Everything You Need to Know About Vaginal Rejuvenation & Labiaplasty!

From One of Northern Virginia's Premier Plastic Surgeons:

DR. PHILLIP CHANG

What Is Vaginal Rejuvenation?

Vaginal Rejuvenation means much more than vaginal tightening. The term includes the rejuvenation of all aspects of female vaginal health that potentially change with age and pregnancies! 

The better known procedures include cosmetic labiaplasty to reduce long or asymmetrical vaginal lips and vaginal tightening. What most people don’t know is that vaginal rejuvenation also addresses more important functional problems such as stress urinary incontinence and vaginal dryness.  

The vagina, like every other body system will show signs of age with time.  Unlike other body systems, however, the vagina and pelvic floor of women have unique stresses and challenges including pregnancies, vaginal deliveries, and hormonal deficiencies that are very often overlooked or reluctantly discussed

Why Does A Woman's Vaginal Area Change?

A woman’s body changes with age and life events such as childbirth or menopause. There are often sudden changes or a gradual decline in vaginal health over the years. Factors that may affect your vaginal health include pregnancy and childbirth, natural aging and menopause, cancer and chemotherapy, STDs, or various other health and medical concerns. 

1. Pregnancy and Childbirth

Mommy Makeover

Childbirth stretches the vaginal canal and surrounding tissue. While the vagina can mostly be repaired by the body’s own healing response, many women experience vaginal tissue that may not fully return to the same state as before childbirth. The stretching damages the vaginal walls, perineum, and surrounding tissue, which often leads to diminished vaginal health. 

Pregnancy and having your children are obviously a blessing. Unfortunately, the price is a dramatic change in a woman’s anatomy and physiology. Not only does pregnancy affect changes in your breasts and abdomen, but the weight and size of the baby during the pregnancy puts pressure and stretch on the pelvic floor. 

In addition, the vaginal childbirth will often lead to stretching of ligaments and tearing of the vaginal muscles and lining. These changes unfortunately can lead to loose vaginal walls that are often less dynamic, dilation and extension of the vaginal labia, and stress urinary incontinence. Some reports show that up to 70% of women after vaginal deliveries will experience some for of stress urinary incontinence

1. Natural Aging and Menopause

Menopause and other events such as a hysterectomy or activities like breastfeeding may lead to reduced estrogen production by the ovaries which can cause thinning, drying and inflammation of the vaginal tissue.

Women will lose estrogen as they approach menopause.  According to the North American Menopause Society, estrogen normally supports the health of the vaginal walls; the vaginal lining becomes thicker, and the number of mucosal folds increases. These changes are presumably to prepare the vagina for the potential for intercourse and childbirth. 

After menopause, however, estrogen levels will fall. The vaginal lining begins to thin, there are fewer folds, and the vagina becomes less flexible. This condition is referred to as vulvovaginal atrophy.

3. Cancer and Chemotherapy

Breast cancer treatment such as chemotherapy can also affect vaginal health. Chemotherapy has the potential to damage the body’s tissue, including the vaginal area, which can cause painful sores or infection. In some cases, after recovering from cancer, a vaginal rejuvenation may help you feel more like yourself again. 

4. Various Other Health Conditions

Unprotected sex leading to STDs, certain medical treatments, fluctuating hormone levels, vaginitis, and other rare medical concerns could also lead to vaginal issues. After recovering from any such concerns, consult your doctor about whether a vaginal rejuvenation would be appropriate for you.

Common Concerns Leading to Vaginal Rejuvenations:

  • Labia minor is too long or asymmetric
  • Stress urinary incontinence
  • Vaginal dryness
  • Pain with intercourse
  • Lax or enlarged vaginal walls
  • Clitoral hood is too long or disproportionate
  • The pubic fat is too full or sags
  • Labia majora is wrinkling or thin

Nobody Ever Talks About Vaginal Health!

Vaginal health is all too often a taboo subject to talk about. 

Women find it difficult to voice their concerns about their the medical concerns about their vaginal health; voicing their cosmetic observations about the vaginal area is mostly unheard of even if their concerns are reasonable.  

Less than 10% of women who come in for a labiaplasty procedure tell their friends or family that they are having the procedure for fear of what they might think. The number of women who discuss suffering from stress urinary incontinence is equally low. 

