Childbirth is an amazing process of bringing a new person into the world, and for the female body it is a test of strength. It is not always the case that stretched or even torn tissues regain their original elasticity. In this case, surgeons come to the rescue. Intimate plastic surgery gives a chance to restore a full sexual life even after serious breakups.
- Why is there a need for intimate plastic surgery after childbirth?
- In what cases is it necessary?
- Types of Vaginoplasty
- Perineal plastic surgery
- Labiaplasty
Indications for vaginal plastic surgery
Vaginoplasty is recommended in the following cases:
- the vagina is distended by childbirth and intense physical exertion;
- vaginal prolapse (in this case, colporrhaphy is done)
- prolapse of the vaginal walls (in this case, colporrhaphy is done)
- in case of prolapse of internal organs from the vagina (advanced cases when the presence of a gaping genital fissure was not eliminated earlier) (in this case, colporrhaphy is done)
- urinary incontinence caused by relaxation of the vaginal muscles
What is colporrhaphy
The operation most often involves suturing overstretched and sagging mucosal walls, torn muscles, fascia and the formation of a normal vaginal diameter. Vaginoplasty or, as it is called in gynecology, colporrhaphy, requires highly qualified surgeons. To reduce the invasiveness of the operation, innovative hardware methods of tissue excision are practiced.
Vaginal wall plastic surgery is performed to correct anatomical defects that arise due to childbirth in order to improve the quality of life and prevent serious forms of prolapse that can lead to health problems.
This technique will help restore the aesthetic appearance of the genitals, eliminate constant discomfort and pain when walking, sitting, sexual intercourse and physical activity.
Colporrhaphy relieves serious complexes in intimate life that arise due to the inability of a man and a woman to achieve orgasm. The procedure also solves problems such as air or water entering and leaving with unpleasant sounds.
Let's reveal the secrets of this delicate topic.
Colporrhaphy results
Progress of the operation
The surgical intervention includes three stages:
- The sagging area, which could not be “lifted” with HA-based compounds or threads, is excised
- The perineal muscles are sutured
- Upper sutures are placed on the mucosa.
Epidural anesthesia is most often used for pain relief. The duration of the operation is up to 1 hour. After surgery, the patient remains in the hospital for a week, after which she is discharged home.
Intimate plastic surgery for men
In the minds of most men, masculinity and sexuality are equivalent concepts. The size of the male genital organs is identified with masculinity and strength, they allow one to assert self-esteem. Because of this, most men worry about
What should be the penis size? penis size and shape. Dissatisfaction with the length and width of the penis leads to sexual constraint and tightness in communicating with women. For some men, excessive anxiety about penis size can lead to total insecurity about their capabilities.
Due to the social significance of penis size, doctors and researchers have developed methods of penis reshaping. They improve the quality of sexual life, regardless of the man’s age. A few decades ago, these were expensive operations. Now these are accessible methods of intimate plastic surgery that change the shape and size of the penis with a minimum rehabilitation period and relatively low monetary costs.
Most often, men turn to doctors for the following reasons:
- improving the quality of sexual life;
- increased sense of male dignity;
- removing the “locker room complex”, in which a man feels awkward and embarrassed in places where other men gather, for example, in a sauna, bathhouse or showers in gyms;
- increasing sexual attractiveness.
Medicine has modern methods for correcting the size and shape of the penis. These methods are aimed not only at the aesthetic and functional side of the problem, but also at reducing complications after the intervention. Correction methods include: lipofilling, microsurgical tissue autotransplantation, transposition of fascial fat grafts, ligamentotomy. In addition, men address local problems: enlargement of the head of the penis (phalloplasty) or correction of the frenulum.
Lipofilling is the transplantation of pubic fat tissue into the tissue of the penis to increase its width. First, the doctor pumps out part of the fatty tissue of the pubic area, after which this tissue is processed and then injected with a syringe under the skin of the penis along the shaft - the penis expands. The girth of the organ remains for 2 years, after which the procedure can be repeated.
