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FAQs
 

 
What is Aesthetic Vaginal Surgery?

The term Aesthetic Vaginal Surgery is also known by other names such as Vaginal Rejuvenation, Laser Vaginal Rejuvenation, Labiaplasty, Vaginoplasty, Designer Laser Vaginoplasty, Perineoplasty, and Hymenoplasty. Aesthetic Vaginal Surgery is a broad term that includes the individual procedures. Since it is a rather new field dealing with the appearance and function of a woman’s private parts the terminology has not been standardized. In simple terms, Aesthetic Vaginal Surgery and its many names deal with cosmetic surgery of the vulvar and vaginal region. It is cosmetic surgery of the “Private Parts.”

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What causes labias to be so enlarged or asymmetric?

Genetics plays a key role and is probably the major determinant in how large and what shape your labia will be. Exposure to estrogen or testosterone can also be a significant factor. Don’t forget that physical trauma (e.g. labial tear from childbirth or bicycle injury) occasionally plays a role in the appearance of the labia.

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What causes vaginal to be so cavernous at times?

The most likely culprit is childbirth. The passage of an average seven pound baby causes a great deal of muscle and tissue stretching that does not go back to its original tautness. Furthermore, vaginal lacerations, episiotomies, tears of the perineum and widen the vaginal opening and deeper canal even more. Other rare causes of vaginal laxity include a genetic predisposition to stretchy skin such as Marfan’s Syndrome. Excess weight, chronic cough, chronic bronchitis can weaken the vaginal tissues and cause a downward and outward travel of the vaginal tissues.

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Why is vaginal correction important?

Surgery to improve the appearance and function of a woman’s vaginal tissues is important for both personal esteem and physiologic function. Childbirth is often traumatic resulting in lacerations and healing process that is not personally satisfying. The use of forceps or vacuum assisted delivery and the increasing weight of babies today result in more prolepses of pelvic organs, more incontinence, and more looseness of vaginal tissues or unappealing appearance of labial tissue. Many who have finished their childbearing years are now concerned about their personal appearance and are looking for ways to deal with this problem. Some feel that they have lost a great deal of sexual sensation due to “looseness” of the vagina. Vaginoplasty can increase friction during intercourse and can enhance intimacy.

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What is the procedure like?

Almost all of the cosmetic surgeries are outpatient. Labiaplasty and Vaginoplasty cases are typically finished within an hour. If a repair of the bladder, rectum or bowel is needed then a 23 hour overnight stay may be needed. If a hysterectomy is needed than it is typical to stay one to two days. Placement of a sling to help with incontinence does not prolong the hospital stay. Many patients feel the pain involved is similar to the discomfort AFTER a baby has been born. They are somewhat sore but not in agony. Pain control is excellent in the large majority of cases.

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What and how are the actual procedures done?

Labiaplasty is the cosmetic reshaping of the inner folds of tissue, called the labia Minora, or smaller inner lips of the vagina. Various instruments are used such as pinpoint cautery, YAG lasers, fine scissors, or a knife. The edges are then sewn together with delicate absorbable sutures. A Vaginoplasty (commonly referred to as vaginal rejuvenation) is when a diamond shaped section of tissue is excised from the inside of the vagina and brought down to the outside of the vagina. Often times a small triangular area is also excised from the perineum (the area right below the vaginal opening). This is called a Perineoplasty or Perineorraphy. The sizes of the tissues removed rarely are larger than a domino block. If needed, sutures that bundle loose muscles together are used to narrow the vaginal opening. At the very end of the procedure, a CO2 laser may be used to smooth out any skin irregularities and further tighten the vaginal opening. The laser provides for growth of new, softer, smoother, and tighter skin just as it would when used on a face.

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What does surgery actually do to me physically?

Surgery can trim excessively large labia Minora, it can also reduce a labia Majora. We can also trim the excess bulge of skin in the vagina and tighten the entrance to the vagina. We can make the whole vagina tighter by excising this loose vaginal skin and reapproximating the stretched tissues from vaginal births. Surgery alone will not improve the tone of your vaginal muscles. You need pelvic floor exercising for that similar to Kegel’s exercises. Surgery can also add support to your fallen bladder, rectum, bowel, or vagina. We often use a mesh made of polypropylene, or skin tissue from a donor, or tissue from a pig or cow to act like a patch for the herniation of organs into and out of the vagina. This is a highly specialized skill very few surgeons perform. Again, in some instances lasers are used to smoothen out wrinkled vaginal skin to make it new and young looking again. Many women tell us that they are happy to be able to wear jeans, bathing suits, and form-fitting outfits again because the rubbing and irritation have disappeared. Women can also regain the confidence in appearance that enable them to wear leotards, bikinis, and tighter clothing.

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Where is the procedure done?

The procedure is usually done in the operating room or surgery center. If a simple labiaplasty or Vaginoplasty is performed then the option of performing the surgery in the office under local anesthesia and oral and injectable medication can be considered. We tailor the surgery to the patient’s projected pain tolerance, anxiety level, and health status.

