While aesthetics and rejuvenation have traditionally referred to face and body, vaginal and pelvic floor rejuvenation have grown in popularity in the last few years—and for good reason. Much like our faces and bodies, vaginas go through many changes over a lifetime, and these changes can affect a woman’s self-confidence and wellbeing. At Aviva Plastic Surgery, vaginal and intimate health rejuvenation procedures have become a popular option for women looking to improve their health and regain sexual and intimate confidence.
Vaginal rejuvenation encompasses the improvement of vaginal concerns, such as dryness, decreased sensation, and a feeling of loose tissues and lack of support. Vaginal rejuvenation can help improve intimate sensation with sexual intercourse, improve lubrication, and even address stress urinary incontinence, or the annoying spillage of urine with sneezing or exercise some women experience after pregnancy or childbirth. With advances in new technology, it is essential for our patients to have a thorough understanding of all available treatment options and to have clear expectations for both treatment options and their outcome. This is where the expertise and experience of Urologic surgeon Dr. Shaya Taghechian and our staff is paramount.
Vaginal rejuvenation isn’t one single procedure. The term is an umbrella phrase that covers a large number of non-surgical therapies, surgeries, and minimally-invasive laser treatments that address concerns related to the external labia, vagina, and the pelvic floor.
Choosing the right rejuvenation treatment depends on each woman’s goals. While some may be thinking of the cosmetic advantages that come with vaginal rejuvenation, others are considering the treatment to address medical concerns, such as post-pregnancy changes in vaginal sensation, and stress urinary incontinence. The most common forms of intimate rejuvenation at Aviva Plastic Surgery include the following:
For some women, the labia majora (the outer lips of tissue making up a woman’s external genitals) and the labia minora (the internal folds or lips of tissue surrounding the vaginal opening) can be overly long or have significant asymmetry. This can be both cosmetically concerning and uncomfortable; the increased length of the labia can become caught during intercourse, during exercise (such as spinning or riding a bike), or with tight clothing. In patients with these concerns, labiaplasty can reduce the length and volume of the labia. During a surgical labiaplasty, our Urologic surgeon Dr. Shaya Taghechian removes excess tissue of the labia and stitches it back together with tiny absorbable sutures. In contrast, a non-surgical labiaplasty allows Dr. Taghechian to reduce the volume and tighten the tissues of the excess labia using radiofrequency-generated heat. The results of labiaplasty can be life-changing. In fact, according to the American Society of Plastic Surgery, surgical labiaplasty has a near 90% patient satisfaction rate.
Recovery after a labiaplasty is generally straightforward. Most women take about a week off from work, during which they can use cold packs to help reduce swelling. Within 4-6 weeks, most are able to engage in intercourse and use tampons again. While the most noticeable swelling typically disappears by 6 weeks post-surgery, patients may experience some minor swelling for up to six months following treatment. The recovery after non-surgical labiaplasty is generally shorter than that of surgical labiaplasty.
The rejuvenative power of our body and tissues is amazing, and Dr. Taghechian frequently harnesses the healing abilities of your platelets, plasma, growth factors, and stem cells to improve the health of the labia and vagina. Dr. T performs fat transfer to the labia to treat volume loss and improve sensation. She also frequently injects PRP (platelet-rich plasma) to the tissues of the labia and vagina to increase new collagen production and improve intimate sensation. Fat transfer and PRP injections can be stand-alone procedures, and are frequently combined with non-surgical vaginal tightening as well as surgical labiaplasty for comprehensive intimate rejuvenation.
Excess tissue of the clitoral hood—the fold of tissue just above and around the clitoris— can also be a source of self-consciousness for some women, particularly as it can create the appearance of a bulge or imbalance, or interfere with sexual function by decreasing clitoral sensitivity. To improve the aesthetics and function of this area, some patients may choose to undergo clitoral hood reduction. During this procedure, Dr. Taghechian surgically trims extra tissue of the clitoral hood, and closes the incision site with small, absorbable stitches. Our surgeon and patients often choose to pair a clitoral hood reduction with a labiaplasty to ensure the changes to the vagina’s external structures appear balanced and harmonious.
A clitoral hood reduction is associated with both aesthetic and functional benefits. While some women are concerned about the impact of a clitoral hood reduction on clitoral sensation, the scientific literature shows that this treatment increases clitoral sensitivity and stimulation by exposing more of the clitoris’ surface area.
While most of us group the treatments related to the labia, mons, pelvic floor, and vagina under vaginal rejuvenation, the vagina itself can benefit from therapies targeting dryness, post-pregnancy and childbirth changes, lax tissues, and decreased sensation. Weakened muscles and tissue laxity within the vagina are common among women following pregnancy, childbirth, and weight changes, and can be a significant source of self-consciousness. In extreme cases, the vaginal muscles can become so loose that they cannot hold in a tampon or can hinder a woman’s sexual function. For patients with these concerns, Votiva vaginal therapy can be a great solution.
Votiva is non-surgical vaginal rejuvenation at Aviva Plastic Surgery. During this painless, non-invasive treatment, Dr. Taghechian applies topical radiofrequency-generated heat to the tissues of the vagina, stimulating the formation of new collagen, tightening tissue, and improving vaginal lubrication. A short treatment which offers no downtime, Votiva non-surgical vaginal rrejuvenation results in noticeable functional improvement after 2-3 treatments, and is one of the most popular women’s wellness treatments among our patients.
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