Plastic surgery of intimate places. Large labia

Operations on the penis are a fairly popular group of surgical interventions performed to correct acquired, less often - congenital anatomical and functional defects of the penis. In andrology, they are referred to as reconstructive techniques. A significant part of the methods are small operations that do not require general anesthesia and subsequent hospitalization. Some techniques may involve the use of microsurgical equipment, elements of soft tissue plastics, the installation of prostheses and complex artificial devices.

Indications

Indications include acute pathologies (for example, suppuration), deformities caused by the introduction and displacement of foreign bodies, benign tumors, conditions that interfere with normal sexual activity or impede the process of coitus, as well as changes that create a predisposition to the development and aggravation of pathological processes in the penis area ... It is possible to carry out operations in connection with the patient's dissatisfaction with the parameters or the appearance of the penis.

Contraindications

The list of contraindications for interventions on the penis includes severe disorders of the blood coagulation system, severe diabetes mellitus, somatic pathology in the stage of decompensation, general acute infections and acute inflammatory processes in the area of \u200b\u200bthe genitourinary system. Surgery is contraindicated for any damage to the skin of the genitals that increases the likelihood of infection of the surgical wound.

Preparation

The preoperative preparation plan is determined by the type of pathology and the volume of the planned intervention. For small operations (for example, separation of synechiae), preparation is not required. With a significant amount of upcoming manipulations, it is possible to prescribe an extended andrological and general examination. In most cases, just before the procedure, it is necessary to remove hair in the genital area. Operations under anesthesia are performed on an empty stomach.

Methodology

Operations are carried out on an amulatory basis or in a hospital setting. The method of anesthesia is selected taking into account the volume of intervention and the patient's age. A demanded group of techniques is the elimination of the consequences of independent "modifications" of the penis (rods, metal and plastic balls, gel, paraffin, petroleum jelly, glycerin, etc.). The group includes Reich's operation (removal of oleogranulomas of the penis) and removal of foreign bodies from the penis.

Indications for emergency surgery are suppuration in the area of \u200b\u200ba foreign body and gangrene of the penis. In other cases, the intervention is carried out as planned. The amount of manipulation can vary significantly - from excision of a small area with suturing of the defect to amputation of the penis (in case of gangrene) or removal of a significant array of tissues followed by plastic surgery (sometimes multi-stage).

Another popular operation is the separation of the synechiae of the foreskin. It is carried out in the absence of an independent separation of adhesions between the head of the penis and the foreskin, which are present in most newborns and normally disappear as they grow older. It is performed on an outpatient basis in childhood, does not require the use of a cutting tool. Synechiae are separated with a finger or a bulbous probe.

In case of premature ejaculation due to glans hypersensitivity, reverse denervation of the penis glans is performed. The operation aims to temporarily reduce the sensitivity of the head to develop a reflex for prolonged intercourse. Ligamentotomy involves lengthening the penis by cutting the supporting ligament. It is performed with a micropenis, a small penis, or a patient's subjective dissatisfaction with the length of an organ.

A significant proportion of interventions on the penis are plastic surgery aimed at correcting the size or appearance of the penis, and vascular techniques, which involve changing the conditions of the organ's blood supply by creating anastomoses or ligating veins. Vascular interventions usually involve microsurgical equipment. Plastic techniques sometimes involve the installation of various prostheses.

After operation

Hospitalization is often not required, the patient is allowed to go home either immediately (when performing an operation under local anesthesia) or after 1-2 hours (when using general anesthesia). The exceptions are cases of volumetric surgical interventions. Analgesics and antibacterial agents are prescribed according to indications, dressings are carried out in 1-2 days, sutures are removed after 6-10 days. No suture removal is required when using absorbable sutures.

After the operation, it is recommended to observe the standard restrictions: do not wet the dressing, do not carry out independent dressings without the permission of the andrologist, limit physical activity and regularly visit a specialist to monitor the condition of the wound. After the wound has healed, patients are advised to avoid intense heating of the organ (in a hot bath, steam bath, sauna), to give up sexual intercourse and significant physical exertion. The average duration of restrictions is 3 weeks from the date of surgery. In some cases, the duration of this period can vary significantly.

Early complications include bleeding, significant swelling, and wound infection. With purulent processes due to the introduction of foreign bodies, there is a risk of spreading the infection. The list of late complications differs depending on the nature of the pathology, the volume of the operation and compliance with medical recommendations.