Microsurgical tissue autotransplantation is a method of increasing penis size that uses the body's own intact tissue. The correction method is used not only to solve an aesthetic problem. Doctors use microsurgical autologous tissue transplantation to treat urethral stricture, adrenogenital syndrome, urethral obliteration, hypospadias, primary hypogonadism, and in cases where a man has lost part of his penis after injury.
Ligamentotomy is a method of penis lengthening in which the doctor cuts the suspensory ligament. After cutting the ligament, the penis lengthens by 3–5 cm. The procedure lasts no longer than 20 minutes and is rarely complicated. The postoperative period lasts 2–3 days.
In order to lengthen the penis, another technique is also used – penoscrotal angle plastic surgery. It is performed when the fold of skin between the scrotum and penis is excessively pronounced, causing the size of the penis to visually decrease. There is no need to be hospitalized for the operation.
In some men, the size and shape of the penis is normal, but due to congenital anatomical features, it is hidden by the tissues of the scrotum. This is called a hidden penis. This is a rare pathology, but it can be corrected. During the operation, doctors bring the penis out, and its base is fixed with sutures so that the penis does not “sink” back into the tissues.
Where can you get vaginoplasty in Moscow?
Specialists from the Central Clinical Hospital of the Russian Academy of Sciences invite you for a consultation about vaginal plastic surgery and procedures, including surgery, if minimally invasive methods are not suitable or do not produce results. In comfortable clinical conditions, the clinic’s doctors perform anterior and posterior vaginal colporrhaphy operations, guaranteeing patients an aesthetic, comfortable and sustainable result of the operation. More information can be obtained during a consultation - to receive clinical recommendations, find out the price or decide on surgical intervention, make an appointment by phone +7 (495) 104-85-97
Intimate plastic surgery for women
Natural age-related and physiological changes make adjustments to the female body: the skin of the labia majora and minora becomes flabby, the clitoris decreases in size and loses sensitivity, and the elasticity of the vagina decreases.
Most often, women turn to doctors because of:
- discomfort when wearing underwear;
- problems in playing sports;
- dissatisfaction with appearance;
- fear and uncertainty about one's own sexuality;
- physical and psychological discomfort during sexual intercourse.
Usually women apply for two or three reasons at once.
Science and medicine help: the genitals can be brought to perfection. For this purpose, minimally invasive surgery in gynecology is used: labiaplasty for the labia majora and minora, pubic liposuction, clitoral hood reduction, hymenoplasty, intimate filling, G-spot enlargement, vaginoplasty and laser vaginal rejuvenation.
Labiaplasty is a reshaping of the labia and skin around the vulva. The procedure is performed on women with congenital structural features and girls who are not satisfied with the appearance of the external genitalia. Labiaplasty is also performed if there are abnormalities and defects in the development of the genital organs, for example, vaginal atresia or stretching of the labia due to childbirth or injury.
Pubic liposuction is a minimally invasive procedure that aims to remove excess fat deposits in the pubic area. The operation can be independent or part of a general liposuction procedure on the abdomen and waist. The result of the operation is tightened and elastic skin of the pubic area.
Clitoral plastic surgery is performed for several purposes: to remove an overdeveloped clitoral hood, to remove folds of the perineal mucosa that cover the head of the clitoris, or to restore the appearance of the clitoris. The ultimate goal of the procedure is to enable a woman to receive aesthetic and sexual pleasure.
Hymenoplasty is a procedure during which the doctor restores the integrity of the hymen. The operation is performed at the woman’s request, since there are no health or life-threatening indications for hymenoplasty.
Intimate fillet or contouring is a procedure in which a doctor injects a woman's genitals to improve their appearance or functionality. Hyaluronic acid is used as an injection filler. The substance maintains the skin and mucous membranes of the labia in tone. Intimate filling is indicated for age-related and postpartum changes, vaginal dryness, wide vagina, asymmetry of the labia majora, and decreased genital skin tone.
