Among these procedures, vaginal rejuvenation is considered as one of the most controversial genital cosmetic surgical interventions and involves a range of surgical procedures performed by gynecologists or plastic surgeons to decrease the average diameter of the vagina, mainly for sexual reasons. In this narrative review, vaginal rejuvenation outcomes are examined in order to clarify the current scenario of the different vaginal rejuvenation techniques, as well as their effectiveness and associated complications. Psychological and ethical issues linked to these procedures are also addressed. In general, vaginal rejuvenation is often proposed to women who feel a sensation of wide vagina due to vaginal delivery or aging, in order to enhance the vaginal tone and thus sexual friction. The increasing popularity of FGCS has elicited academic attention worldwide.
Laser CO 2 is generally used in dermatologic and esthetic surgery for the treatment of several skin and mucosal lesions, such as acne scars or chrono-aging facial defects. Aside from surgery, the advent of nonsurgical methods and energy sources for these indications is receiving tremendous response and patient acceptance Karcher and Sadick, Overall, the authors reported that after 12 months, the FSFI total score was significantly improved, particularly regarding the FSFI orgasm domain; moreover, Vaginal rejuvenation involves a range of procedures performed by gynecologists or plastic surgeons to decrease the average diameter of the vagina, mainly for sexual reasons. The laesr suggests that treatment benefits can Rod serling sold rights wife family 9 to 12 months and recommends yearly maintenance rejuvanatioon does not provide any data to support this statement. This difference was significantly different. Whether you are looking for a clinician or would like to learn about how lasers and energy-based devices are used Articles about laser vaginal rejuvanation common procedures or specialty fields, this area is for Articles about laser vaginal rejuvanation
Articles about laser vaginal rejuvanation. Welcome To VaginalTightening.com
Digesu A. Bramwell R. At 12 months, there were no sustained improvements seen Articles about laser vaginal rejuvanation desire, arousal, lubrication, orgasm, satisfaction, pain, or total scores. Following this conceptualization, the perfect vulvar ideal seems to be what just ends in a perfect point of nothingness. References Abedi P. Improved SUI, atrophy, orgasms. Energy-based devices help improve symptoms Vanity armoire dyspareunia and lack of lubrication that are noted after surgery. Patients in the active group also had significantly greater improvements in FSFI total scores at 6 months versus the sham group with specific improvements in arousal and lubrication. Alinsod, Prime Prospective for Artciles, UI. J Sex Res.
Vaginal rejuvenation procedures are increasing in popularity in terms of types of treatment offered, number of patients undergoing them, clinical studies, and in the controversy surrounding them.
- Demeaning patient behavior takes emotional toll on physicians.
- Vaginal tightening and cosmetic vaginal surgery are private decisions that each woman has to make on her own.
Among these procedures, vaginal rejuvenation is considered as one of the most controversial genital cosmetic surgical interventions and involves a range of surgical procedures performed by gynecologists or plastic surgeons to decrease the average diameter of the vagina, mainly for sexual reasons. In this narrative review, vaginal rejuvenation outcomes are examined in order to clarify the current scenario of the different vaginal rejuvenation techniques, as well as their effectiveness and associated complications.
Psychological and ethical issues linked to these procedures are also addressed. In general, vaginal rejuvenation is often proposed to women who feel a sensation of wide vagina due to vaginal delivery or aging, in order to enhance the vaginal tone and thus sexual friction.
The increasing popularity of FGCS has elicited academic attention worldwide. Inthe American College of Obstetricians and Gynecologists ACOG published a critical position paper on FGCS, pointing out that vaginal rejuvenation or other FGCS procedures are not accepted surgical practices, as there is paucity of data supporting their safety and efficacy, despite potential complications, such as infection, dyspareunia, scarring, and altered sensation. In particular, vaginal rejuvenation is considered as one of the most controversial FGCS interventions.
Vaginal rejuvenation involves a range of procedures performed by gynecologists or plastic surgeons to decrease the average diameter of the vagina, mainly for sexual reasons.
