As women go through childbearing, hormonal changes and aging, they can experience changes in their genitalia. Changes that can impact a woman's quality of life include vaginal laxity, stress urinary incontinence, loss of vaginal lubrication, a decrease in erotic sensation and loss of tone of the labia majora. As women, their physicians and the media are finally beginning to talk about these issues, the number of treatments available is increasing.
Devices that have been developed to treat some or all these changes use radiofrequency or laser energy to induce collagen tightening. Fillers are also sometimes used to inject in the clitoris and/or "G-spot." Though not all investigators agree that the G-spot exists, it's described to be an erotic area just inside the front wall of the vagina.
The field of nonsurgical aesthetic genital procedures is growing as the changes women experience receive greater attention. Before discussing each one, let's look at the anatomy.
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External Anatomy of The Female Genitalia
The hair-bearing area over the pubic bone at the upper portion of the female genitalia is called the mons. The hair-bearing outer lips are called the labia majora (singular is labium majus). The inner lips are called the labia minora (singular is labium minus). In the upper portion in the center is the clitoral hood, sometimes called the prepuce, which covers the clitoris in part or entirely. Below the clitoris is the urethral opening, and below that is the vaginal opening.
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How Does Non-Surgical Vaginal Rejuvenation Work?
Non-Surgical vaginal rejuvenation utilizes radio frequency energy to firm lax skin and mucosa and improve skin and mucosal elasticity. A specialized radio frequency device is inserted into the vaginal canal. This device sends RF energy to underlying layers, causing contraction and stimulating the formation of new collagen and elastin fibers. The device is carefully rotated during your non-surgical vaginal tightening procedure to ensure that the vaginal canal is treated evenly. Next, the radio frequency device is applied externally to the labia and surrounding tissues to resurface skin and enhance skin structure.
Who Is a Good Candidate for Non-Invasive Vaginal Rejuvenation?
If you are experiencing functional concerns, including frequent loss of urine or vaginal dryness, then vaginal rejuvenation may be right for you. Women who have experienced vaginal laxity due to aging or childbirth may also be candidates for non-invasive vaginal rejuvenation.
Laser And RF Energy
What Causes Vaginal Laxity?
Pregnancy and vaginal delivery can lead to trauma and stretching, which can result in loss of vaginal tightness. Vaginal laxity is more likely to occur when bearing more than one child, having a large baby, undergoing a forceps delivery and normal aging.
What Are the Symptoms Associated with Vaginal Laxity?
Symptoms include loss of sensation with intercourse and decreased sexual satisfaction. Vaginal laxity can lead to a negative impact on female sexual function, body image and quality of life. The condition is poorly recognized and frequently under-reported.
Can Vaginal Laxity Be Improved?
While pelvic floor training and Kegel exercises may be recommended to tighten the vaginal muscles, there is no evidence that such isometric exercises result in vaginal tightening. Surgical vaginoplasty, however, has a high patient satisfaction rate. Nonetheless, some women plan to have more children or don't want to have surgery, and they may want to consider nonsurgical options that utilize laser or radiofrequency ("RF") energy.
How Do Laser and RF Energy Work?
Both laser and RF heat up the tissues, resulting in increased collagen formation. Although the technology is new for vaginal treatment, one study looked at RF treatment with surface cooling to protect the vaginal skin and was found to improve vaginal tightening and female sexual function when compared with a sham group. Two brands that use RF energy include Geneveve by Viveve, which uses surface cooling with the RF, and ThermiVa.
Laser energy is an alternative to RF. Laser energy heats up the vaginal tissues at a more superficial level than RF. FemTouch, MonaLisa Touch, diVa , FemiLift are examples of lasers used for female genital rejuvenation.
Is Nonsurgical Vaginal Tightening as Effective as Surgical Vaginal Tightening?
As with most nonsurgical procedures, the treatment doesn't replace surgery. RF and laser rely on tightening through collagen remodeling, whereas surgery results in closing the gap where the vaginal muscles have stretched apart. While the results from RF and laser may be limited, a surgical vaginoplasty carries the risks of surgery.
What Are The Risks Of RF And Laser For Vaginal Treatment?
Reported risks include vaginal discharge and possible temporary tenderness associated with early intercourse.
How Often Do Nonsurgical Vaginal Tightening Treatments Need to Be Repeated to Maintain the Result?
Most companies recommend a protocol based on retreatment at 6 to 12 months from the initial treatment. RF and laser are not considered to be permanent.
Do RF And Laser Treat Anything Else?
Early data indicates that RF and laser energy may help treat mild stress urinary incontinence (SUI), though more significant leakage may not improve without surgery. SUI can result from pregnancy and childbirth, which can stretch the muscles of the pelvic floor that support the bladder and the urethra. A weak sphincter around the urethra can also result in leaking. Mild SUI may occur with jumping, laughing or coughing. More serious leakage should be evaluated by a urologist.
In addition to treating mild SUI, RF and laser have been shown to help some women with loss of vaginal lubrication, causing dryness.
Why Do Women Lose Vaginal Lubrication?
With age, hormonal changes or radiation treatment for cancer, patients may notice a loss of vaginal lubrication, when can result in painful intercourse.
Can Vaginal Lubrication Be Improved with a Nonsurgical Treatment?
Vaginal lubrication has been reported to improve with both laser and RF treatments. The improvement is felt to be the result of improved blood flow.
'O' and the 'G' Shots
What Are The 'O' And The 'G' Shots?
The term "O-Shot" is a registered trademark that is short for "Orgasm" shot. Platelet Rich Plasma (PRP), which is taken from your own blood, is injected in the clitoris and in the vagina in the area of the Grafenburg spot, or "G-Spot," the erotic zone within the vagina in the proximity of the urethra. It is repeated annually.
The "G-Shot" is another trademarked term that refers to the injection of filler into the G-Spot, repeated every three to five months. With usage of the names of these treatments restricted, physicians may refer to these or similar treatments under different terminology.
Are These Shots Done with Anesthesia?
Topical anesthesia and ice are typically used to numb the area, and injections can contain local anesthesia.
Is Pain Medication Necessary After The Injection?
Patients typically do not experience pain afterward.
Do These Shots Enhance Sexual Pleasure?
The preliminary evidence indicates that these shots can enhance the orgasms of some women. However, in the woman who has never achieved orgasm, they are unlikely to help. As with many treatments in the growing field of female genital procedures, we will have a greater understanding of their effectiveness when we have rigorous scientific studies.
About Iranian Surgery
Iranian surgery is an online medical tourism platform where you can find the best plastic surgeons in Iran. The price of nonsurgical Aesthetic Genital Plastic procedure in Iran can vary according to each individual’s case and will be determined by an in-person assessment with the doctor.
For more information about the cost of nonsurgical Aesthetic Genital Plastic procedure in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.