What is intimate female surgery?
- It corrects aesthetic defects in female genitalia.
- It also fixes all dysfunctions of genitalia, both congenital and caused by childbirth, and genital aging (loose vagina and urinary incontinence).
The Aesthetic Gynecology unit of the Instituto Pérez de la Romana is made up of a plastic surgeon, a gynecologist, a psychologist, a urologist and a physiotherapist, and is one of the pioneers in Spain in treating the aesthetic and functional aspects of female genitalia as a whole.
Until recently, aesthetic alterations of the genitals were infrequent because there was no information on this topic; nor was there much information available on functional alterations.
At the Institute Pérez de la Romana, we currently perform four types of procedure in a coordinated manner
In ever-greater demand
Certain trends in current society, such as total depilation, the more natural exposure to genitalia and nudism, cause society to pay more attention to external genitalia.
Recover your emotional stability and that of your partner.
There are congenital disorders that alter the normal development of external genitalia, which makes the patient uncomfortable with their sexual organs. This affects their sex and their daily social lives, rendering them unable to wear very tight clothing, swimwear, gym clothing, etc.
BOOST YOUR HEALTH
It is important to BOOST THE OVERALL HEALTH OF WOMEN both from the aesthetic point of view as what is the prevention and treatment of gynecological problems at all stages of life.
Correction of labia minora (labioplasty)
SAY GOODBYE TO HANG-UPS
Labioplasty is the most sought-after procedure. An asymmetry of the labia minora, an excess of the same or childbirth result in the labia minora being larger than normal and are constantly protrude from between the labia majora, which is unaesthetic and conditions the patient when it comes to dressing that cannot be tight-fitting clothing and swimsuits, and can interfere physically in sexual relationships.
Eliminates all of these complexes with a labioplasty.
SIMPLE AND FAST
It is a simple surgical procedure performed with local anesthetic and sedation in which existing excessive tissue is removed and the labia minora are remodeled, giving them a normal appearance. There are different techniques that we use, depending on each case. It is a procedure performed on an outpatient basis, and the patient can go home the same day.
Correction and rejuvenation on the labia majora
Young patients that have excessive fat on the labia majora want to correct this condition. The treatment consists of reducing the labia through liposuction and, in some cases, the removal of skin from the volume of the lips.
At the other end of the scale, patients can present with insufficient fat and a loss of turgor of the labia majora, a condition that normally occurs as a result of aging or weight loss. To correct this, we perform grafts of augmentation of fat of the patient, ensuring the turgor and youthful appearance that had been lost.
The procedure allows you to correct these defects, boosting your self-confidence.
Eliminate fat and elevate the pubis
The most frequent modifications to the pubis are those to remove excess accumulated fat and to lift a drooping public, giving it an unaesthetic appearance.
The best treatment to remove pubic fat consists of liposuction in the area, which is usually done in combination with removal of skin and lifting of the whole pubis, giving the patient a more youthful and attractive look in this area.
Rejuvenate your pubis
At the other end of the scale, there is an atrophy of fat in this area, which ages the pubis and causes the skin to sag. In this case, the treatment consists of the opposite procedure, i.e. lipofilling in the pubis with fat extracted from the abdomen and also a pubic lift, resulting in a more youthful appearance.
All such procedures are performed with local anesthetic and sedation. In all these cases, the patient may go home after the procedure. The post-operative period is quite simple: the patient only needs four days' rest at home and treatment with analgesics and antibiotics to prevent infections. The patient should take extra hygiene through specific antiseptics and avoid sexual intercourse during the first month.
It is important to BOOST THE OVERALL HEALTH OF WOMEN, both from an aesthetic point of view as to prevent and treat gynecological problems at all stages of life.
The aesthetic gynecology unit, in addition, treats all functional abnormalities of the genitals and carries out prevention and promotion of sexual health in women. They treat and correct dysfunctions of female sexual organs as uncomfortable as pruritus, vaginal atrophy, dryness, vaginal hypermobility, urinary incontinence and the sagging of the pelvic organs.
Our goal is to prevent and treat gynecological problems of concern at different ages to women and which, in the absence of an understanding of these problems, can often produce emotional instability, depression and even the end of relationships.
It is of particular importance for us to inform women of all the changes that will occur in their genitalia throughout their life and in connection with pregnancy and childbirth, in order to develop more effective latest-generation prevention and treatment strategies.
