摘要

Objectives: The VA technique uses superficial submucosal HA injections in three vectors of the posterior vaginal wall to treat dryness and laxity safely. In 22 women (35–70 y), results showed improved moisture and orgasmic potential. Only one case required hyaluronidase. Recommended: ≤ 1 ml per session, gentle injection, and low–cross-linked HA for atrophic tissue. This method reduces embolism risk and enhances safety and efficacy compared to traditional vaginal HA injections. Introduction: Vaginal dryness and laxity are frequent complaints among women aged 35–70, often impairing comfort and sexual satisfaction. Traditional hyaluronic acid (HA) techniques may carry embolic risk when injected deeply. The VA technique was developed to improve hydration and elasticity using a safer, superficial submucosal approach, maintaining functional and aesthetic integrity. Materials / method: Twenty-two women (35–70 y) were treated using the VA technique, which involves low–cross-linked HA injections in three vectors along the posterior vaginal wall. A maximum of 1 ml per session was used, with gentle, submucosal application under local anesthesia. The protocol focused on hydration, elasticity, and safety. Follow-up evaluated comfort, lubrication, and orgasmic response. Results: All patients reported improvement in vaginal moisture and elasticity, with enhanced orgasmic potential. No major complications occurred; only one patient required hyaluronidase for overcorrection. Tissue tone and hydration increased progressively after a single session, and satisfaction remained high at follow-up. No cases of vascular events or sensitivity loss were observed. Conclusion: The VA technique is a safe, effective alternative for treating vaginal dryness and laxity. Its submucosal, low-volume approach reduces embolic risk while restoring hydration and sensitivity. Using low–cross-linked HA and precise vectors enhances safety and results. The method offers a predictable, reproducible, and minimally invasive solution for vaginal rejuvenation.