The intimate side of life is called so because it is not customary to discuss it with someone. Thousands of women suffer from complexes caused by the unaesthetic appearance of their genitals or the wrong size. The inability to talk to someone about this problem only exacerbates the feelings of a woman who can generally withdraw into herself, considering herself unworthy to start a family and lead a full sex life.

Fortunately, modern aesthetic surgery, which has long ceased to be available exclusively to movie stars and show business representatives, deals with congenital and acquired problems related to the structure of the genitals. Today, any woman who comes to a plastic surgery clinic can both change the size and shape of her large and small labia, and make the entrance to the vagina somewhat narrower or expand it.

The operation to restore virginity is popular among young women of the fairer sex, and women over 40 have already appreciated the effectiveness of laser vaginal rejuvenation.

Plastic surgery of intimate places is aimed at improving the quality of the sex life of both partners, and also contributes to the fact that the woman feels more attractive. Those who did intimate plastic surgery after operation leave rave reviews on relevant online forums for women.

Indications for intimate plastic surgery, and who should not do it

Not every woman is completely satisfied with the shape and structural features of her genitals. An experienced plastic surgeon can solve almost any problem related to the appearance and size of the female genital organs. Such operations do not belong to the category of vital surgical interventions, but intimate plastic performed by a competent doctor can significantly improve the quality of the intimate life of a woman and her partner.

Indications for intimate plastics:

• the size and / or shape of the labia majora that do not suit the woman;
• too large - protruding beyond the large - labia minora;
• age-related or post-traumatic changes in the external genital organs of a woman;
• insufficient volume in the area of \u200b\u200bthe external genital organs of a woman;
• postpartum vaginal distension that interferes with normal sexual activity;
• excessive narrowing of the vaginal opening caused by tears during childbirth;
• the presence of excess skin tissue in the clitoral hood area.

Like any other type of surgery, aesthetic female intimate plastichas a number of contraindications. They relate to both the state of health of a woman and her age and psychological state, as well as lifestyle.

Contraindications to aesthetic surgery in such a field of plastic surgery as intimate plastic:

• the patient's age is up to 16 years (there are exceptions, for example, post-traumatic surgery);
• oncological and infectious diseases;
• pathologies associated with impaired normal blood coagulation;
• inflammatory processes in the area of \u200b\u200bintervention;
• venereal diseases;
• diabetes;
• mental illness;
• menstruation;
• smoking - unwillingness to give up this bad habit at least for a while can lead to tissue necrosis.

How is intimate plastic surgery performed?

One of the most common types of intimate plastics in clinics in Moscow and St. Petersburg is the correction of too small and / or wrinkled labia majora. It is performed using the patient's own fat cells or hyaluronic acid (alternatively a biopolymer gel), which are injected under the skin in the appropriate area. This allows you to increase the volume and elasticity of the labia majora to the desired level and maintain the result obtained for several years. Over time, the lips gradually become smaller in volume, and then the operation can be repeated.

The opposite of this operation is the reduction of the size of the labia majora, for which conventional liposuction is used, that is, the removal of locally located excess adipose tissue. If a woman is dissatisfied with the too large size of the labia minora, then during the operation the surgeon excises the excess skin and forms aesthetically perfect labia minora of an ideal size. Excess clitoral hood tissue is removed in the same way. The discrepancy between the size of the large and small lips can be solved either by increasing their one pair, or by decreasing the other.

A considerable percentage of operations associated with intimate plastics are related to changes in the size of the vagina after childbirth, while the patient reviews after such interventions are the most positive. The decision on the need for such an operation should be made together with a plastic surgeon no earlier than one year after giving birth.

Removal of scar tissue

One of the most common problems is the narrowing of the vaginal opening due to perineal tears during childbirth and interfering with a normal sex life due to the pain a woman experiences when trying to penetrate. The reason for this is the formation of inelastic connective tissue at the sites of ruptures, which, when pulled, causes pain. During the operation, the scar tissue is removed and the normal vaginal patency is restored.

Reducing the size of the vagina

Reducing the size of the vagina, which is stretched during the passage of the fetus through the birth canal, surgically restores the woman's ability to enjoy sex. This is due to the excision of excess wall tissue and the installation in a certain way of special biomaterials, which are replaced by their own connective tissue for no more than a year and a half. In the future, the given volume remains unchanged in the event that the woman does not plan another natural birth. For those who are determined to have more children, a different kind of vaginal reduction surgery is used.

