Vagina after childbirth - recovery, possible problems.

Being one of the most difficult aesthetic surgeries, vaginoplasty requires the surgeon to have exquisite skill, as he has to work with very delicate tissues. This operation is performed for aesthetic, medical and psychological reasons. It is necessary to eliminate the consequences of injuries and age-related changes in the walls of the vagina, to improve the quality of sexual life with a partner. The main goal of vaginoplasty is to restore the optimal volume of the vagina and narrow its vestibule.

Many women worry that after vaginal plastic surgery they will face a long recovery period, as well as the need for suture removal and special scar care.

For many years, Vardan Robertovich has been using his own proprietary technique when performing surgery, which makes it easier to undergo vaginoplasty and reduce recovery time. The construction of a complex internal seam structure makes it possible to dispense with visible external seams.

Indications for vaginoplasty

A decrease in the quality of intimate life is quite often associated with an increase in the volume of the vagina after childbirth, stretching of its walls and narrowing of the vestibule as a result of the formation of gross deforming tissue scarring after episiotomy. Such changes often affect the relationship between partners and sometimes cause psychological discomfort. Even the most modern non-invasive techniques, physical procedures and Kegel exercises cannot help solve such delicate problems, so women in this case are advised to undergo vaginoplasty.

Main indications for the operation:

• mechanical damage, increase in volume or stretching of vaginal tissue;
• narrowing of the vaginal opening (a typical postpartum problem);
• loss of elastic properties of the vaginal walls associated with age-related changes;
• the need to restore the muscular frame of the vagina.

If desired and necessary, vaginoplasty can be combined with other types of intimate plastic surgery (for example, correction of the labia minora or majora). Various techniques used today in aesthetic surgery make it possible to improve an intimate life, restore a woman’s self-confidence, and feel desired again.

Types of vaginoplasty

The type of operation is selected in accordance with the nature and severity of the problem, the wishes of the patient, as well as the individual anatomical features of the structure of her organs.

• Anterior vaginoplasty is most often required after childbirth to correct the common postpartum problem of prolapse of the anterior vaginal wall.
• Posterior vaginoplasty is performed when the posterior vaginal wall prolapses and the perineum ruptures.
• Complete vaginoplasty is needed if there is a need to excise areas of the mucous membranes on both walls of the organ.
• Plasty of the vaginal vestibule is a technique that allows you to narrow the entrance to the vagina to improve the quality of intimate life.

Preparing for vaginoplasty

The surgeon must be convinced that his patient has no health problems, so before the operation she must undergo all the necessary clinical studies, visit a gynecologist and undergo tests.

If any diseases or pathological processes are detected, vaginoplasty will be canceled or postponed. The operation is permissible only if the research results are good.

How is vaginoplasty performed?

The key principle that guides Vardan Robertovich when performing an operation is based on the desire to achieve the most natural result without complications, visible stitches and scars. For this purpose, all the slightest individual features of the structure of the female genital organ must be taken into account.

The course of the operation depends on the chosen method of vaginoplasty.

To reduce the volume of the vagina, excess tissue of the vaginal mucosa is excised, while the surgeon uses his precision, low-traumatic technique for constructing sutures, which allows the operation to be performed bloodlessly and as delicately as possible, eliminating the risk of gross scarring. He uses the same principle to reduce the lumen of the vagina when excising excess tissue and bringing together the edges of the wound. Vardan Robertovich always removes excess tissue according to the parameters of the anatomical structure of the organ.

The advantage of the unique internal suture design, developed independently by the surgeon, is also the ability to reduce recovery time. The patient can be activated the next day.

Such operations allow you to obtain the most natural aesthetic result without visible consequences of operations.

Rehabilitation after vaginoplasty

• The patient is discharged from the hospital on the day of surgery.
• She will be able to return to her usual activities in 2-3 days.
• After vaginoplasty, there is no need to remove sutures, since to correct the vagina, Dr. Vardan Khachatryan uses a precision technique of internal suture, which dissolves over time.
• The disappearance of visible scars is possible within 2-3 weeks.
• Final recovery is in 6-8 weeks.

