Overview - Cosmetic Gynaecology
Female Cosmetic and functional genital treatment (genital rejuvenation)
Psycho- sexual improvement after aesthetic procedures:
- Enhanced self confidence
- Self esteem
- Body image identity
- Revitalise with energy
- Functional sexual improvement (female- 91.2% , male partner- 82.2%)
- Enhanced quality of life
1. Surgical Treatment
Labiamajora and labia minoraplasty
It is a surgery done to reduce volume and provide symmetry to external genitalia
Benefits:
- Protect vagina from drying
- Funneling urine stream
- Improve aesthetic appearance
- Reduce friction thereby discomfort and itching
Clitoral hood reduction and frenuloplasty
Reduction in size of protruding or hypertrophied clitoris and frenulum.
- Hymenoplasty
- Reshaping of perforated hymen to its virgin situation
- Vaginoplasty
- Tightening of vaginal mucosa
- Aim: restore physical and physiological function
- Recover sense of pleasure and reduce pain
- Regain self-esteem and confidence
Perineoplasty
- Surgical reconstruction of perineum.
- Vaginal births can cause deep tears in perineum and bad healed episiotomy scars can cause painful intercourse as well as unwanted aesthetic appearance. Perineoplasty can help in such conditions.
Genital mutilation reversal surgery
Labia majora and mons pubis autologous fat transfer
2. Non Surgical Cosmetic Gynecology
Non-surgical procedures involves use of energy based devices & injections for treatments
Laser
- Used in vaginal tightening
- Treatment of stress urinary incontinence(sui)
- Vulval bleaching
Radiofrequency
- Used for vaginal rejuvenation
- Sui treatment
Regenerative medicine
- Nanofat graft
- PRP (Platelet Rich Plasma) injections
- hyaluronic acid injections
Carboxytherapy
G spot and o spot amplification
Radiofrequency therapy for sexual health
- Tightens and rejuvenates skin
- No damage to thermal melani FDA approved
- Can be applied in vulva and vagina
How does it work ?
- Increases blood flow
- Neoangiogenesis
- Shrinks existing collagen
Stimulates fibroblasts
Creates new collagen
Stimulates proteoglycan production
What is PRP?
PRP is platelet rich plasma which is prepared freshly from patients’ blood and injected into the required area.
Indications for Cosmetic Surgery-
- Vulvar rejuvenation for wrinkles, laxity, sagging, hyperpigmentation
- Vestibular shot- reducing pain during intercourse
- Improves vaginal lubrication
- Vaginal tightening
- G spot and introital augmentation
- Bladder neck and periurtehral shot
- Helps improve menopausal atrophy
At times it will be a combination of Laser, RF, Fillers, otox and carboxytherapy.
Carboxytherapy
Treatment using small quantities of medical grade CO2 gas into subcutaneous tissues through small needle.
- It does not cause allergic or toxic effect
- Blood soluble so not embolic
- Colorless, odorless, soluble in water.
Role of CO2 therapy
- Enhances functionality, turgidity, hydration, sensitivity of perineal area and vulvovaginal tissues.
- Episiotomy scars
- Post cesarean scars
- Fissures
- Skin laxity and sagging
- Increases ph level
Genital bleaching
- Using various skin peeling agents and lasers lightening of genital region is done
- May require multiple sittings and maintenance
- Contraindicated in case of active skin infection, post-surgery, pregnancy and breastfeeding.
Botox in Vaginismus
Recurrent or persistent involuntary contraction of perineal muscles surrounding outer third of vagina whenever penetration is attempted despite the women’s expressed desire to do so.
Botox usage in such women has described success rate of 75 to 95%
Mostly single injection is sufficient
