Cosmetic Gynecology & Anti Aging

There have been an increasing number of practitioners offering various types of vaginal surgeries marketed as ways to enhance appearance or sexual gratification. Among the types of procedures being promoted are so-called “vaginal rejuvenation,” “designer vaginoplasty”, “revirgination”, and “G-spot amplification”. Often the exact procedure performed is not clear because standard medical nomenclature is not used. Some procedures, such as vaginal rejuvenation, appear to be modifications of traditional vaginal surgical procedures. Other procedures are performed to alter the size or shape of the labia majora or labia minora. Revirgination involves hymenal repair in an attempt to approximate the virginal state. G-spot amplification involves the injection of collagen into the anterior wall of the vagina.

Medically indicated surgical procedures may include reversal or repair of female genital cutting and treatment for labial hypertrophy or asymmetrical labial growth secondary to congenital conditions, chronic irritation, or excessive androgenic hormones. Other procedures, including vaginal rejuvenation, designer vaginoplasty, revirgination, and G-spot amplification, are not medically indicated, and the safety and effectiveness of these procedures have not been documented. No adequate studies have been published assessing the long-term satisfaction, safety, and complication rates for these procedures.

Rejuvenation of the vaginal canal and introitus

Repair of the posterior vaginal wall and the introitus are the key aspects to any vaginal rejuvenation procedure. Vaginal rejuvenation surgeries are alterations and modifications of vaginal repairs for prolapse that focus on the final diameter and caliber of the vagina and attempt to restore it back to its pre-childbirth state. They do, however, go far beyond the simple traditional posterior repairs and perineoplasty of old. The focus of these older procedures is simply to restore and reduce the bulge, whereas the focus of vaginal rejuvenation is to restore the caliber of the vagina and genital hiatus back to pre-childbirth state from the introitus all the way up to the apex. They are much more extensive and meticulous procedures. The cosmetic appearance of the introitus and perineal body is also taken into account .

Cosmetic vaginal surgery is a newly emerging frontier in our dynamic and body image conscious society. Still in its infancy this discipline will continue to mature and take on a life of its own. Partially spurred by our ever pervasive process of globalization, the internet, the desire to “anti-age” and remain youthful in appearance and function, cosmetic vaginal surgery is here to stay.