This is in the face of huge advancements in the treatment options for their concerns. This article will highlight some of these advancements from cosmetic vaginal rejuvenation procedures to the diVa Laser.  

In the Aesthetica offices, there's no need to fear that you will be judged, or to be embarrassed about your vaginal health. We're here to help you achieve the body you deserve - vaginal health is just one aspect of that!

The Best Treatment Option:
DiVa Laser Vaginal Rejuvenation

A Revolutionary Treatment Option For Many Of The Vaginal Health Issues That Effect Women

One Laser. Three Treatments.
Multiple Resolved Issues.

Ready to kill three birds with one stone?

The diVa laser technology allows us to tailor our treatments to each woman’s unique, intimate health needs, providing women with restored confidence and feelings of increased self-esteem and sensuality.  

DiVa Laser Vaginal Rejuvenation was introduced in 2017 and has already revolutionized the treatment of many issues that affect women as they age including: stress urinary incontinence, vaginal dryness, vaginal laxity, vaginal atrophy, and painful sex. 

Patient Portal

How Much Improvement Are We Talking?

DiVa Laser Vaginal Rejuvenation has been shown to improve these condition by up to 80-90% in 80 percent of women. 

How Many Treatments Are Typically Required?

DiVa Laser Vaginal Therapy requires three treatments about four to six weeks apart to achieve optimal results and patient satisfaction. 

How Long Does A Treatment Typically Take?

DiVa Laser Vaginal Rejuvenation is as convenient as it is effective! Each treatment takes only about three to five minutes in our office. 

DiVa Laser Vaginal Rejuvenation is Effective For:

  • Stress urinary incontinence
  • Vaginal dryness
  • Painful intercourse
  • Lax or enlarged vaginal walls

How Does DiVa Laser Vaginal Therapy Actually Work?

DiVa laser vaginal therapy is a quick, comfortable, no downtime vaginal rejuvenation solution. DiVa is an FDA-cleared vaginal therapy system which utilizes the world’s first and only revolutionary Hybrid Fractional Laser technology to restore vaginal tissue and improve sexual health.

1. Resurfacing the Vaginal Walls

The first laser deeply resurfaces the layers of the vaginal wall, replacing it with brand new, healthy tissue. 

2. Heating Tissue

The second laser heats the layers of the tissue where collagen exists. 

3. Replacing Damaged Tissue

The final laser resurfaces the vaginal wall replacing the damaged tissue with healthy, new tissue to improve overall vaginal health.

What Conditions Can Be Treated with DiVa Laser Vaginal Rejuvenation?

Stress Urinary Incontinence

Stress incontinence is the inability to control your urge to urinate in certain circumstances. Do you pee when you jump, sneeze, cough, or run?  If you do, then you likely have stress urinary incontinence.  Stress urinary incontinence affects up to 70% of women after vaginal deliveries.  It’s a serious and embarrassing disorder and can lead to social isolation. Any pressure placed on the abdomen and bladder can lead to the loss of urine.

DiVA is effective in the treatment of stress urinary incontinence in up to 80-90% of women.

Vaginal Dryness

Subsequent to the decrease in estrogen as a woman approaches menopause, the dry and fragile vulvovaginal tissues are increasingly susceptible to injury, shearing, and bleeding particularly during intercourse. The vaginal lining begins to thin, there are fewer folds, and the vagina becomes less flexible.  The result is the a decrease in mucosal lubrication and a possible increase in painful intercourse

Vaginal Laxity / Stretch

Vaginal laxity is due a a combination of factors including the vulvovaginal atrophy from a fall in estrogen as well as the stretch and or tear of the vaginal tissue with vaginal deliveries.  Vaginal laxity can lead to a decrease in sexual satisfaction.

Painful Intercourse

Painful intercourse can also be blamed in part on the consequences of age and decrease in estrogen include in vaginal lubrication, thin and irritated mucosa, and the inflammation of the surrounding tissue.

Ask Dr. Chang About Vaginal Treatments:

Women will lose estrogen as they approach menopause.  According to the North American Menopause Society, estrogen normally supports the health of the vaginal walls; the vaginal lining becomes thicker, and the number of mucosal folds increases.  These changes are presumably to prepare the vagina for the potential for intercourse and childbirth. 

After menopause, however, estrogen levels will fall.  The vaginal lining begins to thin, there are fewer folds, and the vagina becomes less flexible.  This condition is referred to as vulvogaginal atrophy.

