Vaginal Rejuvenation & Tightening
Dr Pankaj Mohan sharma
MBBS MD General Medicine

Some women feels that their Vagina became lax , loose , disfigured and asymmetrical, Some feels there is a deformity in the counter , These all are age and pressure related vaginal problems. Vaginal defects can be rectified and corrected , this is called Vaginal Rejuvenation , Vaginal defects including weak muscles poor tones and flaccid skin are targeted and corrected with cosmetic surgical procedure called Vaginoplasty , or more significantly , Vaginal- Tightening Surgery , Whether from age , following child birth or caused by Injury, the inside and outside diameter of Vagina will increase , the muscle of perineum area of a women genitalia, which is from the front of the anus to the posterior skin of vulva , also become loose , unfortunately the stimulation arising from sexual intercourse is reduced due to this condition affecting all parties involved, The lax Vagina is incompetent for pleasure full intercourse , So women loose the opportunity of sex pleasure and feel of not gaining the super climax of sex pleasure- which is also called Orgasm,
Advancement in cosmetics surgery enables women to eliminate this unplesurable sex condition , This Surgery can increase the tone , flexibility of the Vaginal muscles, It reduces the internal & external diameter of vagina, It is also useful to rectify the shape and size of Vagina and also perineum.

Vaginal Rejuvenation surgery – (Labiaplasty , Hymenplasty, perineoplasty , Urinary incontinence)

After Childbirth , Or as a Women grows older, changes might occur within her Vagina ,It might feel different to her and her partner during intercourse , or might look different externally , Vaginal rejuvenation Surgery can be an option for women experiencing these Vaginal changes ,



Vaginal Rejuvenation Techniques & Treatment may include the following procedures-


Vaginal Rejuvenation surgery
This is , one or Two hours out patient procedure , It is also called posterior Repair Or Vaginoplsty, which Reduces Internal Vaginal Mucosa , which Tightens the canal. This can help to increase Muscle tone , Control and strength, Potentially increase the pleasurable friction during intercourse,

Vaginoplasty rejuvenate a womens vagina , tightening muscles and repairing soft tissues, .Excess skins may also be removed , Vaginal Tightening surgery generally takes about one hour and It is often depends on the individual , the extent of correction desired , and the professional expertise of the licensed anesthesia.

After Vaginal Rejuvenation Surgery , a Patient can walk within a few days and can return to sexual activity in four to six weeks, It is important to note that vaginal Rejuvenation surgery can not cure sexual dysfunction or increase desire , This Surgery may not be covered by the insurance, and complication of bleeding and scarring are possible.

Vaginoplasties are often touted as a way to improve sexual satisfaction for women but there is no proven scientific data to back up this claim , the opposite might be true – painful intercourse can be a result if vaginal muscles are too snug, other possible risk from genital procedures are painful scarring or nerve damage that could result in loss of sensation or hypersentivity, according to some doctors they added that the procedure have a low rate of complications and that their happy customers rejects those qualms.

Labia Reduction or Labiaplasty –

Some women’s are unhappy with the appearance of their external genitalia, Aging , child birth and injury can alter the size and shape of their Labia Major and Minor , or Outer or Inner lips of vulva , In same cases the labia may be irritated by clothing or even be visible through garments.

Cosmetic surgery can be used to enhance appearance and self- esteem but it can also be used to enhance the function , some women having enlarged Inner genital lips ( labia minor) can be functionally and emotionally bothersome , Age , child birth , hormones, and sexual Intercourse can caused enlarged labia ,or it can occur naturally, local irritation and problems in personal hygiene can interfere with sexual intercourse ,and cause discomfort in other activities like cycling , walking , sitting . Labiaplasty or Labia reduction is the cosmetic surgery procedure that offers women a solution,

Labiaplasty surgically reshapes or reduces the external appearance of vagina, this is done to enhance women’s vaginal appearance and sexual gratification,

