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Vaginal rejuvenation

What is vaginal rejuvenation?
The term vaginal rejuvenation covers several different procedures. It is sometimes called female genital plastic surgery, female genital rejuvenation surgery, female genital cosmetic surgery, vulvovaginal plastic surgery, and designer vagina surgery, among other terms. Procedures that comprise female genital plastic surgery include labiaplasty, clitoral hood reduction, labia majoraplasty, mammoplasty, and vaginoplasty. Before talking about each one, it is important to look at the anatomy.

External anatomy of the female genitalia
The hair-bearing area above the pubic bone at the top of the female genitalia is called the mound. The outer lips with hair are called the labia majora (singular is labium majus). The inner lips are called the labia minora (singular is lip minus). At the top, in the center, is the clitoral hood, sometimes called the foreskin, which covers the clitoris in part or in full. Below the clitoris is the urethral opening, and below is the vaginal opening.

What is a labiaplasty?
The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and can alleviate symptoms experienced by women from twisting and pulling of the labia majora.

Reasons Patients Want Labiaplasty
Women choose surgery for a variety of reasons, including pain from twisting and pulling of the lips when riding a bike or during intercourse, itching, irritation, and self-awareness.

What does a labiaplasty do?
The goal of the procedure is to reduce the labia minora so that they do not hang below the labia majora. Labiaplasty can be performed to reduce asymmetry when one is longer than the other, or, more commonly, to reduce the length of both lips so that the lips no longer twist, grab, or fall off the swimsuit.

Anesthesia for a labiapasty Labiaplasty
is a procedure that can be performed under local anesthesia with oral sedation or under general anesthesia.

Labiaplasty Procedure
The most common type of labiaplasty is the fitting procedure, in which the extra tissue is directly removed and stitched together. Next in popularity is the wedge procedure, which maintains a natural edge after a pie-shaped piece of tissue has been removed. The extra folds of the clitoral hood can also be reduced at the same time. Closure is usually done with absorbable sutures.

What are the risks of a labiaplasty?
The risks associated with labiaplasty include those of most surgical procedures, including bleeding, bruising, and infection. The most common complication is excessive resection. While some women want an aggressive reduction, this can lead to chronic dryness, scarring at or near the vaginal opening, and pain during intercourse. Healing problems are more likely with a wedge procedure, especially if the patient is exposed to substances that cause the blood vessels to shrink.

Recovering from a labiaplasty
Most patients take a week off from work, during which they can reduce swelling and icing pain with a cold pack sandwiched between the patient's underpants and an elastic garment, such as Spanx. This can be done "twenty minutes on, twenty minutes off". The patient can also lie down with the bottom elevated to reduce swelling.

Patients can go back to using tampons or having sex after four to six weeks. Adjustment labiaplasty generally allows for faster recovery.

While the most distorting swelling is gone in 6 weeks, it can take six months for residual swelling to go away.

What are the results of a labiaplasty?
Labiaplasty generally results in short lips that no longer hang down below the level of the labia majora. Most patients who experience symptoms of twisting and pulling of their lips generally find relief after surgery. According to multiple studies, labiaplasty surgery is associated with a high satisfaction rate of more than 90 percent.

What is a clitoral hood reduction?
Excess folds of the clitoral hood, or foreskin, can be reduced with a reduction of the clitoral hood. The procedure is most often done in conjunction with a labiaplasty.

What does a clitoral hood reduction do?
The extra folds can create a bulge that is exaggerated when the labia minora are reduced, and a reduction of the clitoral hood can improve the balance in the appearance of the female genitalia.

Anesthesia for clitoral hood
reduction Clitoral hood reduction is usually performed at the time of a labiaplasty under local anesthesia with oral sedation or under general anesthesia.

Clitoral hood reduction procedure
Excess tissue is marked according to the individual's anatomy. There is great variation in the shape and extent of the pleats. In some patients, the removal is done as a "Y" extension of the labiaplasty. Closure is usually done with absorbable sutures.

What are the risks of a clitoral hood reduction?
There is a risk of bleeding, hematoma, infection, insufficient resection or excessive resection.

Recovery from a clitoral hood reduction
Recovery is primarily determined by the accompanying labiaplasty.

What are the results of a clitoral hood reduction?
In some patients with a thick clitoral hood, a labiaplasty without reduction of the clitoral hood can result in a heavier appearance. A reduction of the clitoral hood can balance a labiaplasty in such patients. Clitoral hood reduction is usually done with labiaplasty, which has a high satisfaction rate of more than 90 percent.

What is a lip majoraplasty?
A lip majoraplasty is a procedure designed to surgically reduce the size of the hairy labia majora.

Reasons why patients want a lip majoraplasty
Patients who feel that their labia majora are too large or sagging may feel discomfort from activities such as cycling, or may feel embarrassed by fullness.

Anesthesia for a lip majoraplasty
This procedure can be performed under local anesthesia with oral sedation or general anesthesia, depending on the amount of tissue to be removed.

Labia majoraplasty procedure
The plastic surgeon removes two slight semicircles of the skin on the inside of each lip. The amount to be removed depends on the amount of excess tissue. In some cases, when there is atrophy of fatty tissue, a small amount of fat can be transferred from another area of ​​the body after liposuction. Closure is usually done with absorbable sutures.

What are the risks of a lip majoraplasty?
Risks include bleeding, bruising, infection, scarring, insufficient resection, over-resection.

Recovering from a lip majoraplasty
Most patients take a week off from work, during which they can reduce swelling and icing pain with a cold pack sandwiched between the patient's underpants and an elastic garment, such as Spanx. This can be done "twenty minutes on, twenty minutes off". The patient can also lie down with the bottom elevated to reduce swelling.

Patients can go back to using tampons or having sex after four to six weeks.
The swelling after a lip majoraplasty can last for 6 months or longer, depending on the thickness of the tissue, although much of the swelling goes away within 6 weeks.

What are the results of a lip majoraplasty?
This procedure generally results in tighter labia minora. In patients with excess skin, the sagging of the labia majora when the patient is standing generally improves. In patients with excess volume, this procedure can result in a lower profile.

What is a monsplasty?
A monsplasty is a procedure designed to reduce bulging of the mons pubis.

Reasons why patients want a monsplasty
Some women struggle with a lump of excess skin and fat on the mons pubis, the upper part of their vulva that bears hair. The bulge can make women too embarrassed to wear a bathing suit or tight pants.

What does a monsplasty do?
The goal of a monsplasty is to reduce the amount of fat and / or skin, depending on the cause of the lump.

Anesthesia for a monsplasty
Depending on the amount of tissue to be removed, local anesthesia with oral sedation may be used for some procedures, but general anesthesia may be preferable for others.

Monsplasty Procedure
Sometimes the amount of skin removed can be extensive, while in others, liposuction is sufficient.

What are the risks of a monsplasty?
Risks of monsterplasty include bleeding, bruising, infection, and scarring.

Recovering from monsplasty
Recovery takes about a week, with physical activity restrictions for two to six weeks, depending on the extent of the procedure. If the skin is removed, a drain or two may be placed, and removal is usually scheduled within the first few days.

What are the results of a monsplasty?
This procedure results in a lower profile mount that generally projects less on clothing. In some patients with a hanging mons pubis, removing excess skin may lead to less hanging.