Latest news coverage for Total Body Surgical and Green Country Bariatrics from Joplin, Mo.,.....check it out....
http://www.koamtv.com/story/20349961/integris-grove-fights-back-against-obesity-with-help-of-new-surgeon
Vaginal Rejuvenation....well, don't expect a lot of pictures for this one folks!! A very touchy subject to be sure. I'll try to get through this without offending anyone, here goes.
Why vaginal rejuvenation? The simple fact is, the vagina does a lot of hard work during pregnancy and delivery. The tissues in the vaginal wall, the labia, the cervix all stretch to incredible size to allow the infant access to the outside world. The aftermath can leave changes that do not resolve. For men, imagine trying to stretch your lips around a watermelon then returning to normal....impossible right? My point exactly. The vagina and labia undero chronic changes and never return to the pre partum state.
What changes occur? The outer appearance changes that occur are numerous, but the biggest ones that most women notice are a thinning of the mons area with a loss of fat in the mons and labia majora. Secondly the labia minora becomes effaced (thinner) and become stretched and longer. In some cases the labia minora may protrude beyond the labia majora. The third change that most women notice is a change in the coloration of the labia majora. It can become much darker, losing its original pinkish hue and becoming brown or in some cases almost black.
The inner changes that can occur are also many and can be complex. As the infant travels down the vagina, it stretches to a very large size. Hormones cause the tissue to become very elastic to allow this to occur, however, damage may be done, especially when large babies deliver. One of the common internal changes that occurs is the enlarging of the vaginal diameter. This can have long term effects when it comes to sexual satisfaction for both the woman and her partner. Other things that can happen that are a little more severe and beyond the scope of Cosmetic Surgery are cystoceles and rectoceles. Cystocele occurs when the connective tissue of the front of the vagina tears and allows the bladder to fall into the vagina. This can cause difficulty in holding the urine and also cause an unsightly bulging to the front of the vagina. Rectocele is when the same thing happens in the back wall of the vagina and the rectum bulges in. These problems can occur simultaneously and may require a surgical procedure to fix, if they are bad enough. The common problem we deal with is just trying to tighten the vagina after it has dilated, recovered from delivery, but just not to the pre delivery state.
How does this effect Cosmetic appearance?? Well, I'd show you some pictures, but for the sake of modesty, I'll pass. With newer summer fashions, swim wear, tighter shorts and pants, in many cases the changes can be seen under clothing. Also, many women are self conscious and are embarassed when naked with their partner, not to mention the decrease in sexual satisfaction.
What does this have to do with Cosmetic Surgery?? Our goal at Total Body Surgical is to take care of all of the Cosmetic needs of our patients and this is a Cosmetic need. What we do to fix the problem is using one or two procedures. They can be used individually or in combination. The first is the labiaplasty. What this involves is removing the extra and discolored labia. Labiaplasty leads to a more pleasing appearance to the external genitalia and can also help with the appearance in clothing. This is a quick procedure with very little down time and in many women, it can be done in the office with some IV sedation. Healing in this area is very quick and there is only minimal discomfort. Added to this, to address the thinning of the Mons area, we will often do some fat grafting in the area to make the outer appearance of the mons and labia majora look more youthful...it can make a huge difference. Second is addressing vaginal laxity. How do you deal with this?? We make a very small incision at the base of the back of the vagina and insert a laser fiber. The laser energy causes the vagina to tighten over the next few weeks. We also tighten the entroitus a little and close the skin. All of these procedures can be combined and can be done in the office for select patients. Others, can be put to sleep in the Operating room if that is desired.
What you have when finished is very much like what we see in a face lift. No fundamental change in the anatomy, just the appearance you had before age and children altered it. Also, an improvement in the vaginal function.
We recommend that the procedure ONLY be done after having ALL of your children! It is also a procedure that can be combined with other GYN surgeries, like tubal ligation or hysterectomy.
Come see us today and we'll talk about it....918-786-7780.
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