Against this background, we performed a narrative review of articles reporting vaginal rejuvenation outcomes to clarify the current scenario of this surgery ie, types of techniques, effectiveness, associated complicationsas well as to address psychological and ethical issues. An electronic database search PubMed was conducted to identify English-language journal articles published between January and September on vaginal rejuvenation procedures excluding other types of FGCS.
Appropriate search terms were selected by reviewing titles, keywords, and abstracts of a sample of studies. Moreover, we further checked the reference lists of all the retrieved articles to identify additional studies. No attempt was made to find unpublished studies.
In this narrative review, the best quality evidence was selected with preference given to the most recent articles and reviews. Since only published data were considered, the current research was exempt from the institutional review board approval. Following this conceptualization, the perfect vulvar ideal seems to be what just ends in a perfect point of nothingness. Internet plays a major role in the pathologization of genital diversity and in the promotion and normalization of FGCS, as many women who are concerned about the appearance of their genitalia are likely to use the web to search for information.
Overall, online information on vaginal rejuvenation is often provided by private surgery providers, and therefore, it may offer only a partial perspective on this sensitive issue. For instance, these websites use confounding labels to define different FGCS interventions, with little information on potential complications and absent or little evidence for clinical effectiveness.
Such an idea is congruent with the overall medicalization of human sexuality, which could be associated with the increasing phenomenon of disease mongering.
From a surgical point of view, vaginal rejuvenation consists of a combination of different surgical interventions performed to decrease the diameter of the vaginal canal and opening, such as excision of redundant vaginal tissues, muscular tightening by imbrication of the median levator muscles, remodeling of the perineal body, and excision of the surplus skin. The classical surgical technique used during vaginal rejuvenation interventions is very similar to traditional anterior or posterior colporrhaphy performed in urogynecological settings to correct vaginal prolapse or pelvic floor defects.
Colporrhaphy is often associated with perineoplasty, which involves the removal of a triangle-shaped portion of skin tissue from the perineum above the anus to tighten the vaginal introitus and reconstruct the perineal body. The 53 women enrolled in the study underwent a site-specific anterior and posterior repair; in all cases, paravaginal stitches were placed during the anterior repair, and the fasciae were dissected by means of a Yag laser.
In almost all cases, surgeons also performed a perineoplasty. At the end of the procedures, vaginal diameter was decreased so that only two fingers could be inserted in at least the lower two-thirds of the vagina. Sexual function was not evaluated with a validated sexual questionnaire. Significantly, before surgery, a huge proportion of women declared that, besides their desire of a tighter vagina, they wanted their partner to feel a tighter vagina too.
Authors reported no significant intraoperative complications and only two minor postoperative complications ie, surgical wound dehiscence.
Abedi et al 26 assessed sexual functioning after vaginal tightening performed for a sensation of vaginal laxity. The surgical technique used involved the vertical incision of the vagina opening, the exposure of the rectovaginal tissue and the levator ani muscle, the removal of the appropriate amount of tissue according to the relaxation degree, and the suture of the remaining vaginal tissue. After 6 months, sexual function measured with a validated instrument ie, the Female Sexual Function Index [FSFI] was globally improved, but a high level of new dyspareunia and low vaginal lubrication were noted, limiting the Wanna be a balla download effects of this type of surgery.
A large multicenter cross-sectional study of FGCS 27 including women and different genital plastic interventions was conducted in order to assess several outcomes, such as the reasons for considering surgery, surgical outcomes and complications, and patient satisfaction. Other non-traditional surgical procedures proposed for vaginal rejuvenation involve the use of laser technology ie, fractional CO 2 laser, erbium YAG laser to tight the vagina.
Laser vaginal rejuvenation is often advertised as a conservative, minimally invasive surgical technique for the enhancement of sexual functioning in women with a sensation of vaginal laxity, with no complications and high efficacy. It has also been proposed to women with dyspareunia or fibrosis of the vaginal mucosae as a result of episiotomies or previous vaginal surgery, as well as to women with altered genital sensations because of vaginal atrophy for hormonal changes due to menopause and aging.