Surgical defloration and hymenoplasty

The first involves the excision of either an excessively strong hymen that could not be destroyed naturally, or a hymen devoid of a natural opening, which does not let menstrual flow out and thus provokes various pathologies. The second is done either as a surprise to a permanent partner, or for religious or ethical reasons. In the course of hymenoplasty, either the petals of the torn hymen are stitched together, or the mucous membrane at the entrance to the vagina - while the mucous membrane can be sewn repeatedly, that is, a woman can lose her virginity more than once.

Photos before and after intimate plastic

Looking at the photos given in this section, you can get an idea of \u200b\u200bhow intimate contour plastic for women can radically change the appearance of the genitals.

How is the postoperative period?

Within about 7-9 days, the swelling and painful sensations in the operated area completely disappear. In order for tissue regeneration after surgery to occur more quickly, it is not recommended to take a sitting position within a week after surgery. For at least a few weeks after plastic surgery, it is strictly forbidden: lifting weights, physical work, sports - especially cycling and horse riding - and anything that can provoke overheating of the body. You should also not resume sexual activity without the permission of your doctor. If vaginal plastic has taken place, then throughout the entire rehabilitation period, you need to monitor the regularity of bowel movements and in no case prevent constipation. It will be possible to finally evaluate the result of the operation 1-3 months after its implementation.

Almost all plastic surgeries aimed at the aesthetic appeal of the female genital organs, enhancing their sensitivity and neutralizing age-related or traumatic changes are performed using self-absorbable suture material. This eliminates the need to remove the stitches some time after the operation.

One of the common misconceptions is that intimate plastic surgery can reduce sensitivity in the operated area. In fact, the entire experience of plastic surgeons specializing in this kind of operations is aimed precisely at increasing the sensitivity of a woman, so that the intimate side of life brings her as much pleasure as possible.

Promotions from "Omorphia"

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Are surgical interventions on the genitalsrelated to the elimination of defects or changes in shape. In gynecology, the described operations can be divided into two main types:

• Allowing to improve the appearance of the genitals, for example, plasty of the large and small labia, restoration of virginity, plastics of the clitoris.
• Returning direct functions lost for various reasons (after childbirth or past illnesses), for example, vaginoplasty, vaginal reconstruction, colporrhaphy, surgery for vaginal atresia, surgical defloration, correction of postpartum perineal stretching.
  

Intimate plasty requires a special approach both because of the delicacy of the problems, and because of the complexity of the postoperative period. Anatomically intimate plastics are interventions in an area that is constantly exposed to aggressive environments of the body (urine) and difficulties in maintaining wound hygiene. Therefore, it is important in intimate surgery to use such methods of intervention, which shorten the healing time, which means that the risk of postoperative complications decreases. Recently, operations have been carried out using laser and radio wave knives.

Plastic surgery of the labia

Plastic surgery of the labia - this is not a vital operation, but if after several births, especially if the birth was accompanied by ruptures, there were significant deformations of the labia, then the desire of a young woman to return their aesthetic appearance is very understandable. Moreover, this is not the most difficult intervention in intimate surgery. Most women want to have small labia minora that are completely covered by the labia majora.

Most often, women are not satisfied with the shape and size of the labia:

• Large labia that are too small or wrinkled. In some cases, the problem can be solved by increasing their volume with their own fat, or a small amount of biopolymer gel or injection of hyaluronic acid. In this case, there is an increase in the volume of the labia, which usually lasts for 2-3 years. Then the manipulation must be repeated.
• Too large labia. Conventional liposuction - removal of fatty deposits - can be used here.
• The labia minora are too large. Excess tissue is excised, the labia minora are formed of the size and shape that correspond to the woman's aesthetic ideas.
• One pair of labia is slightly longer than the other, or one of them hangs down somewhat. In this case, the most common types of surgery are an increase in the labia majora or a slight truncation of the skin of the labia minora in order to make them look more attractive.

Possible wishes of the patient must be taken into account by the attending physician. As a result of the operation, all variants of the asymmetry of the labia and their excessive size are eliminated.

