Cosmetic genital operations, also known as aesthetic genital surgeries, The increased level of welfare, the development of communication and medical technologies, the reduction in the surgical and post-surgical problems have resulted in an increase in the number of aesthetic operations in the world. In parallel to that, the number of cosmetic genital operations are also increasing.
Vaginal cosmetic surgeries have usually been used to remove the postpartum tears and scars at the vaginal outlet or to restore the enlarged vagina.
Moreover, the bladder adjacent to the anterior wall of the vagina prolapses after some deliveries, and women accordingly have urinary incontinence.
Cosmetic genital operations, the last portion of the large intestine situated at the back of the vagina prolapse into the vagina, causing constipation and fecal problems.
All of these problems cause both sexual dysfunctions physically and psychological problems.
Dissatisfaction with the appearance or function of her own genital organ brings along serious problems in women.
The desire to undergo cosmetic surgery is also gradually increasing among women who do not have this type of problem at the vagina outlet and vagina, but who are not happy with the external appearance of their genital organs.
Cosmetic genital operations, for all these reasons, cosmetic genital operations have found its place in gynecological surgery and vaginal aesthetics has become one of the new topics discussed in the meetings of urogynecology, which is a subbranch dealing with pelvic floor diseases.
Plastic surgeries for the female genital organs are performed for two purposes, functional and aesthetic.
Cosmetic genital operations, the anterior wall or the posterior wall of the vagina or both of them enlarge due to delivery and can sometimes protrude out of the vagina. Cosmetic genital operations, moreover, in some patients, the vaginal enlarges after normal delivery without vaginal prolapse, and they and their partners feel uncomfortable with this condition. In some women, the vagina may be congenitally large and this may cause problems during sexual intercourse.
Cosmetic genital operations: Although the vagina varies from person to person in terms of size, it usually allows to insert two fingers in a women who has not given birth. The folds present on the anterior and posterior walls of the vagina increase the enlargement.
Cosmetic genital operations, the average length of the vagina is 8 cm. The vagina can expand 15-16 cm in length during stimulation due to its many transverse folds present. The vagina enlarges undesirably in the following cases:
- Multiple deliveries
- Difficult delivery
- Tears during delivery and not being sutured using the appropriate technique,
- Wound dehiscence after delivery,
- Loss of supportive tissue in the vagina with increasing age.
- Giving birth to a big baby,
- Some women may have a structurally large vagina,
Cosmetic genital operations, In the case of such enlargements, the patient should be evaluated very well and cause-directed treatment should be administered. In mild cases, conservative methods such as physiotherapy methods (Kegel exercises, electrical stimulation, magnetic chairs) and laser used.
Cosmetic genital operations should be performed on women who have actual enlargerment and will not benefit from conservative treatment. This vaginal enlargement may often coexist with one or more of the following conditions.
- Urinary incontinence
- Gas and fecal incontinence
- Bladder and uterine prolapse
- Woman’s or her partner’s inability to get as much pleasure as before delivery
- Vaginal flatulence during sexual intercourse or while walking
Cosmetic genital operations, if one or few of these complaints are present, they are corrected in the same session using new type surgeries with high success rates. Some of these surgeries are performed under local anesthesia and the hospitalization of the patient is not required. For these surgeries, physician should be selected well and the physician should be qualified in ureogynecology dealing with especially pelvic floor and vaginal surgery.
Cosmetic genital operations, It should be known that the first surgery is the most effective surgery. Cosmetic vaginal surgery, if surgery is performed for the second or third time, the success rate and satisfaction rate decrease. Unfortunately, a significant majority of our patients consist of patients who previously underwent unsuccessful surgery.
In some cosmetic genital surgeries performed to tighten the vagina, the vagina is tightened too much, making the intercourse impossible. In such a case, vaginal loosening surgeries are performed.
Cosmetic genital surgeries are usually performed under local anesthesia and lasts half an hour or an hour.
