Objectives: Where are we now in cosmetic gynecology? While the knowledge and technology are evolving so fast, what are we expecting in the future?
Introduction: In 1976, labia minoraplasty for labial hypertrophy was first published by Radman. In 1984, Hodgkinson and Hait first presented labia minora labioplasty for aesthetic motives. For present, labiaminora and majoraplasty, vaginal tightening and reconstruction, perineoplasty, hymenoplasty and monsplasty are the major surgical procedures in cosmetic gynecology, while genital laser, RF, HIFU, Filler, PRP, and thread applications take part in non-surgical side. Stem cell applications from amnion, bone marrow and adipose tissue seem to open new windows in the future.
Materials / method: Personal experience in conjunction with updated literature knowledge is discussed in this presentation
Results: The perception of ‘ideal vulva concept’ differs between countries. Labiaplasty is the most commonly applied aesthetic genital surgery and aims at improving the appearance of the external genitalia. Vaginal tightening can be performed surgically or by EBDs as laser, RF or HIFU. The method should be tailored according to patient’s complaints and expectations. EBDs have been used for sexual enhancement and stress urinary incontinence as well. On the other hand PRP, Fillers and Threads have been used single or as a combination to other procedures for antiaging and different functional reasons.
Conclusion: Cosmetic gynecology is a new and very developing field in medicine. If trained physicians are involved, minimal complication rates and maximum patient satisfaction can be obtained. To achieve the best outcomes in both functional and aesthetic purposes, patients should be informed by the surgeons regarding anatomic variations, and unrealistic expectations should be excluded. And also, the technique of surgery should be individualized with great consideration of the patient’s realistic expectations. Nevertheless, further studies are needed on the long-term efficacy, safety and reliability.
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