Vaginal rejuvenation

Information in spanish

Surgical Procedure

The female genital surgery is the combination of procedures aim to correct different alteration in the vagina. As many women seek to improve the shape of their breasts, many women also seek to correct problems and imperfections in the vagina, especially those resulting from childbirth.

The vaginal rejuvenation seeks to restore some characteristics of youth such as the presence of the hymen, reduction of the mount of Venus (mons pubis), and the G-Shot. In the same manner, the vaginal rejuvenation may help women to correct some conditions such as the hypertrophy of labia minora, hypertrophy of labia majora, and hypoplasia of the labia minora and majora. This area of plastic surgery also involves the clitoris surgery and the vaginal tightening surgery.

Which women do need the female genital surgery?<
The candidate for female genital surgery

There are many reasons for women to consider the female genital surgery, but childbirth is the most frequent reason. The pelvic anatomy can be affected during delivery. During delivery different lesions may affect the tissues in the vaginal canal. A mother who has just given birth hardly can notice these changes that she considers as a part of the labor delivery. However, as time passes, the woman may feel unwanted changes in her genital area.

The most frequent alterations resulting from childbirth are associated to pelvic floor damage which may cause genital prolapse (descent of tissues or organs into the vagina), vaginal amplitude, and potential incontinence.

Some pathological conditions of the vagina may also be treated through surgery. In these cases, the vaginal rejuvenation may restore the shape of these areas, permitting greater sensation during the sexual experience.

Labia majora may change as women age. Since female genitals are “exposed”, the wearing of tight clothing and certain activities (e.g. riding bicycle) may cause discomfort in patients with sagging labia. But hypertrophy of labia majora can also cause infections, vaginal pH alteration, and skin irritation. Hypertrophy of the labia majora may also affect the woman´s appearance and her way of dressing. Since this is an erogenous zone of sexual arousal, surgery is performed in such a way that the form and the function are preserved.

The female genital surgery is the combination of procedures aim to correct different alteration in the vagina. As many women seek to improve the shape of their breasts, many women also seek to correct problems and imperfections in the vagina, especially those resulting from childbirth.

The vaginal rejuvenation seeks to restore some characteristics of youth such as the presence of the hymen, reduction of the mount of Venus (mons pubis), and the G-Shot. In the same manner, the vaginal rejuvenation may help women to correct some conditions such as the hypertrophy of labia minora, hypertrophy of labia majora, and hypoplasia of the labia minora and majora. This area of plastic surgery also involves the clitoris surgery and the vaginal tightening surgery.

Which women do need the female genital surgery?


The candidate for female genital surgery

There are many reasons for women to consider the female genital surgery, but childbirth is the most frequent reason. The pelvic anatomy can be affected during delivery. During delivery different lesions may affect the tissues in the vaginal canal. A mother who has just given birth hardly can notice these changes that she considers as a part of the labor delivery. However, as time passes, the woman may feel unwanted changes in her genital area.

The most frequent alterations resulting from childbirth are associated to pelvic floor damage which may cause genital prolapse (descent of tissues or organs into the vagina), vaginal amplitude, and potential incontinence.

Some pathological conditions of the vagina may also be treated through surgery. In these cases, the vaginal rejuvenation may restore the shape of these areas, permitting greater sensation during the sexual experience. Labia majora may change as women age. Since female genitals are “exposed”, the wearing of tight clothing and certain activities (e.g. riding bicycle) may cause discomfort in patients with sagging labia. But hypertrophy of labia majora can also cause infections, vaginal pH alteration, and skin irritation. Hypertrophy of the labia majora may also affect the woman´s appearance and her way of dressing. Since this is an erogenous zone of sexual arousal, surgery is performed in such a way that the form and the function are preserved.

What can I expect during the clinical assessment?

In the consultation with the physician you should clearly express what you want to change or improve. During the consultation you may feel a little anxious, but remember you are with a health professional that is willing to listen to your desires. Through a physical examination and gynecologic assessment, the physician may determine the problem.

Will genital surgery result in decrease in sensation?