The dry and fragile vulvovaginal tissues are increasingly susceptible to injury, shearing, and bleeding during intercourse.  When a woman doesn’t have intercourse or other vaginal sexual activity on a regular basis following menopause, her vagina may also become shorter and narrower.

Then, when she does try to have intercourse, she is likely to experience pain, even if she uses a lubricant. That’s because dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse or any penetration of the vagina. 

These menopause-related vulvovaginal symptoms may occur early in the menopause transition or not until after several years of reduced estrogen levels. What’s more, not all women develop troublesome vulvovaginal symptoms around menopause.

But those women who do experience vulvovaginal symptoms (dryness, irritation, burning, itchiness, pain) should not automatically assume that reduced estrogen levels are the reason for these symptoms

Atrophic vaginitis. When “–itis” is added to a word, it generally means inflammation. Inflammation of the vagina after menopause in a woman who is not using hormone therapy is called “atrophic vaginitis.” This condition can include redness of the vagina and vaginal discharge. It’s associated with the loss of estrogen after menopause and usually improves with the use of low doses of vaginal estrogen therapy

After menopause, however, estrogen levels will fall.  The vaginal lining begins to thin, there are fewer folds, and the vagina becomes less flexible.  This condition is referred to as vulvo-vaginal atrophy.

When a woman doesn’t have intercourse or other vaginal sexual activity on a regular basis following menopause, her vagina may also become shorter and narrower. Then, when she does try to have intercourse, she is likely to experience pain, even if she uses a lubricant. That’s because dry, fragile vulvovaginal tissues are susceptible to injury, tearing, and bleeding during intercourse or any penetration of the vagina.

Atrophic vaginitis. When “–itis” is added to a word, it generally means inflammation. Inflammation of the vagina after menopause in a woman who is not using hormone therapy is called “atrophic vaginitis.” This condition can include redness of the vagina and vaginal discharge. It’s associated with the loss of estrogen after menopause and usually improves with the use of low doses of vaginal estrogen therapy, as discussed later.

These menopause-related vulvovaginal symptoms may occur early in the menopause transition or not until after several years of reduced estrogen levels. What’s more, not all women develop troublesome vulvovaginal symptoms around menopause. But those women who do experience vulvovaginal symptoms (dryness, irritation, burning, itchiness, pain) should not automatically assume that reduced estrogen levels are the reason for these symptoms,

The Other Side Of Vaginal Health:
The Labiaplasty

Labiaplasty surgery is the cosmetic shortening of the inner lips or labia minora. The labiaplasty surgery was the fastest growing plastic surgery procedure in the United States in 2016 as well as our practice in Leesburg, Virginia. 

Why Is The Labiaplasty Gaining
In Popularity?

  1. Social Media Awareness

The dramatic increase in the procedure is due in part to the awareness made available by the internet and social media which has also contributed to its general acceptance. 

        2. The Rise of Porn

According to Forbes Magazine, approximately 10-15% of all internet searches are for porn. This statistic is staggering when you consider that men and women could barely draw the correct anatomy of female genital before the internet era.

Sure, there was Playboy and a few other magazine, but the number of people who bought or subscribed to these publications was minuscule by today’s porn users comparisons. 

This sudden and unusual sexual education has had the unexpected repercussion of both men and women have a better understanding of what “average” genitalia looks like. If the genitalia they have is different from what they believe to be “average,” they might experience anxiety, feelings of being “abnormal,” or become self-conscious. Men and women alike often desire to have the ideal physical body

Watch Dr. Chang Perform A Labiaplasty!

WARNING: Graphic Content; NSFW

Ask Dr. Chang About The Labiaplasty:

You are a candidate for cosmetic labiaplasty if you feel that your labia are too long.  This impression is obviously subjective and will require a consultation to confirm that you would make a good candidate 

You absolutely do not need general anesthesia.  We have pioneered and perfected our labiaplasty procedure under oral sedation and local anesthesia.  The oral sedation is sufficient to calm your nerves while the topical and injection anesthesia are painless.  In fact, part of the our technique includes adding long acting local anesthesia for long term relief.  

Some patients might desire general anesthesia.  The patients are taken to INOVA Loudoun Hospital in Leesburg, Virginia.