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What type of anesthesia is used?

You can have a short nap or be fully awake. General anesthesia is the most common anesthetic used because of the patient’s desire not to know or feel anything. Then there is the spinal or epidural anesthetic that allows you to be awake. This is ideal for those who have a fear of going to sleep or have other major medical problems. Sedation and use of local anesthetics is the least invasive of anesthetic options. Many choose this so that recovery is almost immediate and the down time is minimal. If the case involves bladder, rectum, or bowel repair of if a hysterectomy is performed then general anesthesia is the standard.

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How do I get a consultation scheduled?

Call us at 0030 210 8944603 or 0030 210 89 44610. We have office hours to meet you needs ranging from early 5 PM appointments to late 9 PM appointments.

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What restrictions do I have after surgery?

We advise “Pelvic Rest” for six to eight weeks. This means nothing goes inside the vagina, such as tampons or vibrators, and no sexual intercourse for the length of time. The only thing allowed in the vagina is the applicator full of estrogen cream we give you to aid in the healing process. We also recommend loose clothing and no tight underwear, thongs, or jeans that may cause rubbing and discomfort. We advice against lifting of objects or activities that can cause you to strain or bear down. We do not want tension on our suture line nor do we want to stretch tissues we have just tightened. Basically, treat yourself like a princess during this healing phase.

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How soon can I go back to work?

If you had a labiaplasty or Vaginoplasty you can return to work or normal activity within 4 days. If you had both a labiaplasty and Vaginoplasty then it may take you a whole week before you feel comfortable to go back to work. Much depends on the type of work you do. For example, a woman who has a desk job will return to work sooner than one who has to walk or run and carry objects from place to place. We will need to individualize your return to work date. In any event, you are usually healed by six weeks although complete healing takes up to three months.

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When can I resume sexual activities after surgery?

We recommend that you wait at least six weeks before resuming sexual intercourse. If you had a Vaginoplasty it is also recommended that some softening exercises of the surgical site start at six weeks to soften any scarring that may occur and to make the sexual experience more comfortable after surgery. Softening exercises take two to four weeks. This stretching exercise is not needed if you had a labiaplasty alone.

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Can you talk about how surgery will affect my sex life?

There are many sites on the Internet that address the topic of sexual gratification and surgeries that may enhance this experience. In summary, there is an opinion that aging and the trauma of childbirth results in looseness of vaginal tissue, weakening of vaginal muscles, and resultant decrease in friction, hence, decreased sexual gratification for both men and women. Unfortunately, this topic is much more complex than simply tightening a vagina to increase frictional forces for both sexes. Surgery can indeed result in tightening of the vagina but there is no guarantee that your sex life will be better or that your orgasms will be more pronounced. You must weigh carefully the claims of an improved sexual experience. Sexual response is multifactorial and it is often the case that a person’s personal relationship with his or her partner is the primary determining factor in the happiness of an intimate relationship. Surgery is no panacea but it certainly can improve appearances and increase friction involved. A positive body image is priceless. One more thing, surgery does not affect a woman’s ability to become aroused or her ability to become moist prior to having intercourse.

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Will my partner feel any changes when we have sex?

If you had a labiaplasty there will probably be a dramatic decrease in the interference of tissue that will be felt by both you and your partner. The same goes for Vaginoplasty or vaginal rejuvenation since frictional forces are increased. You may need to perform some stretching exercises of your vagina after surgery to allow comfortable intercourse. This is even more important if your partner is large in size.

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Can I combine the vaginal surgeries with other surgeries?

Yes. We do “North-South Face Lifts” quite often. We have an excellent and highly respected Aesthetic Plastic Surgeon, who is able to perform anything from liposuction, tummy tucks, to breast implants or facial reconstruction. He welcomes your inquiries.

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Does insurance cover the surgeries?

Aesthetic Vaginal Surgery is not covered by most health plans since it is cosmetic in nature. However, if you have a fallen bladder, fallen rectum, fallen vagina or uterus, or incontinence, then those surgeries are generally covered if you are symptomatic enough to desire surgery.

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Does the surgery affect the G SPOT in any way increasing amplification?

The surgery itself does not affect the g spot, this kind of operations are dealing with muscular anatomy, the diameter of the vaginal canal but not with areas nerves. Since the will known point located in posterior wall of the vagina it is the concentration point of hundred micro nerves, we never touch this area surgically. In our center we can suggest different way of g-spot amplification, we use injectable collagen, using this collagen we help increasing this spot three to five times, and the results are incredible. It is very fast non surgical procedure, it takes 15 minutes and we use local anesthesia.

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How much does are the surgery costs?

It always depends on the kind of surgery, it is clear that every patient has deferent needs that we can inform you in our first appointment as we will give you many choices for your payment method as we can accept credit cards, and we also cooperate with deferent Banks and finance companies.

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N.Zerva 20 Glyfada, Athens, Greece   |   Tel. (+30)210.89.44.603Copyright 2009 All rights reserved
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