Benefits of performing labia plasty:

• Discomfort disappears when wearing tight-fitting trousers, shorts; it becomes possible to wear more open underwear.
• Intimate hygiene is facilitated.
• The female genitals look more aesthetically pleasing.
• Discomfort during intercourse and cycling disappears.
• Sexual sensitivity after plastic surgery increases as the clitoris becomes more accessible.

Painful sensations and swelling in most cases completely disappear by the end of the first week after surgery. With an increase in the volume of surgery, the swelling may persist for up to two weeks. It is advisable to carry out the operation immediately after menstruation and sit less in the first 5-7 days. In this case, healing is faster. In addition, hard physical work, thermal procedures, alcohol intake are not recommended, all this can provoke bleeding. Sexual life is allowed 2-4 weeks after the operation (when the doctor permits).

The final appearance of the labia is approximately 1-3 months after the operation. It should also be mentioned that the tissues of the external genital organs of a woman are very well supplied with blood, therefore, healing occurs without the formation of visible scars, but during childbirth at the site of the operation, ruptures of the mucosa are possible, which must be taken into account, first of all, for nulliparous women.

Possible specific complications:

• Painful intercourse due to narrowing of the vaginal opening,
• Slight asymmetry of the labia.
• Constant gaping of the vaginal opening.

Vaginal plastic

Vaginal plastic (vaginoplasty)- change in the shape of the vagina. Usually performed on women who have had a traumatic birth.

During the passage of the child through the birth canal, tears are possible not only in the walls of the vagina, but also in the muscles. These discontinuities can be subtle or very deep. On deep tears, the obstetrician taking part in childbirth sutures. The primary task of the doctor at this moment is to eliminate the threat to the mother's life associated with bleeding. There is often no time to think about the aesthetic and functional implications. Later, coarse connective tissue may form at the site of the sutures. The muscles in this anatomical area start to work less efficiently. As a result, the width of the vagina increases, a gaping of the genital fissure may occur, which in itself does not look very aesthetically pleasing. Sometimes postpartum anorgasmia (lack of orgasm) occurs.

• Narrowing of the vaginal opening - the result of childbirth with a perineal rupture. The resulting scarring narrows the opening of the vagina, which leads to pain during sexual intercourse.
  
• Increased vaginal opening - The entrance to the vagina becomes wider than before. As a result, a woman may lose the ability to enjoy sexual intercourse: the enlarged vaginal ring does not cover the man's sexual organ as tightly as needed for pleasure.

In this case, during the operation, the scar tissue is removed at the site of the ruptures and cuts of the vagina that occurred during childbirth, and the vaginal patency is restored due to plastic surgery.

• Stretching the vagina. After significant stretching of the vaginal walls during childbirth, the tissue cannot always shrink to its original size, as a result of which the quality of sexual life for both women and men deteriorates. In this case, they resort to an operation that reduces the size of the entrance to the vagina, as well as the size of the vagina itself.

When the vagina is enlarged, the posterior wall plastic is performed in combination with the operation on the pelvic floor muscles. With moderately stretched walls of the vagina, along with excision of excess walls, narrowing is carried out using biomaterials, which are installed in a certain way and turn into their own tissues within 1-1.5 years. The value of the materials is that they are replaced by their own connective tissue along the "frame" and retain the given controlled volume. Most often, this operation is indicated for women who do not plan further childbirth. In other cases, the question of the operation is decided individually and a different version of the operation is applied.

• Descent of the vaginal walls, up to prolapse of the uterus, gas and urinary incontinence , pain during sexual intercourse - in cases where muscle damage is very deep, more unpleasant consequences may occur, - prolapse of the vaginal body from the genital fissure, especially when straining; the normal blood supply to the walls of the vagina is also disrupted, which leads to dryness of the mucous membrane, the appearance of erosions and ulcers.

Clinically, vaginal prolapse is manifested by pulling pains in the lower abdomen and in the lower back, pain during intercourse is possible. Another common symptom is in combination with constipation, since the displacement of the vagina leads to irritation of the autonomic nerves of the rectum and bladder.

The prolapse of the walls of the vagina often occurs in women in old age due to age-related changes in the elasticity of the muscles and fascia of the small pelvis. In young women, this is one of the possible complications of pregnancy and childbirth. These phenomena usually progress with age.