Laser CO 2 is generally used in dermatologic and esthetic surgery for the treatment of several skin and mucosal lesions, such as acne scars or chrono-aging facial defects. Laser treatment sessions usually last 10—20 minutes; sometimes patients report a local warming sensation not requiring the use of anesthetics, and regular activities can be resumed early. However, some authors have raised concerns about the safety of laser procedures, as tissue damage and remodeling resulting from laser use may potentially increase urogenital pain and dyspareunia; moreover, the distal effect of the laser energy on proximal organs such Big penis zac efron rectum, Me sex, and bladder is actually unknown.
Salvatore et al 30 investigated the effects of fractional CO 2 laser on sexual function and satisfaction in 77 post-menopausal women with vulvovaginal atrophy. Quality of life and sexual functioning were evaluated with validated international questionnaires ie, the Short Form [SF] and the FSFI at baseline and after 12 weeks; the intensity of vaginal symptoms, such as vaginal burning, dryness, itching, and dyspareunia, was evaluated using a 10 mm visual analog scale. At the week follow-up, the authors found a significant improvement in the FSFI total score and domain scores ie, desire, arousal, lubrication, pain, orgasm, satisfaction.
The effect of fractional CO 2 laser on women reporting symptoms of vulvovaginal atrophy dryness, itching, burning, dyspareunia, discomfort, urinary symptoms was recently evaluated by Filippini et al 31 in postmenopausal women. In menopause, due to the lack of the estrogenic support to the genital mucosa, vaginal rejuvenation often involves a restoration of the vaginal wall connective tissue and the adequate tissue water content, besides a mere anatomical surgical correction to tighten the vaginal diameter.
Dick addrisi authors found that fractional micro-ablative CO 2 laser was effective in treating the vaginal epithelium and improving uncomfortable symptoms and dyspareunia due to vaginal atrophy. YAG laser has non-ablative, thermal-only effects and has been used to produce vaginal collagen hyperthermia and remodeling, resulting in improved vaginal tissue elasticity and tightness.
Based on their findings, the authors concluded that SMOOTH-mode erbium laser may be an effective and safe method for treating vaginal laxity. Another minimally invasive surgical technique proposed for vaginal rejuvenation is the radiofrequency RF treatment. None of these treatments require the use of anesthetics, and the treatment sessions last 15—30 minutes.
Historically, non-ablative RF energy has been used in esthetic medicine for conservative treatment of lax skin of the face and neck and in the delicate tissue of the periorbital area because of Panamanian nude women photos thermal tissue remodeling rather than ablative effects.
No adverse events were reported, and no topical anesthetic was required. Women also reported a substantial amelioration of sexual functioning, measured with validated questionnaires.
Transcutaneous temperature-controlled radiofrequency TTCRF was used on vulvovaginal tissue for orgasmic dysfunction, and authors reported that patients also noted significant vaginal tightening effects.
Authors reported a significant improvement in sexual functioning and a decreased distress related to sexual activity at the 6-month follow-up. Women also reported decreased vaginal laxity within the first months after the RF treatment. Ostrzenski 39 proposed another method for treating vaginal laxity, ie, vaginal rugation rejuvenation restoration.
In his article, the author first defined smooth vagina as characterized by absent or decreased vaginal rugation, which can lead to decreased sensation of penile friction during coitus. Decreased vaginal rugae seem to be related to advancing age and low estrogenic levels.
The surgical procedure involved the use of CO 2 laser in the continuous mode of 8—10 W with defocus. The depth of vaginal columnar rugae vaporization was between 2 and 5 mm width, and vaporization should stop at the level of endopelvic fascia. Amelioration of sexual function was observed in the 10 women participants, with no reported complications. Vulvovaginal lipofilling and injection of hyaluronic acid and combined platelet-rich plasma was proposed as a novel procedure for vulvovaginal rejuvenation.