Atrophy and vaginal dryness
IF YOU HAVE PROBLEMS DURING SEX
Atrophy and vaginal dryness consist of a lack of production of vaginal mucus, producing situations that are very uncomfortable that preclude sexual relationships.
The most current and effective treatment consists of the infiltration of hyaluronic acid and, in particular, with laser, with only two sessions required to completely correct the condition.
An anesthetic is not required for this type of treatment, which is performed as an outpatient procedure. The patient can return to their normal routine immediately after the procedure.
What is it?
This consists of a loss of tone in the vagina, which leads to unsatisfactory sexual relations for the female. It appear after birth and with the aging of tissue of the vagina.
The treatment we provide at the Instituto Pérez de la Romana is laser without surgery, because it does not require an anesthetic or injection and the results are very satisfactory. Women can resume sexual activity a week after the procedure.
The sagging of the pelvic organs
What is it?
The sagging or prolapse of pelvic organs (uterus and bladder) occurs due to a deterioration of the pelvic muscles . It appears in three situations, the most common being following the effort made during childbirth, after activities that produce abdominal overexertion (running, sit-ups, steps, etc.) and over time due to the aging of the pelvic tissue.
REHABILITATION AND ELECTROSTIMULATION or SURGERY
The conservative treatment we offer at the Instituto Pérez de la Romana consists of the specific rehabilitation of the pelvic floor, electrostimulation and laser treatment. We have an increasing number of techniques and devices at our disposal to achieve optimum recovery. In the most severe cases, surgery is an option.
With both treatments, we can restore the functioning of the pelvic organs and a normal sexual satisfaction.
A personal and social limitation
Urine leakage is very uncomfortable for women, limiting them both in their personal activities and social activities.
At the Instituto Pérez de la Romana we deal with this problem using two different techniques.
Tratamiento con FISIOTERAPIA, LASER o CIRUGIA MINIMAMENTE INVASIVA
In cases of minimal and moderate urine leakage, the ideal treatment is rehabilitation of the pelvic floor and laser treatment. Physiotherapy consists of establishing a personalised treatment program that involves exercises and a re-education of muscles in the abdomen and pelvic floor. Laser treatment (one of the latest and most novel techniques used by the IPR) is given in two separate sessions four weeks apart. After each session, the patient can immediately resume their normal routine with no discomfort. After two weeks, the urine leakage stops and the patient can return to their normal routine.
In severe cases, treatment consists of minimally invasive surgery that involves placing a mesh around the urethra, achieving excellent results.
Comprehensive treatment for menopause
When they reach the menopause, women start to experience a big hormonal change in their bodies. We can notice sudden changes in temperature, weight gain, dry skin, leakages of urine, vaginal dryness and pain during intercourse or vaginal itching. All of these alterations produce a psychological alteration in women who experience them and who often need help to deal with this period with more security and self-esteem.
All of these changes can be avoided with early detection and a correct diagnosis.
We can prevent urine leakage through physiotherapy.
However, when these alterations occur rehabilitation, hyaluronic acid treatments and laser treatment achieve fast, optimal results.
Given that physical appearance and mental health are related, it is a matter of priority to assess the emotional and mental state of patients who visit this unit and, taking into account their expectations with a view to possible treatment, and to analyse whether or not fears or possible phobias exist. At the Instituto Pérez de la Romana, all specialists collaborate with the psychologist when required in order to achieve a more complete result. We do not merely confine ourselves to physical aspects: we also consider the broader well-being of the patient.
In some cases of gynecological disorders, the patient will experience emotional alterations in relationships with their partner. In these cases, we consider the collaboration of the psychologist essential.
In the event of any aesthetic or functional problem with the genitals that alter the state of sexual or personal well-being, and which can also decrease their self-esteem, doctors at the Aesthetic Gynecology Unit may organise a direct consultation with the psychologist for you.
It is known that some sexual dysfunctions are psychological and caused by misinformation received throughout life.
It is important to remember that the whole team at the Aesthetic Gynecology Unit is made up of WOMEN, so we understand and empathise with you.
Urogynecological physiotherapy is the specialisation that prevents, treats and re-educates all pathologies or dysfunctions of the abdomen and pelvis.
It is a specialisation that did not exist years ago, and which is now imperative. At the IPR, we have combined it with gynecology to prevent and treat many problems of the pelvic floor.