Vaginoplasty is the restoration of a damaged vagina after childbirth or injury. As a result of vaginoplasty, a woman achieves the opportunity to receive sexual and aesthetic pleasure. The procedure is also performed for people who wish to change male genitalia to female (feminizing vaginoplasty).
Laser vaginal rejuvenation is a minimally invasive cosmetic surgery. It restores the aesthetic appeal of the vagina. The procedure is indicated for women who have undergone vaginal surgery, had a problematic childbirth, have damaged an organ due to injury, and who are experiencing natural age-related changes.
Women need to remember the American College of Obstetrics and Gynecology Warning:
- vaginal rejuvenation, vaginoplasty, hymenoplasty have no medical contraindications, their safety and effectiveness have not been fully studied;
- labiaplasty may seem simple and harmless, but it can lead to complications and unpleasant consequences.
Medical interventions are considered justified in the following cases:
- it is necessary to correct or restore the physiological shape of the external female genitalia after unsuccessful plastic surgery;
- a woman has congenital asymmetry or hypertrophy of the labia.
Representatives from the American College of Obstetrics and Gynecology also warn that cosmetic procedures create the illusion of ease and safety. Moreover, up to 7% of such operations end unsuccessfully.
Rehabilitation period after plastic surgery in Pyatigorsk
After vaginoplasty, a woman can remain in hospital for 1 to 7 days. After discharge, the woman will need to sit in a certain way, as determined by the doctors.
To prevent complications, it is necessary to take antibiotics. Taking them reduces the risk of tissue inflammation and infections.
For the first 7 days after vaginoplasty, you should eat only liquid foods. This helps relieve the general condition.
After vaginoplasty, you should never:
- carry heavy loads
- exercise
- overheat
- Go to solariums, saunas,
- Take hot baths and swim in the pool.
- During this operation, a self-absorbing thread is used, so there is no need to remove sutures.
- The beginning of sexual activity is possible no earlier than after 2 months.
If you strive for a fulfilling sex life, then you should not be embarrassed to talk about your problems, and you are unlikely to be able to surprise the surgeon.
Vaginoplasty is used by those who want to return their genitals to their original appearance and improve the functioning of the entire body.
Complications after vaginoplasty
It is believed that the most common risks are bleeding and infectious diseases.
But after surgery, these complications are extremely rare; bleeding stops during the operation, and antibiotics are required after it. They are the ones who help avoid all the problems described above.
What risks can patients expect after plastic surgery?
Typically, intimate plastic surgery is minimally invasive surgery or non-surgical procedures. However, they can leave behind complications:
- early postoperative hematoma: most often observed 2–3 days after the procedure. It consists in the fact that blood accumulates in the area of intervention. The labia increase in size and turn red;
- excessive resection of the labia minora. It happens when an incompetent surgeon removed part of the labia minora;
- inflammation. It manifests itself as local suppuration of the wound. After healing, deformation may remain;
- divergence of the surgical suture. May lead to a visible defect in the genital organs.
Late postoperative complications almost never occur. In rare cases, a scar forms, which can be easily removed using conservative methods.
Preparation
To obtain the desired result with minimal risks, preparation will be necessary.
First of all, the patient should visit a plastic surgeon. At the appointment, the doctor will conduct an examination in a gynecological chair, which will allow him to assess the condition of the tissues of the perineum and vagina. During the consultation, the specialist will offer several options for solving the problem.
The first is colporrhaphy. This is a surgical intervention that involves plastic surgery of the posterior wall of the vagina or its anterior part. In the first case, the procedure involves reducing the depth and size of the organ, in the second - excision of part of it.
In addition, levatoroplasty is performed. This is a manipulation that is carried out if there are medical indications, in order to strengthen muscles when they are torn or severely stretched. In most cases, this method is used simultaneously with anterior colporrhaphy.
Next, the doctor gives the patient a referral to undergo laboratory and instrumental examination, which includes:
- general blood and urine analysis;
- vaginal smear for microflora;
- tests to detect syphilis , AIDS, HIV and hepatitis;
- biochemistry;
- electrocardiogram;
- X-ray of the sternum area.