In a case report study 40 on this particular procedure, this technique seems to be safe and easy to perform, although more research is needed to provide firm evidence of its effectiveness and safety.
Some authors recently introduced a novel procedure for vaginal rejuvenation, ie, by using Gore-Mycromesh, which is a biocompatible material composed of expanded poly-tetrafluoroethylene ePTEEcommonly used in plastic and reconstructive Articles about laser vaginal rejuvanation for inguinal or femoral hernias or for genital prolapse.
The authors found a substantial improvement in sexual function 1 year after surgery, especially in the FSFI satisfaction domain. No significant complications, such as infection or mesh extrusion, were reported. In this kind of intervention, it is crucial to avoid injuring the urethra anterior to vagina and the rectum posterior to vagina.
Overall, the authors reported that after 12 months, the FSFI total score was significantly improved, particularly regarding the FSFI orgasm domain; moreover, Vaginal rejuvenation is described as a safe and effective surgical procedure for the enhancement of sexual functioning in women with an acquired sensation of vaginal laxity and consequent sexual dissatisfaction.
Besides the more traditional surgical techniques anterior and posterior vaginoplasty and colporrhaphythere has been a recent increase in the proposal of innovative, non-invasive procedures CO 2 laser, RF claimed to be effective and associated with no or few post-surgical complications.
However, the primary concern is that there is currently poor scientific evidence of the effectiveness of these procedures. The different techniques proposed for vaginal rejuvenation have been studied in small trials assessing surgical outcomes, patient satisfaction, and postoperative complications.
There is an urgent need for more robust data possibly deriving from multicenter randomized controlled studies before considering these practices as safe and I love lesbian free erotic story. The debate around the need for robust evidence of Articles about laser vaginal rejuvanation effectiveness and safety of FGCS, also supported by several academic and scientific societies, 3 — 6 is particularly important as regards vaginal rejuvenation procedures.
In fact, despite some genital surgical interventions for instance, labiaplasty are aimed at modifying the morphology of external genitalia mainly for esthetic reasons, vaginal rejuvenation procedures are primarily performed for a functional reason, that is enhancing the sexual satisfaction of women and their partners.
In these cases, the Articles about laser vaginal rejuvanation important criterion for choosing such a procedure is the observed effectiveness and safety, which should be adequately defined. Vaginal rejuvenation procedures have drawn criticism for various reasons, but particularly because they cannot be properly classified as esthetic surgical interventions. Moreover, some authors have raised concerns that FGCS Articles about laser vaginal rejuvanation be somehow comparable to female genital mutilation FGM — which is the cultural practice of removing part or all of the external genitalia of women — not only in terms of anatomical alterations but also in terms of direct and indirect unethical societal pressures that lead women to undergo genital cosmetic surgery.
Surgeons performing vaginal rejuvenation interventions should exhaustively inform their patients that there is little evidence supporting this kind of surgery to increase sexual satisfaction, such that they are operating without a robust evidence base.
One of the main issues while performing vaginal rejuvenation for sexual reasons is that the precise nature of sexual dysfunctions should be preliminary ruled out and extensively discussed with women to avoid unrealistic expectations, since in many cases, surgery is not appropriate and may not lead to a definitive solution. Another problem is that in several studies, the notion of vaginal laxity, prerequisite for vaginal rejuvenation, is vague and subjective.
Vaginal laxity can derive from a relaxation of the vaginal wall, from anterior or posterior compartment prolapse, or from a distension of the fibers of the puborectalis muscle. All these different anatomical reasons for vaginal laxity require different kinds of surgical repair, and the correct pre-operatory definition of the nature of the defect is essential in choosing the appropriate surgical procedure to tighten the vagina.