As with any other surgical procedure, the patient may experience a temporary loss of sensitivity due to the manipulation of the tissues and consequent swelling. As swelling resolves, sensitivity will gradually improve.

What may happen with the urinary function after the procedure?

In these types of procedures, the urinary function is preserved. For your comfort, urine catheterization may be used during surgery or for 72 hours, maximum, depending on the type of procedure performed.

Is the procedure painful?

Pain medication will be prescribed. Take it as needed. Most patients do not refer important pain and show high tolerance for pain. The patient may experience some discomfort due to sutures. This condition will resolve gradually as tissues heal. It is possible the patient also may experience vulvar swelling. This is an expected condition and will resolve in time.

When can I resume my normal activities after surgery?

Every patient has a different healing process and the time and way tissues may respond to injury may vary. Although you will need minimum time to recover, it is important to give your organism enough time to heal. You can gradually resume your normal daily activities, as long as, these do not require physical effort.

What are the risks involved in genital surgery?

This is very simple procedure. However, surgery of any kind carries risk of complications. The patient may experience some bruising (hematoma) which can be treated trough medication. Despite taking all precautions, infections inside or outside incisions may occur. Usually, patients undergoing surgery receive antibiotic prophylaxis against wound infection. The loss of sensitivity in the erogenous zone is extremely rare. Remember that injuries need time to heal and it takes some time for the results to be completely evident. Most complications on female genital surgery are minor and resolve in time.

What can I expect after surgery?

The patient will require a short period of absolute rest and passivity after surgery. Since vaginal tissues are very fragile, obviously any movement or physical activity should be limited. Wound healing may take from 4-6 weeks. Sexual activity should also limit for the following 4 weeks to allow maximum tissue healing. The surgical procedure usually takes 30 minutes approximately.

What care should be taken after the female genital surgery?

Part of the success of surgery depends on the postoperative care. It is very important to follow the surgeon´s recommendations to achieve the desired outcome. Dr. Nieto closely observes her patient´s convalescence and healing. Please do not hesitate to contact her if you have questions or concerns. Written instructions will be given for your postoperative care to you and your family.

What can I expect during the clinical assessment?

In the consultation with the physician you should clearly express what you want to change or improve. During the consultation you may feel a little anxious, but remember you are with a health professional that is willing to listen to your desires. Through a physical examination and gynecologic assessment, the physician may determine the problem.

Indications for your initial consultation
1 - Please express clearly your expectation about the surgery. Ensure your physician has understood your desires. You should also understand how the surgery is going to be performed and what can you expect after the procedure.

2 - Make a list of questions to ask to your physician, so you may feel all your doubts about the procedure have been completely resolved.

3 - Strictly follow all the physician`s recommendations.

4 - Prepare comfortable clothing for the day of surgery and to wear during your convalescence.

Will genital surgery result in decrease in sensation?
As with any other surgical procedure, the patient may experience a temporary loss of sensitivity due to the manipulation of the tissues and consequent swelling. As swelling resolves, sensitivity will gradually improve.

What may happen with the urinary function after the procedure?
In these types of procedures, the urinary function is preserved. For your comfort, urine catheterization may be used during surgery or for 72 hours, maximum, depending on the type of procedure performed.

Is the procedure painful?
Pain medication will be prescribed. Take it as needed. Most patients do not refer important pain and show high tolerance for pain. The patient may experience some discomfort due to sutures. This condition will resolve gradually as tissues heal. It is possible the patient also may experience vulvar swelling. This is an expected condition and will resolve in time.

When can I resume my normal activities after surgery?
Every patient has a different healing process and the time and way tissues may respond to injury may vary. Although you will need minimum time to recover, it is important to give your organism enough time to heal. You can gradually resume your normal daily activities, as long as, these do not require physical effort.

What are the risks involved in genital surgery?
This is very simple procedure. However, surgery of any kind carries risk of complications. The patient may experience some bruising (hematoma) which can be treated trough medication. Despite taking all precautions, infections inside or outside incisions may occur. Usually, patients undergoing surgery receive antibiotic prophylaxis against wound infection. The loss of sensitivity in the erogenous zone is extremely rare. Remember that injuries need time to heal and it takes some time for the results to be completely evident. Most complications on female genital surgery are minor and resolve in time. Our section about RISK FACTORS IN PLASTIC SURGERY provides complete information about this subject along with recommendations and instructions.

