Childbirth and aging can exert a toll on the vagina, causing laxity. Many women are concerned by the loose opening of the vagina and the stretched out vaginal canal, fearing the change in sexual function for themselves and their partners.
These concerns are often also aesthetic in additional to functional in nature. The gaping vaginal opening and looseness of the labia (vaginal lips) are the most frequent cosmetic concerns. Fortunately, these concerns can be addressed by vaginal rejuvenation, a procedure that brings the vagina back to the pre-childbirth state both in look and function. Vaginal rejuvenation is usually considered an elective cosmetic procedure.
Please view the following presentation by Dr. Lau regarding vaginal rejuvenation surgery:
Vaginal rejuvenation involves the rebuilding of the vaginal structures that support and contract the vagina. The muscle groups and the support tissue around the vagina are tightened in purposeful steps to narrow the caliber of the vaginal canal and the vaginal opening and to enhance the contraction of the vaginal muscle groups.
At times, excessive vaginal tissue is trimmed off and tightened. Vaginal rejuvenation can often be supplemented by labiaplasty (labioplasty) to restore a more youthful, pre-childbirth appearance of the genitalia.
It is important to be able to improve both the aesthetics and function of the vagina with vaginal rejuvenation. After all, the vagina is an important sexual organ, critical in generating satisfactory sexual function for both partners. There are essential structures, such as the erectile tissues involving the clitoris complex, the bulbs, and the dense nerve plexus at or in the proximity of the distal anterior vaginal wall (the lower part of the front vaginal wall close to the vaginal opening), that are important in contributing to sexual arousal and orgasmic response. Preservation and enhancement of these structures will help to improve sexual function with vaginal rejuvenation. A thorough understanding the vaginal anatomy and physiology, along with meticulous, sound plastic surgical technique are essential to achieve optimized aesthetical and functional results with vaginal rejuvenation and labioplasty. If you are interested in a more in-depth medical discussion on this topic, please see Dr. Lau’s presentation given to an audience of plastic and cosmetic surgeons at the 2015 Aesthetic Medicine World Congress held in Monte Carlo, Monaco.
With vast experience in many types of vaginal reconstructive and plastic surgery over 25 plus years, Dr. Lau is able to perform vaginal rejuvenation and labioplasty with optimal patient comfort using local anesthesia (numbing medicine) in his office surgical suite. By not needing general anesthesia (going to sleep) or spinal anesthesia, the patient avoids additional anesthetic risk and has a faster and easier recovery and a better sense of control. Furthermore, there are substantial cost savings. Of course, if for some reason the patient wants general anesthesia, then Dr. Lau will perform the surgery at Swedish Edmonds Hospital next to his office.
To optimize the patient’s comfort during the vaginal rejuvenation, the following processes are used: