Vaginal Rejuvenation is a nickname for many things
Vaginal Rejuvenation Can Be a Treatment for the Labia Majora
These Labia Majora are Deflated and Slightly Wrinkled
Some women are bothered by labia majora that appear too flat, too wrinkled, or too saggy. These issues can arise at any age.
Treatments for these issues may be surgical or nonsurgical or a combination of both.
Treatments for these issues may be surgical or nonsurgical or a combination of both.
Fat Injections are the Most Popular Treatment for Deflated Labia Majora
This video demonstrates the basic procedure of labia majora augmentation with fat transfer. Fat is harvested from any area of the body. Usually 20-30cc are harvested for each side. That's about the size of your thumb. The fat is purified before injection. Antibiotics are added to prevent infection. Platelet Rich Plasma (PRP) is frequently added to minimize absorption. Most recently, Amniotic Fluid is added for the same reason.
Vaginal Rejuvenation Can Be a Treatment for the Vaginal Opening
The Vaginal Opening is External and Above the Perineum
This Vaginal Openiing is Loose Because the Perineum is Thinned Out
A side view will help you to understand the anatomy. The vaginal opening is called the vaginal introitus and it includes the perineum. The problems that we treat include a vaginal opening that is too loose, too tight, to dry, or too sensitive. Treatments are surgical, nonsurgical or a combination of both.
Perineoplasty is the Most Popular Treatment for a Loose Vaginal Opening
The video demonstrates the basic technique of perineoplasty. It tightens the vaginal opening only. A perineoplasty only gives good results if the vaginal canal is OK. If not, a vaginoplasty is necessary because it will tighten both the opening and the canal.
Before and After Labia Majora Fat Transfer and Perineoplasty
A Tight Vaginal Opening Can Be Treated Non-Surgically or Surgically
Vaginal Dilators in a Variety of Sizes
Vaginal dilators are a common treatment for a tight vaginal opening. The tightness might have occurred naturally or it might have occured after surgery at the vaginal opening. A typical regimen involves using dilators for a few minutes every day for a few weeks.
Botox Therapy Relaxes Tight Vaginal Muscles
Botox relaxes muscles anywhere it it injected. Injections into the muscles of the perineum will relax a tight vaginal opening. Botox therapy is sometimes combined with dilator therapy or with surgical therapy.
Viveve Radiofrequency (RF) Device for Vulva and Vagina
Radiofrequency devices such as Viveve and Thermiva are used to tighten the skin of the labia majora, the vaginal opening (aka the vaginal introitus), and the vaginal canal. They also help treat vaginal dryness caused by menopause and some types of urinary incontinence.
Vaginal Rejuvenation Can Be a Treatment for the Vaginal Canal
This Vaginal Canal is Loose Because the Internal Muscles are Separated
When the vaginal canal is loose, the condition is called vaginal laxity. The main problem is widely separated internal muscles. These muscles are called the levator muscles. Other names for the same muscles are the Kegel muscles and the puborectalis muscles. The most common reason for this problem is vaginal childbirth, but it can also happen in women who have never had children or vaginal childbirth.
The best treatment for vaginal laxity is surgery. The operation is called a vaginoplasty. A vaginoplasty has several components and all of them are included whenever we do a vaginoplasty. This is something that requires very highly developed skills and experience and not all surgeons do this procedure as thoroughly as we describe here:
The best treatment for vaginal laxity is surgery. The operation is called a vaginoplasty. A vaginoplasty has several components and all of them are included whenever we do a vaginoplasty. This is something that requires very highly developed skills and experience and not all surgeons do this procedure as thoroughly as we describe here:
- Perineoplasty Component: A perineoplasty is a surgical tightening of the skin and muscles of the vaginal opening. We include a perineoplasty with all of our vaginoplasty procedures.
- Rectocele and Pelvic Floor Reconstruction Component: A repair of a bulge of the posterior wall of the vagina by reconstructing the supports to this area. Not all women have a rectocele, but most do and if this isn't fix at the same time, the vaginoplasty might fail.