For a complete successful recovery, it is important to follow the instructions of the plastic surgeon and remember the temporary rehabilitation restrictions:

About the first three weeks after vaginoplasty, sexual abstinence, temporary refusal to visit the sauna, swimming pool, steam bath, physical activity, and sports are necessary.

Vaginoplasty result

• With the help of vaginal plastic surgery, you can improve the condition of its tissues, even with the loss of elastic properties caused by age-related changes.
• The operation gives you the opportunity to take a fresh look at yourself, to feel confident and feminine again.
• Thanks to vaginoplasty, your sex life will definitely improve.
• The technique solves many delicate problems of the female genitourinary system.

Contraindications to vaginoplasty

Vaginoplasty is not performed if contraindications to surgery are found:

• blood clotting disorder;
• cardiac, renal, liver failure;
• inflammatory and infectious processes in the external genitalia;
• gynecological diseases;
• oncological diseases;
• pregnancy;
• diabetes;
• mental disorders;

More complete information about vaginoplasty and its cost can be obtained from the administrator.

What do women desire?

• Ideal functionality (primarily high-quality sex, but not only) • Aesthetics and the absence of any defects • Not only visible, but also real youth (no sagging, drooping walls, etc.)

Vaginal plastic surgery is an aesthetic gynecological operation that should be entrusted only to a highly qualified specialist, such as, for example, the vice-president of the Russian Society of Aesthetic Gynecology, MD, Professor Svetlana Vyacheslavovna Gagarina.

We do not inflate prices and provide the highest level of surgery, medical care and service.

Symptoms of muscle damage after childbirth

When the pelvic floor muscles prolapse, rupture and stretch, water flows into the vagina when swimming in the sea or pool, and during sexual intercourse, unpleasant sounds are heard due to the escaping air. Sex becomes less vibrant. Involuntary leakage of urine may also occur. Thrush and bacterial vaginosis without an infectious agent are often a concern.

How to check for muscle damage yourself at home?

This problem can be identified visually. Externally, the injury is diagnosed in a lying position, when the genital slit gapes and the mucous membrane protrudes outward, especially if you strain the abdominal muscles, that is, “strain.”

Doctors have standard tests. While lying down on a gynecological chair, or just at home on the bed, you need to insert a finger into the vagina and press towards the anus, that is, on the back wall. If the finger seems to fall down, this indicates muscle destruction. When everything is in order, when pressed, it rests against an elastic barrier. You can also try squeezing your finger with your vaginal muscles and holding it for about two seconds. Normally, any woman should do this.

What you need to know when planning a vaginal reduction

Vaginal tightening surgery is generally not recommended for young girls and women who are planning to have children. Today, there are many other conservative techniques that can significantly improve the condition of the vaginal walls and solve other problems in younger patients of reproductive age.

We perform a thorough examination and diagnosis, and when we can help without surgery, we always offer patients a non-surgical vaginal tightening option. Read more about this in the intimate rejuvenation section.

In what cases is surgical tightening of the vagina necessary: ​​• Functional changes after childbirth • Age-related problems • Scars, vaginal prolapse after gynecological operations • Severe cases: vaginal prolapse, urinary incontinence, defecation problems

If in your case it is not possible to shrink the vagina without surgery, then you need to keep in mind that natural childbirth is not recommended after a vaginal tightening (the problem may return). In this case, it is better to choose a Caesarean section.

Photo of labiaplasty surgery

The labia minora (inner) in women can have a very different appearance and vary in shape, size and color, which is generally considered normal. It is this variability in anatomy that makes each person unique. However, many women who are unhappy with the appearance of their labia prefer to change the shape and make it more aesthetically pleasing.

If you're unhappy with the appearance of your labia, you may want to consider having them reshaped. In the photographs below you can see several of the most typical clinical cases of successful solutions to problems with the external genitalia in patients of various age groups. Get a preliminary consultation with a specialist to choose the most optimal method of surgery.

And now for your attention are the “Before” and “After” pictures - you can look at the photos of labiaplasty and evaluate the results.