Today surgeon can remove the excess tissue from the labia majora and minora with laser labiaplasty . this procedure reduces the length of the tissue as well as masking uneven labia equal in size , Usually a short out patient procedure done under general anesthesia , Labiaplasty has short recovery time ,

With increasing popularity of various cosmetic surgery procedures including labiaplasty , it is important that the prospective patients research and and understand different issues like what the procedure can and cannot treat , inherent risk –cost, and other factors , keep in mind , cosmetic surgery is just that – a surgical procedure whose results cannot simply be erased

Labiaplasty may not be covered by insurance, but most surgeons offers payment plans . This surgery can be done concurrently with other genital, facial or plastic surgery elsewhere on the body.

Purpose of labiaplasty-
There are many reasons and it could be different for different women – some of them are
1- Reducing pain during intercourse.
2- Gaining a boost in self esteem.
3- Feeling more confident.
4- Reducing emotional and physical discomfort from enlarged labia.
5- Enhancing sexual pleasure.

How to Begin Labiaplasty
If you are planning labiaplasty , you must consult a qualified cosmetic surgeon , during consultations , doctor can learn more about your problem and requirements , and can be able to evaluate your current status of Laxity of Vagina, , Possible Remedies , Precautions , Risk , surgical method to be taken .and other necessary information which can be useful during the procedure and patient can get very good result.

How labiaplasty performed
Labiaplasty is performed by two method – the first one is manual and second one is By Laser . Manual - uaslly takes about one to two hours while the patient is under local or general anesthesia The Laser one is of about one hour. labiaplasty is generally painless procedure , in labiaplasty , surgeons reduces the excess tissue by section from the centre and bringing together the top and bottom, the excess skin and fat is surgically removed, this procedure requires proper skills to stitch the margins with no scar,

Laser Reduction Labiaplasty
This is alternate method for enhancing procedure , laser are used to trim the labia minora, the procedure is result in the loss of normal labia edges, it is stichless and possibility of scar is too less,



Augmentation Labioplasty
This procedure can be used to enhance the labia majora , the fat and connecting tissue is collected from other area of the body and reinjected into labia providing an enhanced labia

Labial augmentation is less invasive than other genital surgeries , and can easily be combined with other procedures. This technique can be performed with other abdominal and General Surgical procedures, It is not covered under Insurance claims


IS LABIAPLASTY IS PAINFUL
It is natural for women to feel mild to moderate discomfort and swelling after procedure , doctor should prescribe the medication to reduce the pain , but the procedure is painless,

Long term effects and complication of labiaplasty
The results of labiaplasty is permanent, scar and irritation are unsual complications, Usually the Long term effects are uncommon.



Parineoplasty

Especially after giving birth , some women experience weakness in their perineum , the region between vaginal opening , or introitus, and the anus , Often the superficial transverse perineal mascle is damaged , This can affect sensation as well as the external appearances of the labia majora , which may seem gaping or loose,

A Parineoplasty is a surgical procedure that helps or strengthen the perineal muscles , Some Physicians use a new technique that uses a laser versus traditional surgery . This will reduces the size of vaginal opening and improve the appearance of labia majora and labia minora , Confidence and sexual sensation may improve after this surgery,

As with all Surgery , perineoplasty is a procedure that may have side effects and complications, It is also unble to cure sexual dysfunctions, and may not be covered by the insurance,




Hymenolplasty-
The hymen is a thin membrane enclosing the vagina, allowing menstrual flow to pass through, Through use of Tampons, Physical activity and sexual intercourse the Hymen can be broken.

A hymenolplasty is a surgical procedure that replicates the natural hymen membrane , During the surgery the epithelial layer that has grown over the remaining hymen tissue is removed , If non other remains , the surgeon can free a small strip of vaginal mucosa to reattach in a circular fashion , the reattachment of the hymen results in constriction and bleeding once intercourse occurs for the first time after the surgery.

