Never has the female genital area received so much attention. Changing cultural trends have suddenly exposed this area because of the rise in popularity of the “Brazilian” look. This has led to either a reduced amount of, or no pubic hair at all. The other cultural change for females has been clothing. The “thong” has become a popular form of underwear. Yoga style clothing is very figure forming and tight.
The following gives a list of procedures and treatments that are available at our MediSpa.
The female genital area consists of two pairs of ‘lips’. The outer lips are thicker. The inner lips are much thinner and extend from the clitoris to the lower vaginal opening. The desired appearance is such that the thinner inner lips should barely protrude beyond the outer lips. If the inner lips are too long, they will extend beyond the outer lips and some women will find this cosmetically unattractive. This can also cause pain or discomfort as the inner lips get caught in clothing or with such activities as cycling.
Labial reduction is a small surgical procedure that reduces the size of the inner lips. It takes about 90 minutes to perform, under local anaesthesia and has quite a short recovery time.
The vaginal tissues, like all our tissues, weaken and lose elasticity. This will often occur after childbirth. Over time, this may also lead to stress urinary incontinence (SUI), which means the loss of some urine with coughing, sneezing or activity.
Vaginal laxity can be treated with the Fotona Intimilase laser. This painless procedure takes about 40 minutes with no recovery time. The laser stimulates a healing process in the vaginal tissues to generate new collagen (this is the same as we do for facial skin tightening). Having this treatment may prevent the development of SUI. Maintenance treatments are recommended.
Pelvic floor laxity is a common outcome of pregnancy and vaginal birth. It can occur for other reasons also, such as chronic cough or occupations that require a lot of abdominal straining. This can be improved with specific exercises that physiotherapists can help with. Some forms of incontinence may need surgery but many can be treated with the Fotona Incontilase laser that strengthens the pelvic floor and vaginal canal to better support the bladder. This also is a painless procedure that takes about 40 minutes and no recovery time is needed. Maintenance every year or two is recommended.
This means pain due to muscle spasm in the vaginal muscles. This may cause painful intercourse or may be bad enough to prevent intercourse altogether. Again, there can be many causes from psychological to back problems. Treatment may involve pelvic physiotherapy and/or treatment of the pelvic floor muscles by injection of Botox into the tight muscles.
The outer lips are comprised mostly of fatty tissue. For many women, as they age, the fatty tissue can be lost, leaving the lips thin and wrinkled. Fillers such as Restylane/Juvederm can be injected into the lips to restore their volume.
The skin in the genital area is really no different to the skin on your face. For labial skin that has lost elasticity, we can do laser or radio-frequency resurfacing. This treatment will require some topical numbing cream to be applied for about an hour prior to treatment. Resurfacing stimulates your own collagen to improve skin quality and elasticity as well as improving skin blemishes such as pigmentation.
This whole change about the genital area has come about as a result of removal of pubic hair. This is commonly done by shaving, trimming or waxing. Although these methods are successful, they can cause stubble, shaving bumps, ingrown hairs and pain. Laser treatment can permanently remove hair leaving the skin soft. Several treatments may be required and the treatments can be uncomfortable. We will apply numbing cream to the area as necessary.
As mentioned, the skin in the genital area is no different to our other skin. We can prescribe topical creams for a wide variety of skin conditions that can affect this area. This could include, for example, lightening creams for reducing pigmentation.
Many women have one or more of their nipples inverted. This means that the nipples do not protrude from the breast. This can cause an undesirable appearance when there is a cavity at the nipple site. This cavity can also become irritated and an unpleasant discharge can sometimes present from this area. Also with more tightly applied clothing, this may not give the desired look to an individual’s appearance. There is a small surgical procedure that can permanently correct this problem. The procedure does, however, transect the milk ducts and so this is not something that should be done if you are planning on nursing an infant.
This procedure was developed by Dr. Charles Runels, Alabama. He was the inventor of the Vampire face lift which is a way of combining fillers like Juvederm and Restylane with PRP (Platelet Rich Plasma) for enhancing facial features and defying the process of aging. He felt that, if this process rejuvenated the facial skin, what could it do in the genital area. The O-shot was developed by Dr. Charles Runels. This treatment is used for the following indications in the female;
• Enhancement of sexual sensitivity and response
• Treatment for Stress Urinary Incontinence (SUI)
• Treatment for vaginal atrophy (dryness) in the menopause
• Treatment for lichen sclerosis (skin changes on the genitals)
It has also had a dramatic effect on SUI (stress urinary incontinence). The injections are almost painless and there is no recovery time at all yet the results can be dramatic. This can also be combined with the laser procedures mentioned above. Dr. Balharry has done the training through Dr. Runels and offers this procedure here at the MediSpa.
What happens during the first treatment?
On your visit for this procedure, we first draw some blood from you (just like having a blood test at the lab). This then goes through a special preparation that takes only about half an hour. This preparation concentrates the platelets in your blood, which are the cells that carry the growth factors and healing cells for repair and regeneration of your tissues. At the same time, you are given some numbing cream to apply to the area to prevent any pain sensation.
The concentrated cells (PRP) are then injected in to a special part of the vagina (the G-spot) and also in to the clitoris. Most women find these injections painless after the numbing cream. The results of increased sensitivity will sometimes happen very quickly, but, as this is basically a healing, or regenerating process, you have to allow 6-8 weeks for a true response.
The big advantage here is that there are no drugs or medications, just using your own blood. The procedure can be repeated if it loses its effect. There is no downtime or recovery time. For menopausal women there is no worry about using vaginal oestrogen. For urinary incontinence, it often stops the need for medications, many of which have quite unpleasant side effects.
For more information, go to www.o-shot.info
All these treatments are done in our MediSpa. Also, there is no one treatment that works for everyone. Often we will do a combination of vaginal tightening with labial reduction and resurfacing. All it takes is a complimentary consultation with Dr. Balharry to discuss your concerns and to help to provide the best option for treatment.