- Levatorplasty Component: A surgical tightening of the internal vaginal muscles with a specialized suturing technique. This is what creates the tightening effect. Our suturing technique avoids lumpy knots inside the vaginal walls. This means and stronger and more precise repair, faster healing and more comfortable sex for you and your partner sooner.
- Colporrhaphy Component: A surgical tightening of the vaginal canal skin. It's critical to do this with finesse. If too much skin is removed, skin will be painful. If too little skin is removed, the scar on the inside might look and feel lumpy. Our techniques avoid these problems.
Vaginal Rejuvenation Can Be a Treatment for the Labia Majora
Some women are bothered by labia majora that appear too flat, too wrinkled, or too saggy. These issues can arise at any age.
Treatments for these issues may be surgical or nonsurgical or a combination of both. They include
Some women are bothered by labia majora that appear too flat, too wrinkled, or too saggy. These issues can arise at any age.
Treatments for these issues may be surgical or nonsurgical or a combination of both. They include
- Fat Injections to correct deflation or wrinkles
- Platelet Rich Plasma (PRP) Injections to supplement the fat injections.
- Amniotic Fluid Injections to supplement the fat injections.
- Filler Injections with Juvederm or Restylane to supplement the fat injections.
- Nonsurgical Laser Treatments to tighten loose skin with the Fractional CO2 Laser (FemiLift or MonaLisa).
- Nonsurgical Radiofrequency Treatments to tighten loose skin with the Viveve or Thermiva machines.
- Labia Majoraplasty Surgical Reduction of the labia majora to correct loose or wrinkled skin.
Vaginal Rejuvenation Can Be a Treatment for the Vaginal Opening
The vaginal opening is also called the vaginal introitus. When the vaginal opening is loose, the problem that causes it is a thinned out perineum. A normal perineum is thick and has muscle tissue across the middle. This can only be fixed with surgery. The procedure is called a perineoplasty.
When the vaginal opening is too tight, sex is painful or sometimes impossible. There are a few problems that cause this and the treatment depends on what's causing the problem. These are:
The vaginal opening is also called the vaginal introitus. When the vaginal opening is loose, the problem that causes it is a thinned out perineum. A normal perineum is thick and has muscle tissue across the middle. This can only be fixed with surgery. The procedure is called a perineoplasty.
When the vaginal opening is too tight, sex is painful or sometimes impossible. There are a few problems that cause this and the treatment depends on what's causing the problem. These are:
- Botox Therapy for women who are too tight because of muscle tension (with or without previous surgery).
- Dilator Therapy for women who are too tight because of muscle tension (with or without previous surgery).
- Hormonal Therapy (cream, suppository, other) for women who are too tight because of menopausal dryness and atrophy (shrinkage).
- Nonsurgical Laser Therapy Fractional CO2 Laser Therapy with FemiLift or MonaLisa for menopausal women who are too tight or too dry in the area and don't want hormones, didn't improve with hormones, or want to combine this with hormones.
- Nonsurgical Radiofrequency (RF) Therapy with Viveve or Thermiva for women with the same issues as above. There are slight differences between RF and laser and the right choice for you is individualized after a discussion and examination.
- Surgical Therapy with Reverse Perineoplasty for women who are too tight because of previous surgery and don't want or didn't improve with dilator therapy.
- Platelet Rich Plasma (PRP) and Amniotic Fluid Injections are sometimes combined with these therapies to fortify the healing process.
FemiLift CO2 Laser Handpiece (slim version)
Vaginal Rejuvenation Can Be a Non-Surgical Treatment for the Vaginal Canal
If you have vaginal laxity and it's not too severe, you might achieve a mild and temporary improvement with nonsurgical treatments with the same energy based devices that we mentioned above for other uses. These are the Viveve Radiofrequency (RF) device and the FemiLift Fractional CO2 Laser. However, the effect won't be as strong as surgery because they only tighten the skin and not the muscles of the vaginal canal.
If you have a vagina that is too dry and painful because of menopausal changes (menopausal atrophy is the term), most women achieve excellent results with either hormonal therapy or the energy based devices (Viveve or FemiLift) or both. These work much better and more reliably at improving lubrication than they do at tightening the vagina.