Treatment of this condition depends on the degree of vaginal prolapse: with a slight severity, a positive effect is possible after the course gynecological massage or intimate muscle training , with severe pathology - treatment should be surgical ( colporrhaphy). Because the prolapse of the vagina combined with a change in the anatomical position of the uterus, bladder and pelvic muscles, then the operation is aimed at restoring the normal location of all these structures.

Recovery period after vaginal plastic surgery it takes about 2 weeks. During this period, you should not lift weights, ride a bicycle and play equestrian sports, you should especially monitor bowel movements, avoiding constipation. Sitting is not recommended.

To avoid possible negative consequences of childbirth, it is advisable to see a plastic surgeon-gynecologist a year after the birth of the child. Only a specialist in this field has the right to give a woman recommendations regarding the need for surgery to restore or correct the size of the vagina and reconstruction of the pelvic floor muscles.

Defloration

The hymen is a fold of mucous membrane with an opening that covers the entrance to the vagina between the internal and external genitals. During the first intercourse, the hymen usually (but not always) collapses. The act of breaking it is called defloration. After giving birth, it practically does not persist. There is a concept traumatic defloration, when the destruction of the hymen is not associated with sexual intercourse, but occurred as a result of any trauma. Sometimes there is a congenital absence of the hymen. After the destruction of the hymen, its secondary infection is possible.

Surgical defloration - dissection of the hymen by surgery. Indications:

• Congenital defects.
• Dense hymen.
• Pain or inability to have normal intercourse.
• Prevention of inflammatory processes after rupture of the hymen.
• In the case of an infection of the hymen, which are more often detected after the onset of menstruation. In this case, menstrual blood does not have a natural outlet and is retained in the vagina. At the same time, characteristic symptoms appear - periodic pains in the lower abdomen on days corresponding to menstruation. Surgical intervention in this case must be carried out as quickly as possible.

The recovery period is 2-3 days. The operation is painless, there are no complications or cosmetic defects after it.

Restoration of virginity

Restoration of virginity (refloration, hymenoplasty) - one of the most common operations. It is done for religious reasons and as a surprise to her husband. Some ladies come several times. It is often used by victims of rape. It happens that the integrity of the hymen can be compromised with intense vaginal masturbation or as a result of activity not related to sex - for example, during sports, careless gynecological intervention. Often, women want to surgically change their past, and after marrying a "virgin", start life from a blank sheet.

Types of hymenoplasty:

• If there is enough tissue, the doctor will simply stitches the remaining pieces together hymen to create a loose obstruction to the vagina. The tissues of the hymen are not capable of recovery, therefore, the duration of such an operation is short. The effect can last for a maximum of a month.
• In cases where the patient does not have enough hymen tissue to restore it place an implantwhich has the same physical properties as real fabric.
• The hymen is re-formed from the mucous membrane of the vestibule... Since the tissues are completely restored after the operation, virginity is "guaranteed" until the next defloration, that is, for an indefinitely long period. Moreover, whenever defloration occurs (rupture of the hymen), its signs will be obvious. Moreover, pain and spotting are usually more pronounced than with natural defloration.

In the postoperative period it is necessary to somewhat limit physical activity, as well as observe the correct diet to prevent constipation, bloating, which can disrupt the consistency of the seams. In addition, the first time you can not sit abruptly. The wound heals within 3-7 days.

Hymenoplasty allows you to restore only physical virginity, but with a thorough gynecological examination, the doctor can always see the "traces" of plastic surgery.

Clitoris surgery

The clitoris is one of the most sensitive erogenous zones. If, for some reason, he has lost his sensitivity, then intimate surgery can correct this. Many women, especially those who have had childbirth or serious illnesses, begin to think that they will never be able to experience an orgasm again. This is not the case, this problem is also quite fixable as a result of performing competent surgical intervention.

Clitoris surgery are conventionally subdivided into cosmetic and "functional" ones. The former is based on dissatisfaction with the appearance of the organ, the latter is based on dissatisfaction with its functioning. The former often include operations to reduce, less often to increase the clitoris. And the second - surgical exposure (release from folds or adhesions) or an increase in the clitoris, when a woman has difficulty in clitoral orgasm. Both operations are technically quite simple.

Another common desire of patients is a request move the clitoris closer to the vaginal opening... This is possible, but not easy. The clitoris is all permeated with nerve endings, and if at least one of them is touched, a woman will no longer get an orgasm. Therefore, before deciding on such a risky experiment, it is better to weigh everything properly.

