Cosmetic Gynecology is one of the fastest growing subspecialities in surgery for women. These physicians are specialists in gynecology, urogynecology, urology and plastic surgery.
These specialists address women’s functional and anatomical changes to the pelvic area. The changes are a result of childbirth, aging and other factors.
The pelvic anatomical changes cause problems with sexual function and overall genital appearance.
The Cosmetic Gynecologist applies surgical techniques to enhance the overall appearance of the vulvo/vaginal region as well as functional repairs to tissues that may have been damaged due to childbirth, trauma or aging. The surgeries may be performed in isolation or in association with other subspecialists such as those doing hysterectomies, urinary incontinence corrective procedures and other pelvic floor prolapse surgeries.
The first procedure covered by this subspecialty was Vaginal Rejuvenation. This procedure is performed to treat vaginal laxity. Once healed, this surgery improves sexual function. This procedure was initially controversial but after worldwide use and scientific research, it is now accepted and validated.
The largest growing trend in this field is labiaplasty. These are a group of procedures to improve the aesthetic appearance of the external vulvar vaginal region. These surgeries have been fueled by the increased public awareness created by the media and the voiced expressions of women’s feelings about her self confidence and sexuality. Women are now empowered with the options to change the external appearance of the vaginal region if they are unhappy with the cosmetic appearance.
Vaginal rejuvenation encompasses many different types of therapies. These treatments typically include energy devices such as lasers, radiofrequency and ultrasound. Most vaginal rejuvenation procedures utilize some form of energy to accomplish a myriad of outcomes such as vaginal tightening, decreasing incontinence and eliminating vaginal dryness.
Labiaplasty, commonly used for vaginal rejuvenation, is a surgical procedure. The labiaplasty aims to decrease the size of the labia minora which is the inner tissue of the female genitalia. The goal is to approximate the labia minora with the outer tissue ,the labia majora. There are several techniques associated with the surgery.
Initially, there was a single operative procedure but with time and newer techniques, this surgical procedure has evolved.
Trim procedure is the original procedure for labiaplasty. In this operation, the excess part of the minora is removed and sutured so that it is symmetrical with the labia majora.
Wedge procedure is accomplished by removing a partial thickness wedge of tissue from the thickest part of the labia minora. The tissue beneath is left intact for a more natural appearance post operatively.
Potential Risks of Labiaplasty
Labiaplasty is not without risks as associated with any type of surgery. The risks include bleeding, removing too much tissue, infection, scarring and loss of sensitivity. The main complication is postoperative wound dehiscence. The global complication rate is 13%. It is reported that a wedge resection is more likely to develop this complication than edge resection.
Platelet Rich Plasma is an autologous blood concentrate with supraphysiologic amounts of growth factors, cytokines, exosomes and bioactive proteins that can aid in wound healing and regenerate new tissue growth. PRP has been used in all field of medicine and has been especially incorporated in the wound healing field.
Dr. Red Alinsod, one of the pioneers and world-renowned cosmetic gynecologists, has used platelet rich plasma, platelet rich fibrin and non-crossed linked hyaluronic acid post operatively in his labiaplasty patients for years. He has presented studies concerning the overall healing which is far superior when using platelet derived products in many forums around the world.
In collaboration with Juventix Regenerative Medical, Dr. Red has developed the Fem XHA products for use not only post operatively after vaginal rejuvenation surgery but for other conditions such as lichen sclerosis, urinary incontinence and female sexual dysfunction.
Juventix Regenerative Medical is an industry leader in the regenerative medical field. Our Platelet Rich Plasma Kits are FDA cleared and designed for safety, sterility and effectiveness. They are cost effective and easy to use. Our kits have been scientifically manufactured to provide a consistent platelet concentrate, devoid of red blood cells with a minimum number of leukocytes, critical to the regenerative process.
Juventix Regenerative Medical offers a patent pending LED Activator to activate the platelets and begin the regenerative proves. The activation is a critical step in the release of cytokines, growth factors and bioactive proteins and is accomplished with LED light. This negates the use of chemical additives such as Calcium Chloride, Thrombin or Collagen.
Juventix Regenerative Medical supplies a Bio-Incubator that transforms the Platelet Rich Plasma into an Injectable Platelet Rich Fibrin. The Platelet Rich Fibrin, commonly called the “second generation of platelet products”, has different growth factors and cytokines than the original PRP. These different cytokines provide a broader range of clinical uses due to their anti-inflammatory properties.
Juventix Regenerative Medical also offers many other products, devices and services for all the needs of the regenerative practitioner. The devices and products are all FDA cleared or approved making Juventix a “one stop shop” for all regenerative supplies, while saving time and money. FemXHA is our newest product, and we are proud of the collaboration with Dr. Red Alisnod and his associates. This product is now being used in many surgical suites across the globe to speed the healing and regeneration in Cosmetic Gynecology.
RESTORE, REVIVE, REGENERATE- JUVENTIX REGENERATIVE MEDICAL
Dr. Robert McGrath
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