The pelvic floor is the set of muscles and fascias that contain the pelvic organs. When the pelvic floor is weak urine leakagecan occur and the patient can experience a drop in the bladder, uterus or rectum, hyperactive vulvas, constipation or discomfort during sexual intercourse. When, on the other hand, the pelvic floor is tight, the patient can experience other symptoms such as pain in the coccyx, pain or discomfort during sexual intercourse, urge urinary incontinence, a sensation of urinary infection, vaginismus and dyspareunia (the inability to sustain sexual intercourse).
ALL THESE PROBLEMS ARE SOLUED OR IMPROVED WITH PELVIC SOIL PHYSIOTHERAPY
The techniques and methods used to rehabilitate the pelvic floor are varied and diverse. Pelvic floor exercise are done, complemented with biofeedback and/or electrical stimulation, hipoppressive exercises, the unlearning of bad everyday habits and hyperpressive behaviour, the normalisation of postural stress and the elastification of tissue attached by scars.
In addition, in the Instituto Perez de la Romana, we complement rehabilitation with the latest technical revolutionary techniques that gynecology has to offer, such as laser and hyaluronic acid, which improve connective tissue.
More complete results are achieved by combining physiotherapy and gynecological treatments.
Many of these problems are related to pregnancy and childbirth. For this reason, the Instituto Perez de la Romana recommends revision by a physical therapist specialising in pelvic floor during pregnancy and post-partum.
Sometimes the abdomen has not been able to adapt to the distension produced during pregnancy and a diastasis (separation of the abdominal muscles) appears. Through rehabilitation and exercise, these muscles are strengthened to obtain a firm abdomen.
In some cases, when the muscles are very separated or very thin, the plastic surgeon should advise an abdominoplasty (surgery to close the abdominal muscles). However, rehabilitation always helps improve muscle tone and helps ensure a shorter and more comfortable post-operative period.
After an individual assessment , the treatment is guided and directed by the multidisciplinary team.
In the gynecological unit of the Instituto Pérez de la Romana, we solve all of the problems mentioned above because we work as a team to improve all aspects of the intimate life of women.
This information is for people older than 18 years.
Real-life cases - Dr. Perez de la Romana
Before-and-after photographs of real-life cases of intimate female surgery
Click on the buttons to see the before-and-after comparison.
See more real-life cases of female intimate surgery
What kind of anesthetic is used for labioplasty?
This procedure is performed with local anesthetic and sedation.
How long after the procedure should I remain at the clinic?
It is really is an outpatient surgery, and the patient can go home the same day.
When will I be able to resume my employment?
Normally within two or three days.
When can I resume sexual activity?
Normally after one month.
When will I be able to go to the gym?
Normally after one month.
Do the scars tend to be noticeable?
No, in this area the scars disappear completely from one month after the procedure.
Is it normal for urine to leak when sneezing or coughing?
No, urine leaks should NOT be considered normal. It is an alteration in the continence system and a correct diagnosis must be made to determine the reason(s) for the leak.
This problem can be resolved with rehabilitation of the pelvic floor combined with laser treatment.
I have felt discomfort during sexual intercourse since giving birth. What can I do?
The best thing to do is to go to an aesthetic gynecology centre, where there is a gynecologist and a pelvic floor physiotherapist. After childbirth, small contractions can sometimes appear in the pelvic floor, tightening the vagina and causing pain or a burning sensation. The same symptoms may appear if you have had a scar as a result of a caesarean section, episiotomy or tear.
Faced with all of these symptoms, physical therapy is the first choice of treatment and produces surprisingly fast results.
Is it always good to do contractions of the pelvic floor (Kegel)?
No: there are conditions for which it is not advisable to do pelvic floor contractions. Indeed, it could even worsen the dysfunction or pathology in question.
You must go to a specialist in order to receive a correct assessment, and so that they can provide you with appropriate recommendations to follow at home.
Since my pregnancies my tummy has not been what it was before. What should I do?
After the distention caused by the pregnancy, the abdominal rectus muscles move away from the midline and partially lose their function and hernias (lumps) can appear in the midline of the abdomen and navel.
We reinforce the abdomen through abdominal exercises, hypoppresive exercises and other techniques.
Although in more severe cases in which there is greater separation of the muscles, plastic surgery (abdominoplasty) is required to repair the abdominal wall. Through physiotherapy, the muscle regains its function function and the abdomen is reconstructed through surgery, so that the structures and muscles return to their original position.
This information is for people older than 18 years.