Шаргородская Анна Витальевна
Врач акушер-гинеколог, эндокринолог, специалист УЗ диагностики

Intimate rejuvenation. Fashion trend or perceived need?

Every morning we look at ourselves in the mirror and assess our appearance: bags under the eyes, puffiness, sagging skin, a new pimple or wrinkle – everything, as they say, is “on the face”. Noticeable to us, others will notice. We urgently need to do something …

You can, of course, be philosophical about the changes in your appearance: what can you do – sleepless nights, stress, age, in the end. Everything natural is not ugly. But there is hardly a single woman who does not pay the slightest attention to her appearance. Facial care is sacred! A beautiful toned body is a wonderful dream and hard work.

Thank you that modern cosmetology technologies are always ready to help: creams, massages, peels, lifts, resurfacing, wrapping, freezing and thawing, plastic surgery and much more. All the advanced achievements in the field of chemistry, physics, medicine, plus the skillful hands of a doctor, today provide a result for any degree of neglect / grooming at any age.

Beauty and health cannot exist without each other. No health – beauty does not please. Lack of satisfaction with one’s appearance leads to isolation, self-doubt, chronic stress and depression, which in turn cannot but affect the state of health.

What is Aesthetic Gynecology?

Modern aesthetic medicine is developing rapidly, new technologies and methods of influence on the skin and the body as a whole appear every year. The intimate sphere also did not stand aside. Gynecologists now have the opportunity to use non-surgical methods for correcting physiological (postpartum and congenital), post-traumatic and age-related changes in the vagina and vulva.

The well-established term “rejuvenation of the intimate zone” does not fully reflect the entire range of possibilities of a new direction – aesthetic gynecology.
Changes requiring correction are not always associated with age-related involution, and age-related changes are not only aesthetics.

Congenital or post-traumatic asymmetry of the labia, low position of the urethra (dystopia), leading to persistently recurrent postcoital cystitis / urethritis, dryness of the vaginal mucosa occur at any age. The effect of the “squelching vagina”, the drooping of its arches and the increase in volume, accompanied by discomfort during intimacy, cicatricial changes are the result of natural childbirth that young women face. Such conditions require recovery and treatment, and the methods of their correction can no longer be called purely cosmetic procedures, although gynecologists borrowed them from cosmetologists.

It’s no secret that with age, the skin loses its ability to retain water and adequately synthesize collagen, which leads to its thinning and flabbiness. Not only the face “floats” and “stretches to the ground”, the labia loses its volume and turgor, the mucous membranes of the vagina become thinner, become pale and vulnerable, prolapse (sagging) of the walls of the vagina and pelvic organs progresses. The so-called stress incontinence appears (incontinence of urine when coughing, sneezing, laughing and playing sports). Are these aesthetic problems or impairments that lead to a deterioration in the quality of life and health of the patient?

The volume, shape and color of the external genitals, the size and shape of the clitoral hood and the “inflatedness” of the G-spot are very individual issues and are not directly related to the feeling of health / ill health. All situations leading to a decrease in the quality of life of a woman, general and sexual health, should be considered as requiring therapeutic, corrective and restorative measures.

What methods and means are there in the arsenal of a doctor engaged in restorative and aesthetic gynecology?

Trainers for intimate muscles:

  • jade eggs
  • vaginal balls and cones
  • pneumatic simulators
  • laser trainers
  • biofeedback devices
  • trainers with smartphone connection
  • electromyostimulants
  • stationary professional trainers in the form of a chair

Hyaluronic acid (HA) preparations:

  • fillers (volumetric gels, replenish volume loss – intimate contour plastics)
  • biorevitalizants (hydration, restoration of the synthesis of its own HA, elastin and collagen)

Polylactic acid (PLA) preparations:

Just like hyaluronic acid preparations, it belongs to fillers and biorevitalizants. Used to restore volume, structure and elasticity of tissues. The mechanism of action is similar to that of HA, but a longer effect is noted after a course of procedures. The product is of non-animal origin, as a result of which it does not cause an allergic reaction and rejection.


Replenishment of the lost volume due to the transfer of one’s own adipose tissue from the donor area (abdomen, inner thigh). It is used to eliminate congenital malformations and age-related involution of the tissues of the labia majora.

PRP-therapy (Platelet Rich Plasma Therapy), plasma lifting:

Injection therapy with own platelet-rich blood plasma.
It slows down inflammatory processes, has an analgesic effect, improves microcirculation and metabolism in tissues, stimulating their recovery, and accelerates the healing of postoperative scars.

Threadlifting (thread lifting):

A low-traumatic effective way to restore weakened and lost elasticity of the vaginal muscles using special self-absorbable sutures (mesothreads). Complete biodegradation of the threads occurs in 12-18 months.

High-energy hardware methods (intimate rejuvenation and lifting):

lasers (CO2 and erbium laser) – radio wave (RF – lifting)
ultrasound (HiFu – lifting)
The principle of action is based on the response of tissues (skin and mucous membranes) to the physical effects of high energy. Local heating occurs in the affected area, as a result of which collagen and elastin fibers are reduced, the work of fibroblasts – cells that produce new collagen – is activated. Thus, the procedure provides both an instant and a prolonged effect that builds up over a month in the process of new collagen production. After 2-3 consecutive procedures with a break of 3-4 weeks, the effect lasts for 12-24 months.

As you can see, there are many ways to restore the tone and physiological structure of the intimate zone. Each method has its own characteristics, indications / contraindications, availability, effectiveness and portability. If you are interested in the topic, write, we will analyze in detail each of the existing methods.

And remember, cosmetology and space have a common root for a reason. Every woman is a Cosmos, and “cosmos” in translation from Greek is harmony. Harmony of beauty and health, external and internal.