Price for surgery 18+ (find out the cost from the photo for yourself)

Reviews about labiaplasty 18+ (opinion of women, who did it and with whom)

Surgical vaginal reduction

The operation is performed under general anesthesia. During the surgical intervention, wall prolapse is eliminated, scars and defects from previous operations or injuries are eliminated, and the size of the vagina is reduced.

In serious cases, vaginal plastic surgery can be combined with operations to eliminate urinary incontinence and measures to normalize the process of defecation. Read more about this in the Women's Health section.

Non-surgical intimate plastic surgery

These are injection techniques used to correct dystrophic processes in the tissues of the labia. Atrophic processes of the skin and mucous membranes of the genital organs develop, mainly due to a deficiency of sex hormones, chronic inflammation and damage during childbirth. The purpose of the procedure is to improve tissue nutrition and increase the volume of the labia by introducing biologically active substances under the skin and mucous membranes.

Plasmolifting of the labia

Plasmolifting is the introduction of the patient’s own blood plasma into the tissue. Plasma contains growth factors - biologically active substances that activate local immunity and metabolic processes, thereby improving the condition of the skin and mucous membranes. A rejuvenation effect is achieved: skin elasticity (turgor) increases and sagging disappears. The method has long been used in cosmetology and has virtually no contraindications.

To obtain plasma, blood is taken from the patient, centrifuged and processed. The prepared plasma is injected into the tissue using a syringe under local anesthesia. In addition to cosmetic purposes, plasma lifting is successfully used to treat chronic inflammatory processes of the external and internal genital organs, in particular kraurosis, leukoplakia, chronic endometritis, due to the pronounced local immunostimulating effect of plasma.

Contour plastic with hyaluronic acid fillers

Hyaluronic acid fillers are preparations based on stabilized hyaluronic acid, which are injected into the subcutaneous or submucosal tissue to compensate for the deficit in soft tissue volume.

The problems of sagging, asymmetry of the labia and their symmetrical ratio in size are solved. Hyaluronic acid is a natural component of the body, forms the basis of connective tissue and does not cause allergic reactions, helps to moisturize, thicken and increase the volume of labia tissue.

The procedure is performed on an outpatient basis under local anesthesia. The effect of the drug is temporary, since hyaluronic acid gradually biodegrades (resorbs). Taking into account the individual characteristics of a woman, if the effect is insufficient, additional correction may be required (carried out 2-3 weeks after the first procedure). On average, the effect of the procedure lasts 10-12 months.

READ SUMMARY

Intimate plastic surgery is performed in our clinic

Ananin Vladimir Viktorovich

Gynecologist, surgeon. Medical experience since 1996.

Make an appointment

How is the operation performed?

By itself, it does not take more than an hour and is not considered difficult for experienced doctors. After staying in the hospital for only three hours, you can return home. General anesthesia is needed so that the patient sleeps and does not feel pain. Thanks to modern drugs, such pain relief does not affect the functioning of the brain and other important organs.

Within forty minutes the woman comes to her senses, as the drug is completely eliminated from the body.

Before surgery, you need to take some tests: sometimes a gynecological smear, a general blood test, a blood test for sexually transmitted diseases and hepatitis, and an ECG. The patient's blood clotting is also checked. After the operation, the patient should lie down more during the day, move less and not lift anything heavy at all. The gentle regime lasts about three days.

If the operation was complex and long, then the woman may stay in the clinic for some time.

The only extremely serious disadvantage of vaginoplasty is that after it you cannot sit down for about three to four weeks. Even taking into account the fact that the external surgical wound quickly heals, a woman should not take a sitting position, since the sutures on the muscles can come apart at any time. This is due to the fact that, unfortunately, they completely grow together only after this period has passed. However, the problem is easily solved; there are special “orthopedic circles” on which you can sit without restrictions, even while driving and, for example, on an airplane.

