Cosmetic Gynecology

-   Vaginal rejuvenation

Otherwise known as vaginoplasty or vaginal tightening, vaginal rejuvenation is a procedure that surgically treats vaginal laxity/looseness as a result of childbirth or the effects of aging. Despite being classified as a cosmetic procedure, vaginal rejuvenation is a majorly functional treatment that works to tighten or narrow the vaginal structures as well as the internal and external muscles in order to improve strength, muscle tone, and control.

Most women will suffer from some damage to the vagina after childbirth, as well as some vaginal weakness or laxity due to inherited conditions or just plain aging. This causes them to experience:

o   An apparent sensation of looseness of the vagina

o   Insufficient sensation and discomfort during sex

o   Reduced sexual gratification, which negatively affects one’s confidence and self-esteem

Sexual gratification requires physical stimulation; however, undesired changes to the vagina‍ can induce feelings of insecurity in a woman, directly affecting her ability to enjoy sex. How much sensation can be felt depends on factors such as friction and the stimulation of the nerves, as well as the circumference and characteristics of certain vaginal structures. Structures known as the vaginal rugae are bumpy ridges that work to induce sensation as the penis moves across them and back. How much pleasure is experienced by a woman and her significant other is very much dependent on the vaginal circumference and how “bumpy” the rugae are. Sexual pleasure is greatly decreased or diminished when the vagina is lax and the ridges (rugae) become smooth.

-   Labiaplasty

‍Labiaplasty is a cosmetic procedure performed to surgically alter external genitalia by trimming labia that is too long or uneven in appearance. It may require several procedures to reshape the labia minora and majora, clitoral hood or prepuce, perineum, and frenulum for an overall aesthetic result. During an initial consultation, your gynecologist will inform you of everything you need to know regarding these procedures.

Pregnancy, as well as the effects of aging and gravity, can negatively affect the appearance of female genitalia. For instance, enlarged labia minora may be particularly embarrassing for many women as it can be a cause of interference when engaging in physical exercise or intercourse. The labia majora may also start to gradually undergo less contraction, which will cause it to sag over time. Scarring or lacerations on the perineum may indicate that you’ve undergone episiotomy during childbirth. Your gynecologist will work with you to lay out a personalized surgical plan based on your unique goals and preferences to help improve the appearance of the genitalia and bring back your confidence.

-   Hymenoplasty

Hymenoplasty (also known as hymenorrhaphy) is a procedure performed to surgically rebuild the hymen and may be done for the following reasons:

o   To restore a virginal appearance to the vaginal opening

o   To repair the hymen due to injury

o   Religious or cultural practices 

It works by making careful cuts in the vagina which will be stitched to the remaining hymenal tissue, reducing the gap between them. When sex occurs after recovery from the procedure, it should result in bleeding as the new hymen gets torn/stretched. Local anesthesia will be administered prior to hymenoplasty, and the procedure itself typically takes about one hour to complete.

-   Perineoplasty

Perineoplasty is a surgical operation that is performed to repair the region between the vaginal opening and anus, known as the perineum. This area often experiences damage as a result of childbirth due to tears or episiotomies. The procedure works by eliminating unwanted skin and suturing the muscles underneath, thus strengthening the perineum considerably while also narrowing the vaginal opening. As such, you will be able to observe an increase in sexual experiences afterward. This operation is often performed in conjunction with vaginoplasty, with perineoplasty typically taking around 30 minutes for completion under general anesthesia.

-   Clitoral hood reduction

Clitoral hood reduction is a surgical operation that involves the removal of excess tissue from either side of the clitoral hood. This is done to make the area where the labia and clitoris meet even flatter and smoother in appearance. It is often performed alongside labiaplasty since the removal of excess skin from the labia can make the clitoris appear enlarged.

During clitoral hood reduction, excess skin folds of the clitoral hood will be carefully removed, while ensuring the clitoris and nerves around the area are kept safe. Reduction is not the same as female circumcision or mutilation, and it typically takes about 30 minutes for completion after the administration of local anesthesia.

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-   Female urological disorders

Many women suffer from different types of urological disorders, such as incontinence which is a lack of control over urination, causing bothersome disruptions to day-to-day living and is often a source of humiliation and embarrassment. There are different kinds of incontinence:

o   Stress incontinence is the most common type wherein urine leakage occurs when laughing, sneezing, coughing, running, or when engaging in high-intensity physical activities.

o   Urge incontinence, which causes an unexpected and intense need to urinate and can suddenly happen at any time of the day.

There are various minimally invasive treatments that we can perform at our cosmetic gynecology department to help with relieving urinary incontinence. If you like, you can reach out to us via our virtual consultation which will be of no cost to you. We will have a thorough discussion with you and provide recommendations that can help determine which options best suit your needs. Since everyone’s situation is unique, our virtual consultants and cosmetic surgeons will make every effort to recommend and provide personalized procedures that are carefully tailored to each individual.