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Aesthetic genital surgery - 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. Among the procedures that comprise female genital plastic surgery are labiaplasty, clitoral hood reduction, labia majora plasty, monsplasty and vaginoplasty.
The term labiaplasty refers to a procedure that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure. Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness. A labiaplasty may be performed to reduce asymmetry when one is longer than the other. , or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit. Labiaplasty is a procedure that can be done under either local anesthesia with oral sedation or under general anesthesia. Closure is done with absorbable sutures. Patients can resume wearing tampons or having intercourse after four to six weeks. While the most distorting swelling is gone by 6 weeks, residual swelling may take six months to disappear.
Clitoral hood reduction
Excess folds of the clitoral hood can be reduced with a clitoral hood reduction. The procedure is most commonly done along with a labiaplasty. A clitoral hood reduction is usually done at the time of a labiaplasty.
Labia majora plasty
A labia majora plasty is a procedure designed to surgically reduce the size of the outer, hair-bearing labia majora. Patients who feel their labia majora are too large or hang down may feel discomfort from such activities as cycling, or they may be embarrassed by the fullness. This procedure can be done under local or general anesthesia, depending on the amount of tissue to be removed. Closure is done with absorbable sutures. Most patients take a week off from work. Patients can resume wearing tampons or having intercourse after four to six weeks. Swelling after a labia majora plasty can last 6 months or longer, depending on the thickness of the tissue, although much of the swelling is gone by 6 weeks.
A monsplasty is a procedure designed to reduce bulging of the mons. Some women struggle with a bulge of excess skin and fat in the mons, the upper part of the hair-bearing part of their vulva. The bulge can result in women feeling too embarrassed to wear a bathing suit or tight pants. Sometimes the amount of skin removed can be extensive, while in others, liposuction is sufficient.
If a woman thinks that her labia majora have become too small or sagging (e.g. after a slimming diet), she can choose to have fuller labia by means of injections with own body fat or a long-lasting filler.
Vaginal tightening - rejuvenation – reshaping
Vaginoplasty is a procedure designed to tighten the vagina. After childbirth, women may complain of vaginal laxity, resulting from stretching of tissues and separating of muscles, sometimes to the point that a tampon falls out, and this lack of tone can contribute to sexual dysfunction. A vaginoplasty brings the separated muscles together, and the extra mucosa skin from the back side of the vagina is removed. The external skin can also be removed for a more aesthetic appearance. Patients may have one to two weeks of down time. They may feel a deep ache for the first few days, and there is no tampon use or intercourse for eight weeks. This procedure typically results in a tighter vaginal canal, which can help enhance sexual satisfaction.
Episiotomy scar correction
Most women have an episiotomy during their first (or following) delivery. The majority of these wounds heal quickly and leave minimal scars. Unfortunately, this is not applicable to all women. Sometimes it keeps bothering them during sexual intercourse, when going to the toilet or even when simply sitting down or cycling. A revision of the scar with or without perineoplasty is often the only solution.
Hymen repair surgery/hymenoplasty
The hymen is a ring-like skin membrane that protects the entrance of the vagina. Rupture of the hymen normally occurs during first intercourse, often with minimal blood loss as a result. Like other organs, the hymen comes in many shapes. In some young girls, the hymen is so tight that penetration (when the penis enters the vagina) fails even after several attempts. Therefore, the hymen has to be torn surgically. In other cases, it is underdeveloped or not developed at all (1 out of 1000) or damaged by an accidental trauma or rape. If desired, there are nowadays several possibilities to reconstruct the hymen.
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