Thanawan Sirisuk
The desire of women to correct or retain the youthful appearance of genital area is increase in recent years. Nowadays, more women are seeking the treatment for vulvovaginal rejuvenation. For both aesthetic and functional reasons, such as improved confident, comfort and sexual function. When women are aging, they have labia majora lipoatrophy, creates deflated appearance and wrinkled of the skin. Loss of protection affects labia minora and vestibule, results in vulvovaginal dryness, pain during sexual intercourse.
For the superficial dermal rejuvenation, using HA injected intradermally, for reconstruction of thickness of the dermis, eliminating vulval wrinkles, fine lines, and folds. For correcting fatty atrophy by HA is an alternative to lipofilling. The benefit for using HA are nonsurgical, minimally invasive, In-office practice, convincing results. Patient don’t have downtime and can do normal activity as the same day after injection. For vaginal atrophy, vaginal dryness, dyspareunia and sexual dysfunction, using HA inject intravaginal mucosa for improve functional of vaginal mucosa, promotes regeneration of atrophic tissue and increases the sensitivity of erogenous zones.
The average amount for injection labia majora is 1-2 ml/side, the maximum is not more than 3 ml/side per session. The result is last long 8-12 months. HA can injected intravaginal area for treat vulvovaginal atrophy also. The average amount for intravaginal injection is 1-2 ml per session.
After injection care, I advice my patient no SI for 3 days, no sauna/stream/wear tight underwear/no massage for 2 weeks, No treatment/laser/RF for 4 weeks, continue oral ATB 5-7 days.