The technique I use is a variation of the wedge technique described by Dr. Gary Altar who is one of the most prominent uro-gynecologists in the world.  I had the fortune of training with him during my residency years ago.  The labiaplasty procedure has been one of my specialties since that time.   The benefit of the wedge technique is a a more natural shape, negligible visible scarring, and faster recovery than the linear excision technique performed by many gynecologists.  As a plastic surgeon, the cosmetics of the procedure are just as important as the function of the tissue.

 

1.  Self conscious observation that their labia are too long:  The most common reason is the obvious reason; that is, the patient feels that her labia are too long.  In my experience, it rare that a patient comes in for having just “slightly” long labia; most are obviously long.

2.   Asymmetry :  Some women simply want to be more balanced.

3.  Pain :  Many women will complain about pain with intercourse or pain with sitting ( particularly on bicycles )

Most patients will be able to return to work in 5-7 days.  The procedure is not particularly painful unless you are wanting to sit down.  Sitting is therefore avoided as much as possible for about a week. 

Exercise is discouraged for at least 3 weeks following your labiaplasty procedure.  Exercise might tear the small and fragile sutures.  But in addition, it will distend and put pressure on the veins in your pelvis that help reduce swelling and pain. 

Dr. Chang is located in Northern Virginia near Leesburg, Virginia.  His credential speak for themselves.  He is been voted top plastic surgeon year over year and his work has been highlighted regularly in New Beauty Magazine.  With respect to the labiaplasty surgery, Dr. Chang trained with Dr. Gary Altar who is one of the pioneers of the modern technique of labiaplasty surgery and presently seems patients from all over the world including Europe, Asia, and South America.

Hear From Actual Customers!

The Reviews Are In:

"Best plastic surgeon in Virginia - I was referred by friends who had breast augmentations with Dr. Chang. They were extremely happy. I just had my Mommy Makeover and I couldn't be more thrilled. He is no doubt the best plastic surgeon around!"​
"For a long time I had imagined what it would be like to have breast reduction surgery, but I always thought it was only other women who could do such a thing, not me. From the day of my consultation through a month post-surgery, I have had nothing but outstanding care and service by Dr. Chang, his staff, and the outpatient surgery clinic where I had the procedure."​
"I had a tummy tuck, breast lift and reduction, and liposuction and he performed these procedures beautifully. I now have a waist and flat tummy; two things I never dreamed could be possible."

Finding The Best Plastic Surgeon in Virginia

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results.

Visit his office in Leesburg, Virginia in Loudoun County or fill out the contact form below for more information on how we can help you with your breast reduction surgery.

Cosmetic Nurses At Aesthetica

Meet the cosmetic nurses of Aesthetica!

With over 17 years of combined experience, our registered nurses are listed as Top 250 in the country for injectable services. They all have received their bachelors of science in nursing, and work directly with Dr.Chang in Aethetica’s operating room. In addition to Dr Chang’s personal training in office, they have all been certified as advanced injectors, and laser specialists through Sciton, Lightsheer, and Miramar Labs. 

These ladies are one of many reasons Dr. Chang has been repeatedly voted as the best plastic surgeon in Northern Virginia. All three, also work at Radiance Salon & Medi-Spa which is overseen by Dr Chang, in an attempt to create an accessible environment for some of our non-surgical options. 

With a combined total of 12 children these women certainly understand balancing working, being a wife and mom, and being a modern woman. 

Are you ready to talk about your Labiaplasty or Vaginal Rejuvenation?

Refer a friend and receive $100 dollars off your procedure! Simply add their name to your contact form. If they sign up for a procedure too, you will both receive an extra $100 dollars off.

Other Businesses in Leesburg That We Know and Trust

Radiance Salon and Medi-Spa

Radiance is a upscale salon and medical spa with highly trained hair stylists, master estheticians, nail technicians and cosmetic nurses that can offer a complete beauty package for our patients.

Virginia Infusion Therapies - Ketamine for Depression

Virginia Infusion Therapies

We are happy to endorse the Virginia Infusion Therapies, who provides essential treatments for patients who suffer from debilitating depression.  The majority of patients who suffer from depression fail conventional options including antidepressants and talk therapy.  Ketamine infusion has been shown to be effective in close to 70% of patients who otherwise fail conventional options for their depression. 

Medi Weightloss Center

Medi provides physician-supervised weight loss and nutritional counseling.  Their services are ideal for patients hoping to lose weight before surgery or maintain their cosmetic results after surgery.