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Objectives: Demonstrate that second generation platelet growth factors are a treatment tool in regenerative gynecology.

Introduction: In the last decade the advances in regenerative medicine have given a big leap, and allowed advances in different medical fields with a wide range of possibilities in the different areas wheres have been applied. That is the case of gynecology, where where nowadays we have regenerative, functional and aesthetics. Autologous growth factors have suffered some changes in the obtaining and preparation processes, and now we prefer to talk about the second generation growth factors because of their biosecurity, closed technique without anticoagulant

Results: in which we obtain a bigger amount of growth factor (up to 5X more) than normal PRP, lesser human errors while performing the technique, centrifuge equipment with lesser G-force, slow centrifugations speed obtaining suturable membranes (APRF) ans it;s inyectable form (IPRF) widely used and applied in according to protocols in Genitourinary Syndrome of Menopause,

Conclusion: stress urinary incontinence, wound dehiscence, partial vulvectomy, atrophic lichen sclerosus, vulvodynia, pudendal entrapment, cervical pathology, surgical complications, genital mutilation, among others. This technique, with the adequate instruments and trained physician care is recommended as a non-conventional therapy for the management of such pathologies.
Keywords: APRF, IPRF, gynecology, regenerative, functional, aesthetic.

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Objectives: To evaluate the effectiveness of the use of hyaluronic acid used as a filler in the labia majora, for the management of both vulvar sagging skin and labia majora deflation due to the aging process.

Introduction: There is a need to effectively demonstrate the use of hyaluronic acid as a filler in the labia majora, for the management of both vulvar sagging skin and labia majora deflation due to the aging process.

Materials / method: Forty patients, with labia majora deflation and sagging skin, underwent a treatment that consisted of a single application of injectable hyaluronic acid of 25 gr, administered through a 25G cannula deep in the dermis of both labia majora, . Injectable lidocaine 2%, only in the skin, was used to insert the cannula. The procedure was painless, and there were no complications. Pictures of before-and-after, as well as the evaluation of patient’s satisfaction with the Visual Analogue Scale (VAS), were done in the follow-up: immediate, and 1 and 3 months.

Results: A significant objective aesthetic improvement of the sagging skin and labia majora deflation was observed in all patients, post-treatment, in all follow up. Subjectively, VAS showed that all treated patients were satisfied with the final outcome achieved.

Conclusion: Our results show that the use of a single injectable application of hyaluronic acid effectively improves both labia majora deflation and the quality of the skin in the treated area, giving to the vulva a younger appearance and achieving optimal patient satisfaction.

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Objectives: Describir la Importancia de un adecuado abordaje al momento de realizar una labioplastia

Introduction: La labioplastia es el segundo procedimiento mas solicitado en cirugia plastica en USA,se realiza por indicaciones cosmeticas, funcionales, sexualeso combinadas, existen multiples tecnicas para realizarla, el adecuado conocimiento de la anatomia, asi como de la vascularizacion e inervacion es muy importante , ya que esta estrictamente relacionado con los resultados,una mala tecnica, podria generar un impacto negativo en la sexualidad de las pacientes

Materials / method: estudio de cohorte retrospectivo transversal que incluyo 356 pacientes sometidas a a labioplastia con laser de CO2 con sistema de emision multipulso entre enero 2010 a enero 2019

Results: todas las pacientes manifestaron un alto grado de satisfaccion , no hubo ningun caso de impacto negativo en la sexualidad

Conclusion: El adecuado conocimiento de la vascularizacion e inervacion, al momento de realizar una labioplastia, asi como la adecuada seleccion de un equipo laser es crucial para generar un resultado positivo en la sexualidad de las pacientes

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