Hymenolplsty surgery is relatively quick and done under a Local Anesthetic, it usually requires six weeks of recovery time . Some women are having this surgery as a way to celebrate an anniversary with their spouse , while others might have cultural or religious reasons to do so. Hymenoplsty is not covered by the Insuarnace claims.



Stress Urinary Incontinence
Many women experience stress urinary incontinence as they grow older . gain weight , or give birth , Depending on its severity , coughing , sneezing , laughter or exercise may cause leakage of Urine.

There are many cases of Stress Urinary Incontinence , In some cases the urethral sphincter may become weak , allowing urine to leak , injury , abdominal surgery or chronic coughing disorder may put enough pressure on the bladder to cause leakage problems. Pelvic prolepses is caused when weak muscles allow the organs to move and press against vaginal canal , If the bladder is prolapsed this can also lead to incontinence,

There are dietary, pharmaceutical and physical means to assist with stress urinary incontinence, which should be discussed with your doctor, In case of bladder prolapse or cystocele , laser constrictve surgery is available, During Surgery the Bladder is moved into its correct position and affixed to the muscle, ligament or bone through a string or sling , An artificial sphincter around the urethra may be utilized as well.







G spot Amplication
The G spot named in the honor of Dr ERNST Grafenberg. It is a small cushiony area on the anterior wall of Vagina , Dr Grafenberg and others claim that this area when stimulated can lead to increased sexual pleasure , some expert remain unconvinced that G spot exist however.

A new non-surgical technique has been developed to temporarily enlarge G spot ,In order to potentially increase sexual pleasure and orgasms,

The Procedure is relatively simple and nearly painless ,First the patients assists the physician to locate the G spot , This position is measured and recorded for future use , A tropical anesthetics is applied to the vaginal wall , where a three and half inch long needle administer the human collagen into the G spot , This causes G spot to extend to size of a quarter , but does not inhibit the sexual activity or the use of tampons,

After a few months the collagens is harmlessly absorbed into the body . As with other cosmetics genital procedures ,the G spot cannot cure sexual dysfunctions, and some side effect can occur, This is also not covered under Insurance.




Rejuvenation of the Mons Pubis

With weight Gain or Weight Loss , Child Birth and the passage of time , To improve appearance and sexual fulfillment, cosmetic surgeons can inject the labia with extracted body fat , This technique can also be used to increase the size of one side of labia if other side is smaller .

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Pubic mounds or mons pubis can sag or bulge , This can result in an unattractive appearance when naked or wearing clothing , sagging of the Mons pubis can make clitorial stimulation difficult .

Cosmetics surgeons can now remove excess fat from the pubic mound . Using local and sedated or general Anesthesia , the thirty to sixty minute procedure lift the mons , ion sometime liposuction used to remove excess fat tissue . The procedure results in a scar hidden in the pubic hair , Mons Pubis rejuvenation flattens and lift the pubic area. Another side effect can be increased clitoral exposure , which can aid an sexual stimulation,

Mons pubis Surgery has a short recovery period , and can be easily combined with genital or abdominal As a women turn their attention to the beauty of the whole body , genital alteration becomes an option , while some feet aspects of their genitalia are too large . for example long labia majora or vulvar lips , other feel their labia are too small or thin
cosmetic surgery, The Insurance coverage is debatable.





Reduction of excess prepuce
Aging , weight loss or weight gain and childbirth can all change the appearance of a women’s external genitalia , This changes can affect the vaginal vault itself , The labia minora, and majora and even the tissue around the clitoris, called prepuce , or hood,

Cosmetic surgery is now available to sculpt the prepuce area , this can improve the improve the appearance of the hood , as well as allowing for better access sexually . because the clitoris is such a sensitive area , care must be taken not to improve too much prepuce.