What can I expect after surgery?
The patient will require a short period of absolute rest and passivity after surgery. Since vaginal tissues are very fragile, obviously any movement or physical activity should be limited. Wound healing may take from 4-6 weeks. Sexual activity should also limit for the following 4 weeks to allow maximum tissue healing. The surgical procedure usually takes 30 minutes approximately.

Preoperative recommendations - Female genital surgery

1 - Your surgeon will recommend a preoperative visit to your gynecologist, who may order some gynecological tests and laboratory analyses.

2 - Any existing vaginal infection will be treated preoperatively.

3 - Usually, patients undergoing female genital surgery receive antibiotic prophylaxis against wound infection.

4 - The female genital surgery is not recommended for patients with malignant or premalignant lesions, pregnant women, or women wanting to get pregnant.

Genital Surgery - female genital organs

For your understanding, we refer the basic components of the external female genital organs:

Pubis:The pubic bone forms the anterior part of the pelvic ring created by the hip bones. >

Mount of Venus (mons pubis): The mons pubis is a rounded mound of fatty tissue over the pubic bone covered with hair.

Labia majora: The labia majora are two marked longitudinal folds of skin which extend downward and backward from the mount of Venus to merge with the skin of the perineum. They form the lateral boundaries of the vulva and cover with hair during puberty. >

Anterior labial commisure: It is the joint of the labia majora located below the mons pubis. >

Posterior labial commisure : It is the fine commisure above the perineum.>

Fossa of vestibule of vagina (or fossa navicularis): Depression in the vestibule between the vagina and the frenulum labiorum pudendi.

Labia minora: It is also called nympha. The two thin inner folds of skin within the vestibule of the vagina enclosed within the cleft of the labia majora, and extend from the clitoris obliquely downward, laterally, and backward on either side of the vulval vestibule, ending between bottom of the vulval vestibule and the labia majora. These folds are very tender and swell during sexual excitation.

Frenulum clitoridis :(also known as the crus glandis clitoridis) is a frenulum on the under-surface of the clitoral glans, created by the two medial parts of the labia minora. The clitoris is the visible button-like portion is located near the anterior junction of the labia minora, above the opening of the urethra and vagina. The clitoris is known as a pseudo-penis, under developed penis in the fetal stage. The only function of the clitoris is the sexual pleasure due to its more than 8000 nerve endings.
Tiene aproximadamente 8000 terminales nerviosas.

Clitoral hood : Also called preputium clitoridis and clitoral prepuce. It is a fold of skin that surrounds and protects the clitoral glans and has the shape of a hood.

Fourchette of the vulva: The Fourchette of the vulva is the fold of skin that forms the posterior margin of the vulva.

Vulval vestibule (vulvar vestibule): The vulval vestibule is a part of the vulva between labia minora into which the urethral opening and the vaginal opening open.

Clitoral glans: The clitoral glans is an external portion of the clitoris.
Opening to the urethra:Opening of the urethra which carries urine from the bladder to the outside.

Inferior vaginal opening

Hymen:The hymen is a thin fold of mucous membrane which covers the external vaginal opening.
The hymen is a vascularized membrane of elastic tissue that protects women from infection in infants.
It has a central opening which is necessary in order to let out the menstrual flow from uterus. Once the woman has had sex and even after childbirth the remnants of hymen remain present.

Skene´s ducts: Skene´s ducts are the ducts leading from the Skene glands to the surface of the vulva, to the left and right of the urethral opening. The Skene´s glands are the glands that deliver the fluid that emerges during the female orgasm.

Bartholin´s ducts: The Bartholin´s glands are located on either side of the vaginal orifice that secretes lubricating mucus. This fluid lubricated labia during sex activity.

Perineum: The perineum is the area or “floor” of the pelvis cavity. The bony limits of the perineum are the pubic symphysis, in front and the coccyx behind.

Anus: The anus is an opening at the opposite end of human´s digestive tract from the mouth.