The list of studies, if necessary, can be supplemented with other diagnostic methods. Everything will depend on the general initial condition of the woman and the amount of work expected.
A consultation with an anesthesiologist is required, since surgical intervention to correct the vagina involves the use of general anesthesia.
In the absence of contraindications to surgery, the doctor gives certain recommendations for further preparation for vaginoplasty.
Smoking and alcohol must be eliminated at least 14 days before the appointed date. It is necessary to stop taking medications that can negatively affect blood clotting.
7 days before surgery, the patient must undergo antibiotic therapy and treatment with antiviral agents. This will prevent relapse of viral infections and pustular lesions. A prescription for medications is written exclusively by the attending physician.
On the day before surgery, you need to review your diet. You should limit yourself to only a light breakfast. The daily fluid intake in the form of clean water should be at least 1.5 liters. Vaginoplasty is performed on an empty stomach.
Contraindications
Plastic surgery is not performed if a woman has problems:
- acute period of any chronic disease;
- inflammatory or infectious process in the genitals;
- pathologies with blood clotting disorders;
- cancer;
- pelvic organ prolapse;
- severe stage of diabetes;
- serious heart or vascular disease;
- mental disorder.
Perineal plastic surgery - perineoplasty
Perineoplasty is a surgical method for correcting incompetence of the muscles and tendon center of the perineum, deformities of the perineal zone and vulvar ring after childbirth. Depending on the severity of damage to the perineal tissue, various surgical correction methods are used. more about perineal muscle failure and perineoplasty here .
Minimally invasive perineoplasty
Minimally invasive perineoplasty (vaginal lifting, vaginal threads) is used for mild forms of incompetence of the perineal muscles and the vaginal opening (gap of the genital slit, decreased vaginal sensations).
The method consists in eliminating the incompetence of the perineal muscles using special long-absorbable threads installed through punctures in the superficial muscle layers. The threads dissolve after 180-210 days. After minimally invasive perineoplasty, you can give birth through the vaginal birth canal.
The advantage of the technique is that it is minimally invasive - it does not affect the general condition of the patient; the next day the woman can begin work, the operation can be performed on an outpatient basis, under local anesthesia. The disadvantage can be considered the high cost of the threads themselves (consumables) - up to half the price of the service.
Perineoplasty classic
Perineoplasty in its classic form is performed to correct severe cicatricial deformities of the perineal area and as a stage of surgery to correct incompetence of the pelvic floor muscles. Incompetence of the perineal muscles develops as a result of damage to the pelvic floor muscles during childbirth.
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What do you need to know about the postoperative period?
In the first week after surgery, you must remain in bed. It is allowed to sit down after 14 days. It is also necessary to follow a balanced diet to avoid constipation.
To avoid the development of postoperative complications, it is necessary to minimize physical activity and not lift heavy objects. In addition, the doctor may prescribe a course of physical therapy. It is recommended to wear a special bandage. During the recovery period, sexual rest should be observed.
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Are complications possible?
Vaginal prolapse surgery will require further rehabilitation for at least a month. Otherwise, the patient may face new problems. However, their reason may also lie in the incorrect actions of the doctor. Complications are as follows:
- inflammatory process in the organ;
- impaired urination and, as a consequence, cystitis;
- changes in vaginal sensitivity;
- growth of scars in the suture area;
- hematomas.
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Methods
Colpoplasty is divided into two main types.
Using your own fabric
During surgery, the specialist excises excess tissue and connects the edges of the wound, which makes it possible to reduce the lumen of the vagina. This operation is suitable for women who require correction of the anterior vaginal wall, as well as if it is necessary to strengthen the pelvic diaphragm and narrow the entrance.
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In this case, the muscles remain unaffected. It is on them that sutures are applied that fix the skin into a fold. Already above it the edges of the mucous membrane are sutured.
With implants
To fix the vaginal walls and prevent further prolapse or prolapse, surgeons use a special mesh made of non-absorbable material. Subsequently, it begins to become overgrown with connective tissue, resulting in the creation of a strong frame that ensures long-term preservation of the result obtained after plastic surgery.