But most often changes in the female genital organs occur after childbirth, such as stretching the perineum and enlarging the opening of the vagina, which often leads to a loss of past sensations during sex. Intimate surgery, in this case, offers an easy way out - suturing the incision on the back of the vagina, which leads to a decrease in its size

In some cases, before thinking about shrinking the clitoris, you should determine the cause of its enlargement. These can be hormonal changes in a woman's body. Therefore, an endocrinologist consultation may be required rather than intimate surgery.

Possible complications

• with a decrease in the clitoris: violation of the sensitivity of the clitoris, since when the tissue is dissected, the nerve fibers of the clitoris inevitably intersect, and if at least one of them is damaged, the woman will never get an orgasm again!
• when the clitoris is exposed: the risk of urinary disturbance due to the too close location of the clitoris and the external opening of the urethra (urethra). In the first days after such a clitoris plasty, there may be a slight leakage of urine drops, but later it goes away.

The recovery period after clitoral plastic surgery lasts on average up to three weeks, and naturally, you cannot have sex all this time.

Recovery period is 3 weeks. During this time, you must not have sex.

Plastic surgery of the vaginal walls is a type of surgery on the vagina, which are carried out both for aesthetic reasons and to eliminate a number of diseases, pathological conditions of the pelvic organs.

The origins of the problem

In a woman's small pelvis, several important organs are located at once, which determine her well-being and the comfort of everyday life. These are the rectum, vagina and ureters.

The correct location of the organs is determined by the presence of ligaments, the tone of the muscles of the pelvic diaphragm (the layer of muscles that close the exit from the small pelvis), the work of the diaphragm.

Dysfunction of any of the organs inevitably leads to disruption of the correct functioning of others.

1. For example, chronic constipation can change the position of the uterus and vagina and cause persistent prolapse. And excessive expansion of the vagina can provoke urinary incontinence when sneezing and laughing, gas incontinence in the intestines and other unpleasant symptoms that can significantly reduce a woman's social adaptation.
2. Violation of the normal size and tone of the vaginal walls in itself leads to a weakening of sexual sensations in both partners, the absence of an orgasm in a woman.
3. Violations in the sexual sphere lead to a decrease in a woman's self-esteem, the appearance of discord in family life, to parting with a loved one or divorce.

Video: What problems does it solve

Over time, in the presence of dilated walls of the vagina, prolapse and prolapse of the female genitals occurs.

That is why this is a complex operation, during which it is necessary not only to narrow the vagina, but also to restore the normal interposition of organs, the tone of the pelvic floor muscles.

Reasons why women go for it

• Congenital structural features of the genital organs.

Examples of such features may be complete clogging of the vaginal opening with the hymen or the absence of communication between the uterus and the vagina. In both cases, there is no pathway for the outflow of menstrual blood, which requires surgical intervention. Doubling of organs (two vaginas, two uterus) or a complete absence of a vagina is also quite common. In the absence of an organ, it is recreated from the body's own tissues.

• Injury to the vagina and perineum during childbirth.

After childbirth, it is performed most often by plastic surgeons. A number of factors affect the condition of the vagina and pelvic floor muscles:

• preparation of a woman in labor for childbirth;
• the size of the fetus, especially the head of the child;
• weakness of labor or, on the contrary, rapid labor;
• the quality of episiotomy (a special incision in the perineal region, due to which significant tears and the formation of extensive scars in the future can be avoided);
• the quality of suturing of tears of the soft tissues of the vagina and perineum in the delivery room.

Basically, women who go to plastic surgeons are concerned about three main problems:

1. The first - This is an excess volume of the vagina, which does not contract and does not return to its original shape after childbirth for a long time.
2. The second - This is a decrease in the lumen of the vagina and a change in its position due to scars and scars.
3. Third - This is the formation of fistulas, passages between the rectum and the vagina or the ureters and the vagina, which are formed at the site of deep tears of the perineal tissue. It is these complications that can occur in women if the obstetrician does not know the technique of episiotomy or does not apply it when it is necessary.

• Age-related changes that lead to prolapse of the genitals.

With age, the elasticity of the ligamentous apparatus, the muscle tone of the perineum decreases. This can lead to prolapse of the uterus. In this case, the following may appear:

• a feeling of having a foreign body in the vagina;
• the ability to grope the cervix at the entrance to the vagina;
• prolapse of the uterus with significant tension in the abdominal muscles.

