As we grow old a tone and firmness decrease occurs at this level, the skin which is already very fine, became even finer and stars to hang very anesthetic. Hence, to improve the appearance of this anatomical segment the microlipofilling practice is used, consisting of injections of own fat.
The use of injection products that occupy volume also represents a good solution to rejuvenate this area. The same products as in case of lip increases are used, products which have temporary impact; their injection must be renewed after 8 to 10 months.
Sometimes some tissues which are too lax or in excess must be lifted and/or excised; by combining more than one practice we obtain better results. Also laser therapy van be used in order to shrink the skin when is need it.
Frequently asked questions
How long does the healing process take?
The healing period varies with the procedure chosen for rejuvenation. In case of temporary injectable agents full healing will occur within 3 days. In case the fat transfer option is selected the healing period takes longer, approximately 7 to 10 days. The area could become tumid and might show ecchymosis, sometimes significant.
After how much time since the surgery the sexual life could be resumed?
Sexual life could be resumed immediately after healing. If this occurs within 3 days in case of injectable agents, then sexual activity could be resumed following this period of time. The most recommended is a sexual break of 3 weeks if the procedure was surgical.
Is this a painful procedure?
No, it is not a painful procedure because it is performed with local anesthesia in case of injectable agents and with local or general (upon request) anesthesia in case of surgical procedures.
Following the procedure, the usual pain control medication is normally enough to obtain a good comfort.
What do pre surgical preparations consist of?
Before the surgery a series of blood tests must be performed to exclude the possibility of blood coagulation issues. The vulvae area is extremely well vascularized and bleeding could be abundant.
With not less than 2 weeks before the surgery you most stop taking any drug, except for those prescribed by your surgeon. Few days before the surgery the vagina will be cleaned with worm water and vaginal antiseptic agents, and then a betadine bolus will be inserted in the vagina.
The last meal will be served the evening before the surgery day, the meal being comprised of food easy to digest. After this it is forbidden to eat, drink water or chew gum. The stomach must be emptied of drainage and food in case it is decided that the surgery is performed under general anesthesia.
What do the postsurgical care consist of?
After the surgery, due to the bleeding risk, it is required that you remain in the clinic under medical surveillance for 24 hours. Upon dismissal you'll be prescribed a series of antibiotic, pain control medication, anti inflammatory drugs, and for vagina cleaning some betadin bolus.
Antiseptic powder is welcomed and must be applied following every wash with water and soap. It is preferable to use special soaps in this area due to these are not so aggressive and encourage healing. Betadine soap is also very useful. Bandage is not mandatory if you stay at home.
Underwear is not mandatory in house. In case you go out you must use an external vulval pack and panties not too tight.
Don't wear tight pants at list for 3 to 4 weeks following the surgery. It is contraindicated to ride a bike, the seated position for more than half of hour without break, for a period of not less than 4 weeks after the surgery. The massage of the surged areas is forbidden for not less than 4 weeks.
Which are the complications of the surgery?
As a result of the surgery there is the risk of massive bleeding and this is the reason for which you must stay in the clinic for 24 hours. Afterwards, some ecchymosis (bruises) on variable areas might occur, usually located in the perineal region that could lower on the thighs sometimes; in the fat sampling point which is usually in the periumbilical region ecchymosis, pain, inflammation, etc, might occur.
Local cold applications reduce a lot this symptoms. If the hygiene is not perfect the surged wound could get infected.
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Although the treatment is very efficient, 1% of the patients do not obtain the results they want!