Labiaplasty and clitoral hood correction

Often, in combination with plastic surgery of the labia minora, it is proposed to perform the so-called resection of the “pocket” of the clitoris. In some cases, it is important to stop in time and understand that when excision of the folds around the clitoris, it can be “exposed” and if friction occurs on clothing, a decrease in sensitivity will quickly occur, and problems of a sexological nature will begin, which will be irreversible. Normally, the “exposure” of the clitoris happens by itself, and it goes beyond these folds during sexual arousal, that is, it is, as it were, protected by nature from external influences.

So, the clitoris and the area around it can be the object of plastic surgery. The operation of excision of the clitoral hood is performed for a number of reasons.

Aesthetic indications when, due to the presence of excess tissue in this area, the area appears excessively enlarged. If the clitoris is completely closed, this condition can occur during puberty. In this situation, he does not take part in sexual activity, that is, he is completely closed.

Quite often, such interventions are part of labiaplasty, its logical continuation.

Symptoms

Symptoms of vaginal prolapse, depending on the organ involved, can be divided into the following groups:

• Associated with prolapse of the bladder (prolapse of the anterior wall of the vagina): difficulty urinating, urinating in small portions, the need to reduce the prolapse to completely empty the bladder, a feeling of incomplete emptying of the bladder, frequent urination, loss of urine when straining and against the background of a sudden urge to urinate
• Associated with rectal prolapse (prolapse of the posterior vaginal wall): difficulty defecating, a feeling of incomplete emptying of the rectum, defecation in portions, the need to reduce the prolapse or empty the rectum with a finger to completely empty it

In addition, prolapse of any of the vaginal walls is characterized by a feeling of a foreign body in the vagina, vaginal discharge, dryness of the vaginal mucosa that has dropped outward, trauma to the prolapsed vaginal walls with the possible formation of ulcers, discomfort during sexual intercourse, as well as nagging pain in the lower abdomen

Rehabilitation

After perineal plastic surgery, you must adhere to a number of restrictions:

• Reduce physical activity;
• Avoid sex for several weeks;
• Do not squat for up to 2 weeks and do not sit in a right angle position for a week.

Perineal plastic surgery, performed by the best intimate surgeons at our clinic, will return the correct geometry of the perineum and improve the aesthetics of your intimate area.
You can learn more about labiaplasty and sign up for a free consultation and examination with Sarvar Bakirkhanov by calling.

Causes

The nature of vaginal wall prolapse is a multifactorial and long-term process. The main cause of the disease is childbirth, during which the supporting apparatus of the pelvic floor is damaged. This factor becomes critically important in the case of prolonged labor, a large fetus, or delivery using obstetric forceps or a vacuum extractor.

Of course, this is only a trigger, since most often there is a predisposing factor - hereditary weakness of connective tissue. Another mechanism for the development of the disease is chronically high intra-abdominal pressure, which significantly increases the load on the ligamentous apparatus of the pelvic floor. The main culprits for this condition are heavy physical labor, chronic lung diseases accompanied by severe coughing, and chronic constipation.

Another reason that leads to prolapse of the vaginal walls is hysterectomy surgery. The fact is that most often these interventions are performed as a method of treating prolapse of the uterus and vaginal walls. Unfortunately, in this situation, this often leads to even greater damage to the supporting apparatus of the pelvic floor and relapse of the disease, reaching up to 50%. A so-called prolapse of the vaginal stump or posthysterectomy prolapse is formed, in which the walls of the vagina are partially and completely turned outward.

After the procedure

On the first day after surgery, a sharp rise in temperature is possible, and in the next two days - up to subfebrile levels. There may also be some spotting, but no bleeding. Urinary incontinence during physical effort can also persist for 3-4 days - this is the norm.

To avoid complications and quickly restore tissue function, you must follow your doctor’s recommendations. They are standard:

• appear in 7 days;
• in the first 1–1.5 months it is required: exclusion of thermal procedures such as baths, saunas, hot baths, etc.;
• sexual rest;
• exclusion of heavy lifting, straining - for 1 month, sometimes up to 3 months, then you can lift no more than 3 kg;
• Do not visit the pool for 2 weeks;
• Do not sit on hard surfaces for 3 weeks;
• treat the perineum with furatsilin or aqueous chlorhexidine twice a day for a week;
• After 2 weeks you can start doing Kegel exercises.