Reduction of excess prepuce surgery can easily be combined with plastic surgery of the body or face or other genital rejuvenation treatments, The Prepuce surgery is non coverable under Insuarnace,



Laser Vaginal Rejuvenation

LASER Vaginal Rejuvenation is a one hour outpatient surgical procedure that is designed to enhance sexual gratification, According to Master and Johnson sexual gratification is directly related to the am frictional forces generated . We can accomplish this friction with LVR ( LASER VAGINAL REJUVENTION)
Laser Vaginal Rejuvenation effectively Enhance the vaginal tones ,strength and control , The internal & external diameter of vagina can be effectively manipulated .,
Laser Vaginal Rejuvenation is a One Hour or Less out patient surgical procedure , It enhances the feelings of sexual gratification , This Enhancement is accomplished through a reconstructive process of vital areas of Vaginal Relaxation and its associated symptoms , primarily that of stress Urinary Incontinence ,

Vaginal relaxation is the loss of optimum structural architecture of Vagina, In vaginal Relaxation process the vaginal smooth muscles are sluggish, and becomes of poor tones , as the result of poor tone , poor strength and control the vaginal diameter can greatly increased , the muscle of perineum of supporting muscles of outside the vaginal opening , producing a weakened , poorly supportive thin perineal body , the laser therapy can rejuvenate the muscle tones of vaginal and supportive muscles and tightens the diameter of vagina ,


PELVIS FITNESS
Pelvic Health integrated Techniques-- SEXERCISE

Pelvic floor fitness is controversial. In some ways it is ideally placed to be the latest stick with which to beat women. American surgeon , for example , have been known to offer women the grotesque reassurance that a caesarean section will keep them honeymoon fresh , the craze for vaginal beautification simply preys on our worst fears, that we will become incontinent and sexually unattractive , but how concerned do women really need to be about the state of their pelvic- floor muscles?

Putting aside the extreme nature of Faith Hospital , Dr Das recommends kegels exercise she says – it is much easier to learn how to contract undamaged muscle , She says “school girls should learn how to do pelvic floor exercises and do them on a regular basis”

The problem with the pelvic floor for women she says is that it is a “design fault” in the female body. .Large mammals were designed to walk on four legs, Now that we walk on two , the pelvic floor has to bear the weight of internal organs ( the womb increases)

Modern Women also subject it to more abuse than the past , with heavy lifting and exercise “there is much more impact on women’s pelvic floors than there used to be and women are conscious of problems,

When pelvic floor fails the result is stress incontinence (when muscles came under pressure )This can occur when you laugh , cough, sneeze or exert yourself , and it is often reported as a post natal problem,” about 50% of the women will have some urinary leakage at some time after childbirth”

By the age of 80 . however , 11% of all women will have undergone an operation for incontinence or pelvic organ prolapse ( when the womb collapses into the vagina and bladder or bowel can slip out of place), not at all these women will have gone through child birth, the incidence of vaginal prolapse is increasing ,

Weight is a factor , Doctor advise a body mass index of below 30%( ideal is 20- 25%) Doctors recommend swimming and cycling as suitable exercise because they do not stretch the pelvic floor ; running for hours on the treadmill or a lot of high high impact exercise can cause the problems , avoid trampoline whenever possible , she adds ( seventy percent of young girl who trampoline wet themselves} yoga and Pilates are excellent,
These exercise are not only for women who have just had children, there are many issues with incontinence as people get older , both for men and women , She says – pelvic floor exercises for men also been shown to help men with erectile dysfunction}
Having a caesarean is no sure way for women to avoid pelvic floor problems,
Caesarean partially protect but not completely, just being pregnant and having nine months of intra abdominal pressure is enough, women who have not had children are less likely to have pelvic floor problems, but not even this guarantees immunity “ if you are born with a weak collagen – the elastic tissue in your body – you are more likely to be exposed to pelvic floor problems, when genes are to blame , it is hard to know whether preventive efforts will have any effect .
We take care for all type of surgeries and procedures for vaginal rejuvenation in India
Dr PANKAJ MOHAN SHARMA
FRU 1 , RCH HOSPITAL
SECTOR 30 , FARIDABAD
HARYANA, INDIA
E mail- pmsnetwork@mail.com
Phone-- 00919250885530