months.

Intimate surgery

Intimate surgery can correct, embellish or repair the intimacy of man and woman. Currently booming, this surgery helps many patients regain self-confidence and a more fulfilling sex life. It is possible to act on the labia minora, the labia majora, the hood of the clitoris, the mount Venus, the hymen, vaginal laxity… by short and simple interventions.

Labiaplasty or nymphoplasty is the most performed intervention in intimate surgery. The operation is simple under local anesthesia on an outpatient basis and it is possible at any age because the request of teenagers with the agreement of the parents and the gynecologist is more and more frequent because there is a physical and aesthetic discomfort.

There are many techniques for reducing the labia minora. The so-called longitudinal technique consists in removing the excess skin which protrudes from the labia majora by cutting the top of the lip as if we were "cutting hair" along the entire length of the labia minora. This technique is quick and simple, but it does not preserve the normal anatomy of the lip since it decapitates it. In some cases, if the reduction is too important, an amputation of the labia minora (nymphectomy) is obtained which is absolutely undesirable. The V-plasty makes it possible to reduce the labia minora while maintaining the shape and normal appearance of the lip, it is the technique most often used by plastic surgeons.

§  The vagina lift or vaginoplasty

Vaginoplasty is requested by patients with vaginal laxity.It happens that after childbirth, in particular after twin pregnancy, the entrance to the vagina is wider and that patients complain of a decrease or loss of sensitivity during sexual intercourse despite a perineal rehabilitation because the perineum does not recover its initial tone, we speak of vaginal laxity. Like the skin, vaginal tissue is made up of collagen fibers. During vaginal birth, the tissue undergoes excessive stretching which damages collagen fibers and can create sagging (laxity), especially around the vaginal opening. The operation aims to reduce the inside and outside diameter of the entrance to the vagina and strengthen the perineum and muscles. It lasts an average of one hour under general anesthesia. It acts on the posterior wall of the vagina.Other methods of treating vaginal laxity have recently been proposed to avoid surgical interventions: Radiofrequency which has an action on the muscles of the perineum, sometimes from the first session. The principle is based on the stimulation of the production of collagen by radiofrequency. This method has been known and used on the face for several years. The procedure is done in the office without anesthesia because it is not painful. The intervention lasts 30 minutes and there is no desocialization. Finally, it is possible to strengthen the vaginal tone by the vaginal laser either injections of fat or hyaluronic acid. The assessment by a specialist doctor will make it possible to offer the most suitable treatment.The principle is based on the stimulation of the production of collagen by radiofrequency. This method has been known and used on the face for several years. The procedure is done in the office without anesthesia because it is not painful. The intervention lasts 30 minutes and there is no desocialization. Finally, it is possible to strengthen the vaginal tone by the vaginal laser either injections of fat or hyaluronic acid. The assessment by a specialist doctor will make it possible to offer the most suitable treatment.The principle is based on the stimulation of the production of collagen by radiofrequency. This method has been known and used on the face for several years. The procedure is done in the office without anesthesia because it is not painful. The intervention lasts 30 minutes and there is no desocialization. Finally, it is possible to strengthen the vaginal tone by the vaginal laser either injections of fat or hyaluronic acid. The assessment by a specialist doctor will make it possible to offer the most suitable treatment.it is possible to strengthen the vaginal tone by the vaginal laser either injections of fat or hyaluronic acid. The assessment by a specialist doctor will make it possible to offer the most suitable treatment.it is possible to strengthen the vaginal tone by the vaginal laser either injections of fat or hyaluronic acid. The assessment by a specialist doctor will make it possible to offer the most suitable treatment.

Other requests for intimate surgery:

§  Reduction of the clitoral hood:

The clitoral hood or clitoral foreskin is a fold of skin that covers the glans of the clitoris, it can be more or less thick and can interfere in the stimulation and sensitivity of the clitoris. The reduction of this cap is possible by surgical intervention which takes place most often under local anesthesia, it can be associated with a reduction of the labia minora or be done in isolation, the objective is to reduce the cap without completely discovering the clitoris which would be then permanently irritable.

§  The reduction of Mount Venus:

Mount Venus is excess fat located in the pubic hair. It can be particularly voluminous even in skinny women who are very embarrassed aesthetically, especially in swimsuits. These patients are not necessarily overweight. The treatment is simple: it consists of a liposuction of the region generally performed under local anesthesia . It may sometimes be necessary to remove excess skin with a mini lift of the area.