In addition, vaginoplasty can be used as an independent surgical intervention or in combination with other manipulations, for example, in conjunction with restoring the shape or changing the size of the clitoris.
Experts also distinguish another type of colpoplasty - laser vaginoplasty. This is a method in which the vagina is narrowed and its tone is increased using non-surgical treatment.
Laser vaginoplasty is indicated in cases where it is necessary to correct minor defects, increase elasticity and rejuvenate tissue. Thanks to this manipulation, there is a smoothing of the folds of the mucous membrane, tightening of the muscles, thickening of the vaginal walls and a reduction in the size of the organ.
This effect is achieved due to the thermal effect of the laser beam on soft tissue, as well as as a result of contraction of collagen and muscle fibers. Against this background, the processes of producing new collagen are launched. As a result, elasticity is restored and vaginal relaxation syndrome is eliminated.
Do I need to have intimate plastic surgery?
The World Health Organization defines reproductive health as a state of physical, mental and social well-being in all areas that relate to reproductive health. That is, these are the points that are associated with the possibility of normal sexual activity and fertilization.
If the shape and size of the labia, the volume of the penis or its appearance and everything related to the genital organs brings physical or psychological discomfort and leads to social disadvantage, the person is considered reproductively unhealthy. In this case, you should discuss with your doctor the need for intimate plastic surgery.
Intimate plastic surgery is performed if a person wishes and is objectively necessary in the following cases:
- elimination of the consequences of childbirth in the vagina, labia and perineum as a whole;
- aesthetic correction of the labia majora and minora, for example, with their asymmetry, hyperpigmentation or large sizes;
- a large clitoral hood that interferes with sexual satisfaction;
- excess fatty tissue in the pubic area;
- congenital or acquired defects and anomalies of the genital organs as a result of injuries;
- sagging skin of the labia;
- elimination of scars and skin defects after unsuccessful surgery;
- length and volume of the penis, preventing sexual pleasure.
However, surgery is not always necessary. For example, a man may be worried about the size of his penis, but in fact its length and girth are normal. That is, there are no objective indications for surgery. In this case, you need to work with a psychologist to instill an adequate attitude towards your body. The most effective method is cognitive behavioral therapy.
What is intimate plastic surgery of the labia minora?
Intimate labiaplasty allows you to change the shape and size of the labia minora. It is often performed on women with lip hypertrophy, which causes discomfort during hygiene and sports (running, cycling). Hypertrophied labia minora can be injured by clothing, for example, when fastening a zipper. Due to its large size, the urine stream disperses and discomfort occurs during sex.
Indications for intimate plastic surgery of the labia minora:
- asymmetry;
- physiological and psychological discomfort;
- hypertrophy (large size);
- "locker room" syndrome;
- rupture due to childbirth and trauma.
However, there is some debate about the size. Some authors claim that enlarged labia minora are considered as such if their length in a stretched state exceeds 5 cm. Others claim that hypertrophy is considered to be 3–4 times more than normal. In any case, to understand whether the size of the labia minora is normal, you need to consult a doctor.
ON CLINIC services
At ON CLINIC the operation is performed using a gentle, minimally invasive method. This allows you to minimize the recovery period and eliminate the development of complications. As practice shows, such an operation contributes to the beginning of a new and better stage in a woman’s sexual life.
The surgical intervention is performed under general anesthesia, and the use of modern low-traumatic surgical techniques allows the woman to fully recover in the shortest possible time. After the intervention, you will have to spend 1-2 days in our hospital under the supervision of doctors.
Our hospitals are equipped with everything necessary to make you feel comfortable and calm. We try to surround you with care and attention so that your full recovery comes as quickly as possible.
As a result of the operation, the muscles of the pelvic day and perineum are strengthened, and the vagina again becomes elastic, tightened and acquires its prenatal size.
Ter-Hovakimyan A.E. Gynecology Center at ON CLINIC