The main methods of performing the operation

Vaginoplasty can be performed as an independent operation, or it can be combined with:

• plastic surgery of the labia minora (their shortening, sculptural lengthening of unequal labia);
• perineoplasty (general rejuvenation of the perineum);
• liposuction of the pubis and labia majora;
• hymenoplasty (hymen restoration);
• an increase in the clitoris, point Ji with fillers.

Using your own fabrics

This type of intervention involves the excision of excess tissue and the reduction of the edges of the wound, due to which the lumen of the organ decreases. According to this principle, plastic surgery of the anterior wall, narrowing of the entrance to the vagina, strengthening of the pelvic diaphragm are performed.

To reduce the volume of the vagina, only the excess mucous membrane is removed. The muscles are not cut or removed during the operation. Sutures are applied to the muscle layer in such a way as to collect and fix the tissue in a fold. Above this fold, the edges of the mucous membrane are sutured.

Plastic surgery for prolapse in older women can only be performed with suturing the width of the vagina, and can be supplemented by fixing the uterus to the pelvic bones or completely removing the uterus in case of prolapse.

With the use of implants

A special mesh can be used to fix the walls of the vagina in case of significant prolapse or prolapse. The mesh does not dissolve over time, grows with connective tissue and thus provides good results of the operation, which last for many years.

Preparation

First step

Consultation with a plastic surgeon. A physical examination on a gynecological chair is mandatory, so that the doctor receives objective information about the condition of the tissues of the vagina and perineum.

During the consultation, the surgeon can offer several options for solving the patient's problems, which consist in the use of various intervention techniques.

For example, the vagina itself can be sutured, or rough scars can be removed and the entrance to the vagina narrowed. The choice of a specific technique will determine the end result that a particular woman needs.

Some clinics may even use a special album with genitals of different shapes and sizes. According to this album, a woman can choose the optimal size of her own vagina, which will be most comfortable for her and her partner.

In some cases, surgery is not needed to fix existing problems. Injections of drugs based on hyaluronic acid may be sufficient. Contouring of the external genitals and vagina is performed with special preparations, such as Hyalax Base.

Second phase

You need to go through a series of examinations:

• vaginal smears for flora;
• tests for STIs, viral hepatitis;
• general and biochemical blood tests, general urine analysis;
• chest x-ray;

The list of examinations can be expanded depending on the patient's health condition and the volume of the proposed operation.

Stage three

Before the operation, it is mandatory to consult an anesthesiologist, since the operation is performed under general anesthesia.

Stage four

In about two weeks, it is necessary to quit smoking and drinking alcohol so as not to provoke the formation of rough scars and not to have complications from anesthesia.

A week before the operation, the doctor prescribes broad-spectrum antibiotics and antiviral drugs to avoid purulent complications and recurrence of viral infections, such as, for example, genital herpes, shingles, etc.

Contraindications

It should be borne in mind that the operation is complex and large in volume, carried out under general anesthesia, therefore, the examination should be taken very seriously.

It is imperative to inform the doctor about all medications that you are taking, acute and chronic diseases, complaints that are currently available. It is better to postpone the operation and undergo the necessary treatment than to risk health in pursuit of beauty.

Contraindications to anesthesia

• From the respiratory system.

General anesthesia is not performed in cases where the patient is diagnosed with acute bronchitis or pneumonia, chronic bronchitis with significant obstruction, bronchial asthma during its exacerbation, pleurisy.

• On the part of the cardiovascular system.

The anesthesiologist has the right to refuse to carry out anesthesia to the patient if there is severe heart failure, which is manifested by shortness of breath with little physical exertion, arterial hypotension with frequent crises, serious violations of the heart rhythm and conduction.

• From the nervous system.

The operation is not performed in the presence of acute neurological disorders, epilepsy and increased convulsive readiness. Any mental illness will also be considered a contraindication.

• From the immune system.

Vaccination, which was carried out less than two weeks before the operation, the presence of polyvalent allergies, intolerance to a number of drugs are regarded as adverse factors that can affect the outcome of the operation.

