Vaginal Rejuvenation The surgical options for reducing the A New Revolution in work very well and the results have provided Feminine Rejuvenation relief and gratification for the women who have undergone these procedures. Why Vaginal Rejuvenation? Recently, I was introduced to a revolutionary new For many years, I have been treating women technology for vaginal rejuvenation, ThermiVa. with enlarged labia (the of the ). The most frequent complaints have been What is so exciting about this new technology irritation of the (inner lips) is that this in-office procedure is non-surgical, with tight fitting clothing (jeans, yoga pants, painless, requires no recovery and provides and swim wear), activities like horseback riding, immediate results! bicycling, , as well as cosmetic What is even more amazing about ThermiVa concerns of labia minora protruding beyond is that it can reduce the and the labia majora. labia minora, excess, tightens The surgical reduction of the labia minora the vagina and enhances the G-Spot in a provides relief from irritation and self- half-hour procedure. Many women with consciousness during intimacy. Another issue mild urinary stress incontinence have also for some women has also been the appearance noticed improvement. Women have reported of prominent labia majora when wearing tight improved lubrication and increased sexual fitting clothing (“Camel Toe”). pleasure after ThermiVa treatments. Continued... The patients I have treated have The newest laser procedures said that the half-hour treatment still require 4 days abstaining is pleasant or even pleasurable: from sexual intercourse. the gentle heating of the tissues So if you have had any feels similar to a hot stone discomfort from prominent labia, massage. There is truly nothing vaginal laxity after childbirth or that compares with ThermiVa decreased intimate pleasure, in accomplishing so much call our office to set up a and so comfortably. consultation to learn if you’re For example, surgical a good candidate for ThermiVa! (reduction of the labia minora) With no recovery time needed requires local anesthetic and 6 after treatment, ThermiVa is an weeks before resuming sexual excellent procedure to do in the intercourse or other activities summer time; So call today! that would irritate the delicate tissues as they heal. – Dr. Zwiebel, MD, DMD FACS Vaginal Rejuvenation procedures or cosmetic surgery of the female genitalia include:

Labiaplasty – reduction of the folds around the vagina Monsplasty – contouring the pubic mound – reducing excess tissue of the hood of the – usually to tighten the vagina G-Spot Enhancement – to increase sexual responsiveness and pleasure

Women choose genital cosmetic surgery to improve the appearance of their genitals, alleviate symptoms, or enhance sexual pleasure. There is a very high rate of satisfaction with the results of these procedures. The labia majora are the unusual to see considerable Anatomy outer skin folds surrounding asymmetry (differences between the vagina; the labia minora the two sides): one of the labia are the inner skin folds. The minora is normally larger than female external genitals are the other. The labia minora may called the and include be hidden by the labia majora the labia, clitoris, clitoral hood, or protrude beyond the labia (urinary opening) and majora. The labia minora often the vagina. The labia minora enlarge during . surround the urethra and vagina The labia minora may change and extend from the clitoral in size due to genetics, hormonal hood to the posterior border effects (pregnancy), or as a result of the vagina. The labia majora of mechanical effects, such as extend from the piercing, sexual intercourse, (pubic mound) to the or activities like bicycling or (the area between the vagina horseback riding. The labia and the ). The size, shape, majora and mons pubis may and color of the labia minora change as a result of pregnancy, normally vary considerably aging, weight gain or loss. among women, and it is not Labiaplasty Labiaplasty is a plastic surgical procedure to change the shape or size of the labia minora or labia majora.

Enlarged labia can cause pain due to friction with activities and sexual intercourse, as well as self-consciousness and inhibition during sexual intimacy. Enlarged labia (“Camel Toe”) may also cause self-consciousness in tight fitting clothing and swimsuits. The psychological and physical benefits of of the female genitals can be quite substantial in improving self-esteem and decreasing discomfort. Labiaplasty Procedures Edge Resection – surgical De-epithelialization – removes Laser Labiaplasty – usually trimming of the outer edge just the top layer of skin from involves the de-epithelialization of the labia minora to reduce the middle portion of the labia technique. Studies show little its size. This is the simplest and stitches over the area or no advantage to using the surgical technique, leaving a less to shrink the labia. This also laser, despite claims of quicker wrinkled and pinker edge to the preserves a wrinkled edge to healing, which appear to be labia minora. the labia minora, but is useful more a marketing ploy. There are for only limited reductions and reports of increased incidence Wedge Resection – this surgical recurrence is more likely than of cysts forming after laser technique reduces the size of other techniques. labiaplasty. the labia minora by removing a pie slice-like wedge from the Clitoral Hood Reduction – ThermiVa – a non-surgical, non- labia minora and stitching the Surgical trimming of excess invasive technique that uses remaining edges back together. thickness or amount of tissue radio frequency to gently heat, This technique preserves the of the clitoral hood. Too much stimulating contraction of the wrinkled edge and pigment of reduction is to be avoided collagen (structural protein) of the labia minora. to prevent overexposure the labia, causing shrinkage. hypersensitivity of the clitoris. Vaginoplasty Vaginoplasty is performed to reduce (or widen) Patients may shower immediately, the vagina to enhance sexual intercourse. but avoid soaking in a bath (or pool) for 1 week. Surgical or laser reduction can be done to tighten Most patients will use some amount of pain the vaginal canal, if Kegel exercises to tone and medication for a day or two, post-op. strengthen vaginal muscles are not producing adequate results. Potential complications are infrequent, but may include: Surgical labioplasty and vaginoplasty procedures • Bleeding are normally done as an out-patient procedure, with either oral sedation and local anesthetic, • Pain or with intra-venous sedation. • Suture line separation • Infection Dissolving sutures are used. Patients will apply • Pain with intercourse antibiotic ointment and wear a pad for 5-7 days. Most sports, vigorous exercise, tight clothing, • Recurrence insertion of tampons, and sexual intercourse must • Unsatisfactory appearance – be avoided for a minimum of 4 weeks, to allow (under-correction,over-correction, or asymmetry) for adequate healing of these delicate tissues. ThermiVa A ThermiVa treatment can include labiaplasty, clitoral hood By contrast, as a non- reduction, vaginal tightening and surgical, non-invasive G-spot enhancement. Patients labiaplasty, ThermiVa is report improved lubrication, erotic painless and requires no response and sexual pleasure recovery time: patients after treatment. Some patients may immediately resume also note improvement with all normal activities, urinary stress incontinence. including sexual inter- course and vigorous exercise. Another technique for G-spot ThermiVa does require a series enhancement is injection of of three monthly thirty minute fillers into the anterior vaginal treatments to achieve optimal wall, enlarging the G-spot and results. Because the treatment making it more prominent. is painless, no anesthesia or This technique requires no medication is required. ThermiVa recovery time, but requires requires a single treatment annually annual maintenance, as the for maintenance of results. filler will last about a year. 2050 East County Line Road | Highlands Ranch, CO 80126

CREATIVE EXCELLENCE IN PLASTIC SURGERY FOR OVER 30 YEARS

drzwiebel.com 720 - 644 -1900