If you have vaginal laxity and it's not too severe, you might achieve a mild and temporary improvement with nonsurgical treatments with the same energy based devices that we mentioned above for other uses. These are the Viveve Radiofrequency (RF) device and the FemiLift Fractional CO2 Laser. However, the effect won't be as strong as surgery because they only tighten the skin and not the muscles of the vaginal canal.
If you have a vagina that is too dry and painful because of menopausal changes (menopausal atrophy is the term), most women achieve excellent results with either hormonal therapy or the energy based devices (Viveve or FemiLift) or both. These work much better and more reliably at improving lubrication than they do at tightening the vagina.
A cystocele is a dropped bladder
What About Urinary Leakage?
Urinary leakage is a medical problem covered by medical insurance and the management of urinary incontinence is not called vaginal rejuvenation. There are various types of urinary leakage. Some are treated surgically, others are treated nonsurgically, and others are treated with a combination of both. Common treatments for urinary incontinence include:
What confuses some people is that energy based devices (Viveve, FemiLift, MonaLisa and others) are being used as a treatment for urinary incontinence. While these treatments do help some women with urinary incontinence, they aren't covered by insurance and there is no good way to predict if they will work beforehand. You need to understand this before you decide to try these treatments for in this situation.
Urinary leakage is a medical problem covered by medical insurance and the management of urinary incontinence is not called vaginal rejuvenation. There are various types of urinary leakage. Some are treated surgically, others are treated nonsurgically, and others are treated with a combination of both. Common treatments for urinary incontinence include:
- "Bladder Lift Surgery" with either a sling procedure or a non-sling procedure (the Burch procedure is the most common).
- Nonsurgical Bladder Support with a Pessary which is a soft silicone ring that you insert intravaginally when you want or need support.
- Pelvic Floor Muscle Therapy with either a pelvic floor physical therapist and/or biofeedback devices and programs that include Kegel exercises and other exercises in a structure program.
- Pharmacological therapy with either hormones or medications which stabilize an overactive bladder.
What confuses some people is that energy based devices (Viveve, FemiLift, MonaLisa and others) are being used as a treatment for urinary incontinence. While these treatments do help some women with urinary incontinence, they aren't covered by insurance and there is no good way to predict if they will work beforehand. You need to understand this before you decide to try these treatments for in this situation.
THe Bottom line: No two women have the same needs and wants
When you have your consultation, we will go over your needs and wants and explore all of your options thoroughly. We will help you decide which solutions work best for you and which ones you should avoid. We offer all of the top requested and reliable procedures in the field of cosmetic gynecology and will provide you with an unbiased and complete analysis. Most of these procedures on the list below can be combined with each other and also with body and breast procedures:
Nonsurgical laser therapy for vaginal atrophy
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Nonsurgical laser therapy for better sex
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Nonsurgical laser therapy for urinary incontinence
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Hormonal therapy
Pelvic floor muscle therapy
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Nonsurgical laser therapy for better sex
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Nonsurgical laser therapy for urinary incontinence
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Hormonal therapy
Pelvic floor muscle therapy
The top surgical vaginal rejuvenation procedures are:
Labiaplasty and clitoral hood reduction
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Labia majora reduction for sagging
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Labia majora fat injections for deflation
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Mons pubis liposuction for bulging & cameltoe
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Mons pubis lift (monsplasty) for sagging
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Perineoplasty (perineorrhaphy) for a loose vaginal entrance
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Vaginoplasty for a loose vaginal canal including the entrance
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Pelvic floor reconstruction for damaged vaginal supports
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Labia majora reduction for sagging
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Labia majora fat injections for deflation
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Mons pubis liposuction for bulging & cameltoe
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Mons pubis lift (monsplasty) for sagging
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Perineoplasty (perineorrhaphy) for a loose vaginal entrance
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Vaginoplasty for a loose vaginal canal including the entrance
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Pelvic floor reconstruction for damaged vaginal supports
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