In conclusion, we deem it necessary to underline that the contemporary idea of sexuality as a mechanical performance, Articles about laser vaginal rejuvanation diffusion of which has been facilitated by the Internet especially Internet pornographyincluding the social media, is distorted, reductionist, and therefore dangerous. Anatomic perfection does not represent the necessary condition for satisfying and healthy sexuality, which depends on the interaction of multiple factors, including cultural, relational, and psychological dimensions.
For instance, there is evidence of the association between body dysmorphic disorder and the request for cosmetic surgery; 49 this means that some individuals are not able to acknowledge the psychic origin of their emotional sufferance, which they consider as caused by actual bodily flaws to the point of seeking multiple interventions of cosmetic surgery. How this multidisciplinary ethical approach to FGCS could be compatible with the interests of the overall cosmetic surgery business remains a major concern.
National Center for Biotechnology InformationU. Int J Womens Health. Published online Jul Author information Copyright and License information Disclaimer. This work is published and licensed by Dove Medical Press Limited. By accessing the work you hereby accept the Terms.
Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. This article has been cited by other articles in PMC. Keywords: vaginal rejuvenation, female genital cosmetic surgery, vaginoplasty.
Vaginal rejuvenation: surgical options, efficacy, and complications From a Articles about laser vaginal rejuvanation point of view, vaginal rejuvenation consists of a combination of different surgical interventions performed to decrease the diameter of the vaginal canal and opening, such as excision of redundant vaginal tissues, muscular tightening by imbrication of the median levator muscles, remodeling of the perineal body, and excision of the surplus skin. Discussion and conclusion Vaginal rejuvenation is described as a safe and effective surgical procedure for the enhancement of sexual functioning in women with an acquired sensation of vaginal laxity and consequent sexual dissatisfaction.
Footnotes Disclosure The authors report no conflicts of interest in this work.
What are the benefits of laser vaginal rejuvenation? Laser vaginal rejuvenation can tighten and tone sagging, loose or excess tissues in the vaginal and labial areas, eliminating discomfort that can be caused when these tissues are chafed or irritated during . Aug 02, · Some women may opt for a 'vaginal rejuvenation' procedure to improve vaginal tone or pelvic function. This can bring 'serious' health risks, say the FDA. Laser vaginal rejuvenation. If you have heard about this, you may have wondered what it is and if it might be something you should look into further. So let me give you some basic information, from a physician (providing an OB/GYN’s point of view) who has .
Articles about laser vaginal rejuvanation. Introduction
The female sexual distress scale FSDS : initial validation of a standardized scale for assessment of sexually related personal distress in women. The study is limited by its follow-up period and no conclusions about the longevity of improvements can be made. Endometriosis drug approved by the FDA to reduce pain. The most commonly reported adverse event related to the procedure was pain vaginal, bladder, urethral, or unspecified , followed by burning or numbness. Sekiguchi et al, A large multicenter outcome study of female genital plastic surgery. Radiofrequency treatment of vaginal laxity after vaginal delivery: nonsurgical vaginal tightening. Because of the large number of parameters and CO 2 laser types that exist, it is difficult to compare whether these differences have clinically meaningful endpoints for patients and whether one type of CO 2 laser is superior to another. J Womens Health Larchmt ; 19 7 — Studies have found sexual gratification to be directly related to frictional forces during intercourse with friction directly proportional to vaginal diameter. The effectiveness of Thermiva monopolar radiofrequency device in treating symptoms of vaginal laxity in women who have had vaginal births [Internet]
Nonsurgical vulvovaginal rejuvenation NVR is growing in popularity as a treatment for restoration of youthful female genitalia. Numerous radiofrequency RF and laser devices have entered the market claiming improvement in vaginal laxity and genitourinary syndrome of menopause.
I have two kids. My second baby, weighing in at almost nine pounds really did a number on me. Since I've had him 18 months ago things just haven't been the same down there. A few months ago I started researching my options. I read reviews about vaginal rejuvenation and V-lifts facelifts for your vagina but they all included surgery, painful recovery and a significant amount of downtime.