Correction of scar tissue and scar: Scar tissue or scar is left in the tear areas that are incised and sutured or not sutured during delivery.
These may both distort the appearance and cause pain and sexual problems. These tissues are removed with a small surgery and the vaginal outlet is restored using sutures that will not form scar or reaction.
Cosmetic genital operations
Clitoropexy: In women with orgasm problem due to the fact that the clitoris cannot be stimulated since the skin above the clitoris covers it, this skin is surgically removed and the clitoris is exposed, thus the problem of a woman is eliminated.
Labiaplasty:
Vaginal aesthetics, Excessively large inner lips (hypertophy) is one of the most common reasons for cosmetic genital operations in women.
The causes of excessively large inner lips are as follows:
• Congenital
- Developmental anomalies
- Excess amount of androgen hormones
- Mechanical irritation
- Chronic irritation
- Too often masturbation
- Oral sex
- Early sexual intercourse
- Recurrent infection and skin inflammations
- Lymphedema
- Stretching with traction
Cosmetic genital operations
Women with large inner lips cannot wear tight pants and swimsuits and have difficulty in sexual intercourse. They also feel pain while riding bike and horse, as well have hygienic problems related to urination and menstruation. Some women are uncomfortable with the appearance of their inner lips sagging over the vaginal outlet.
Normally, the function of the inner vaginal lips is to close the vagina, prevent foreign bodies and microorganisms from entering and provide lubrication during the intercourse. There is debate about the normal size of the inner lips.
The generally accepted size for inner vaginal lips is around 2 cm, not protruding outside and being at the same level with the outer vaginal lips at most. A minor and risk-free surgery is performed to reduce the size of the inner lips. The predetermined excess tissue is resected by preserving the tissue functions and sutured so as not to leave scar with an outpatient surgical intervention.
Cosmetic genital operations
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Similarly, the inner lips in different size may both psychologically and functionally have negative effect on sexual life, and labiaplasty may be required.
Fat injection into pubis or outer lips: In some women, the fat tissue of the outer lips gets thinner and smaller due to being weak or advanced age.
This especially manifests itself between groins, called mons pubis, and in the hairy area above the vagina. Similarly, the outer lips may get thinner due to various reasons. In such cases, a certain amount of fat tissue is taken from the different regions of the body and injected into these areas to correct the external appearance.
Cosmetic genital operations, Reduction of fat tissue in the pubis or large lips: Some women have excess amount of fat in some areas either structurally or due to weight gain. Even after some overweight women lose weight, the fat tissue in this area remains.
This fat tissue can also be taken under local anesthesia and the appearance of here can be improved. Such operations require special training, knowledge and skills on the issue.
The use of laser in Lazerin cosmetic genital operations
The development and widespread use of laser technologies has introduced the use of laser in gynecology.
Laser vaginal tightening: Laser is used to stimulate the vaginal tissue, improving the supportive tissue around it and causing tightening and rejuvenation in the vagina.
It is a painless procedure. The procedure is performed in a short time, and performed once or twice. Although it is used on every woman, it is especially effective in correcting enlarged vaginas after delivery.
Vaginal dryness treatment using laser
Vaginal dryness seen in all ages and especially menopausal patients is corrected using laser.
Non-surgical urinary incontinence treatment using laser: Mild urinary incontinence is treated with laser without the need for surgery.
Bleaching the tone of the vaginal lips and surrounding skin using laser: Dark and blackish skin tones can be bleached with laser.
Cosmetic genital operations, removal of folds and the effect of aging on large lips: Subcutaneous supportive tissue in the large lips and pubis is improved by laser for anti-aging purpose, providing a tighter and younger appearance.
Laser rugaplasty: the vaginal folds, called ruga, which disappear with delivery, surgical intervention and aging, can be regenerated using laser.
Laser labiaplasty: The vaginal lips longer than normal can be restored using laser without bleeding and suture.