When the operation cannot be performed

• the presence of infectious diseases, which include STIs, tuberculosis of any localization, blood infections, seasonal ARI;
• blood diseases;
• blood clotting disorder, as well as taking anticoagulants;
• oncological diseases;
• tendency to develop hypertrophic scars;
• acute and a number of chronic diseases of internal organs, cardiovascular and respiratory systems;
• acute inflammatory processes in the body.

How is the operation going

The patient may be scheduled to arrive at the clinic on the day of surgery. For nonresident patients, a number of clinics offer to take tests at the place of residence or come and go through the necessary list of examinations two to three days before the operation.

Vaginal plastic is performed in the operating room, which is equipped with everything necessary for anesthesia.

For anesthesia, inhalation or intravenous anesthesia can be used, as well as epidural anesthesia in combination with drug sedation. The operation itself takes 1-1.5 hours in time. After the operation, the patient is transferred to the intensive care unit to monitor her condition and well-being.

Postoperative period

A feature of any genital plastic surgery is that the postoperative period requires strict adherence to a large number of restrictions. The final result of the intervention, the development of a number of adverse consequences, depends on this.

• Physical activity.

The first 3-5 days you need to follow strict bed rest. It is better to spend this time in a hospital. You should only be discharged home the next day after surgery if your family is independent enough to take care of you properly.

For about a month after the operation, it is not worth walking a lot and generally not sitting. Within two months after the operation, you should limit your physical activity significantly: only a small handbag in your hands, no weight lifting, physical housework, or sports.

For at least 1 year after the operation, the weight of the objects to be moved must not exceed 5 kg. This is a great excuse to start feeling like a woman and letting others take care of you.

• Compliance with a diet.

1. Did not provoke gas formation, bloating, as this increases intra-abdominal pressure and worsen the conditions for the functioning of the pelvic organs;
2. Contributed to regular and timely bowel movements: constipation can significantly worsen the conditions for vaginal recovery after the intervention.

• Postoperative wound treatment.

Stitches from the vaginal mucosa do not need to be removed, as absorbable sutures are usually used for this. The sutures from the perineum are removed on day 7-10. In the first week, the seams will have to be treated with an antiseptic solution.

• Sex.

Within two months after vaginoplasty, you will have to stop having sex. During the second month, only vaginal contact is prohibited. In the first four weeks, even normal sexual arousal can have adverse effects, since this causes blood flow to the genitals, which can increase postoperative edema and cause eruption and dehiscence of sutures.

Effects

• Edema.

Severe edema usually subsides in the first two weeks. Swelling completely disappears on average in two months.

• Pain.

Painful sensations in the lower abdomen can go away quite quickly, in about two to three weeks. In most cases, the pain is moderately intense, so pain relievers may be needed to relieve them. In cases where the body of the uterus was fixed to the pelvic bones during the intervention, the pain can become chronic due to constant irritation of the periosteum by the organ suspended from it.

• Hematomas.

Subcutaneous bruising usually goes away on its own and without treatment.

It is worth paying attention to the volume of hematomas and the presence of pain at the site of surgical incisions. If the volume of the hematoma increases rapidly and this is accompanied by intense bursting pains, then you should immediately consult a doctor. The pelvic organs are abundantly supplied with blood, therefore, bleeding that opens can lead to significant blood loss.

• Scarring.

If the body tends to react to damage by intensive growth of connective tissue, then pronounced scars may form in the perineum and on the vaginal mucosa.

Vaginoplasty before childbirth

Vaginal plastic surgery for nulliparous women is extremely rare and only for medical reasons.

It should be borne in mind that after a vaginal birth, the operation will have to be repeated. Likewise, those women who have already done vaginoplasty for themselves after the first birth will have to plan another operation after the second or third birth.

Laser application

In Moscow, in a number of clinics, special laser installations have already appeared for performing manipulations in the genital area. The method of laser vaginal tightening may be of interest to those who feel a decrease in the tone of the muscles of the vagina and / or perineum, want to reduce the volume of the vagina, but do not have sufficient grounds for a surgical operation.

Its mechanism of action on the skin and mucous membranes of the genital organs is very simple. Controlled laser radiation causes local thermal damage to connective tissue structures, in particular collagen and elastin fibers.

In response to damage, connective tissue fibers contract. This, in turn, leads to a reduction in the area of \u200b\u200bthe processed tissues. Damage also leads to the activation of regenerative processes in tissues, due to which the cellular composition of the skin and mucous membranes is rejuvenated.

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