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Vaginal Rejuvenation

 

Vaginal Rejuvenation

 

A tight vagina is equated with youth thus vaginoplasty is a type of female rejuvenation surgery. Vagina may lose its stretch and becomes loose due to multiple childbirths or vaginal birth injuries. The tightness of vaginal is not definitely relevant to sexual satisfaction. However incompatible size between the female's vagina and her partner's penis could impact the sexual satisfaction for both.



Traditional vaginoplasy removes part of mucosal tissues, tightens the submucosal connective tissues with sutures, followed by closing the mucosa, which can be performed under local anesthesia with no surgery-related complications. However traditional vaginoplasy does not involve in suturing the perineal muscles so the vaginal tightening effect is limited. In Charm United Institute, we perform vaginoplasty that involves suturing the submucosal connective tissues and the perineal muscles, ensuring permanent vaginal tightening effect. The surgery is performed under intravenous general anesthesia, which lasts about an hour. Mild bleeding may happen after the surgery, which can be alleviated with warm water sitz bath and application of topical antibiotics to the wound.




 

  1. Vaginoplasty is recommended for women who are not considering having more children. Otherwise vaginoplasty may cause difficulty in future vaginal delivery and the vagina stretching out again.
  2. Patients are prohibited from having sexual intercourse within 4 weeks after surgery to avoid tearing of surgical wound.
  3. It is recommended to wait 6 months after childbirth to undergo vaginoplasty. Usually women with an uncomplicated vaginal delivery will recover vaginal tightness within 3-6 months of having the child. If not, it is never too late to consider vaginoplasty.

 

Labiaplasty Minora

Small, pink-colored and tucked-inside labia minor (inner lips) are associated with youth and enhanced sexual pleasure. On the contrary, thick, prominent and dark-colored labia are signs of aging. Anterior to the minor labia is clitoris covered by clitoral hood (prepuce). Just like removal of the foreskin from penis in male circumcise, removal of the clitoral hood exposing the clitoris can increase female's sexual sensations.
Labiaplasty minora is suitable for women who have

  1. Prominent inner lips: Surgery trims the labia to be smaller, thinner and shorter.
  2. Bigger clitoral hoods: Surgery removes the clitoral adhesions and hood to expose the clitoris, which enhance the female's sexual pleasure.
  3. Darker-colored inner lips: Surgery removes part of the outer tissues of the labia minora, and sutures the pink-colored inner mucosal tissue outward, which reduced the size of labia minora at the same time.

 

Labiaplasty minora is performed under local anesthesia. The stitches are removed one week after the surgery. It is recommended the patients avoid sexual intercourse 3-4 weeks after the surgery to prevent pain.



Labiaplasty Majora

Fullness in shape of the labia majora (outer lips) is associated with youth. On the contrary, drooping, wrinkled and darker-colored labia majora are sigs of aging.
Options of labiaplasty majora include:

  1. Surgical: Excessive skin tissues are excised to flat out the wrinkles.
  2. Non-surgical: Autologous fat transfer or collagen injection to increase the fullness of the outer lips. The injection sites are beneath the vaginal mucosa, which give an smooth, round and plump appearance.

Hymenorrhaphy

Hymen is a thin membrane that surrounds the opening to the vagina. Many people believe an intact hymen is an indicator of one's virginity. However this is not true. Hymens can come in different shapes, and minor injuries could cause break of a hymen. Patients underwent hymenorrhaphy in our clinic are women who

  1. Have fiancé that cares much about her virginity.
  2. Have been sexual assaulted and worry it might affect the future marriage
  3. 3. Are female sex workers want to earn more money.

Hymenorrhaphy is performed under local anesthesia or intravenous general anesthesia. The surgery repairs the hymen by suturing it back together to cover partially the opening of the vagina. During the first sexual penetration after the surgery, the reconstructed hymen will tear accompanied by slight bleeding. Hymenorrhaphy should be done two to four weeks before the wedding or the sexual intercourse so as to cause bleeding during the first intercourse after the procedure.

 


Q 1.My inner lips protrude past the outer lips causing itch and discomfort. Can this be fixed with surgery?

Large or protruding inner lips between the outer lips may cause irritation and increased risk of infection. The undesired appearance can lead to mental distress. Labiaplasty minora can be performed to improve the appearance of the labia and decrease the risk of infection.

 

Q 2.Any surgical procedure helps in lightening the color of the inner lips?

Dark-colored inner lips are usually caused by large or protruding inner lips, which can be corrected with surgical removal of the pigmented tissues caused from rubbing against clothing or skin.

 

Q 3.Does a labiaplasty leave obvious scars?

Labia consist mostly mucosal tissues, of which the surgical healing result in limited scar formation.

 

Q 4.Does giving birth by cesarean section help avoid vaginal laxity?

The feeling of vaginal looseness during intercourse after childbirth is mainly caused by stretched pelvic floor muscles due to supporting the weight of the growing baby during the pregnancy. So even women having childbirth with Cesarean section can feel vaginal laxity, though maybe not as much as women having vaginal delivery.

 

Q 5.How soon after childbirth can I have vaginoplasty?

It is recommended women should wait at least 3 months after childbirth to undergo vaginoplasty when the body has been fully healed after delivery. Breastfeeding mothers underwent vaginoplasty should stop breastfeeding for 1 week to avoid the anesthetic drugs getting into your baby

 

Q 6.Does vaginoplasty affect the lubrication during sexual intercourse?

No, vaginoplasty does not affect vaginal lubrication. In fact vaginoplasty helps in reducing the risk of vaginal infection and abnormal discharge associated with loose vagina.

 

Q 7.What's the difference between vaginoplasty and suturing of an episiotomy following vaginal childbirth?

The surgical repair of loose vagina performed in most OB/GYN clinics only reduces the opening of the vagina by 3-6 cm. In Charm United Institute, we perform vaginoplasty that tightens the muscle tissues in the full length of vaginal cannel from the opening of the vagina to the tip of the cervix, which ensures a better vaginal tightening effect.

 

Q 8.How long is the recovery time for a fat transfer or collagen injection in labia majora? When can I have sexual intercourse after?

The full recovery takes about 2 weeks. It is recommended the patients should have sexual intercourse 3 weeks after the surgery. However the recovery rate can vary depending on the individual, so it's better to consult with the doctor during the post-operative check-up for more accurate prognosis.

 

 

  1. The patient should return to the clinic for check-up within 2-3 days after the surgery.
  2. Keep the surgical site clean and dry. Always rinse the vaginal area with water or betadine antiseptic solution provided by the clinic after going to the toilet.
  3. ollow doctor's advice to take medications.
  4. Avoid strenuous exercise (such as biking) or flushing the wound with heavy water stream to prevent wound rupture and bleeding.
  5. It is normal to have pink or yellow discharge within the first week after the surgery, which is part of the healing process. In case of bleeding, you can try with crossing the legs tightly or applying pressure on the wound to stop bleeding. Contact us when there is severe bleeding or swelling and pain.
  6. In general the surgical wound will be healed within 1-2 weeks after the surgery and the vaginal bleeding or bleeding will subside. It is recommended to have sexual intercourse 4 weeks after the surgery.

 

Dr. Yi-Sheng Kao Director | Plastic Surgery Aesthetic Clinic

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