Cosmetological complications in intimate plastic surgery: a case study

Olga Shkolnaya , plastic surgeon @patlazhanclinic

In aesthetic medicine, a cosmetologist and a plastic surgeon always play on the same team, the goal of which is beauty, youth, harmony, restoration of shape and volume. A 32-year-old patient came to our clinic with complaints of urinary incontinence when jumping and playing sports, lack of sensations in intimate life, and often recurrent thrush.

There is a history of two vaginal births with episiotomies. Six months ago, I underwent a course of procedures such as RF lifting and laser vaginal resurfacing, but these manipulations did not bring any improvement.

During an in-person examination, the patient was diagnosed with diastasis of the muscles of the perineum, anterior and posterior walls of the vagina, which is the initial stage of pelvic organ prolapse.

Prolonged gaping of the genital slit leads to dysbacteriosis, disruption of the vaginal microflora and, as a result, dryness.

Weakness of the anterior vaginal wall, urinary incontinence when sneezing, jumping, or a full bladder, which causes a huge amount of inconvenience to patients.

If such changes are diagnosed, this problem cannot be corrected with the help of cosmetic manipulations: thread lifting, laser resurfacing, RF lifting.

To solve such postpartum changes, surgery is necessary: plastic surgery of the anterior and posterior walls of the vagina (anterior and posterior colporrhaphy) with perineoplasty (plasty of the vaginal opening).

The essence of the operation is to excise the stretched mucosa, suturing the diastasis-muscle discrepancy and restoring normal anatomy.

Features of intimate plastic surgery:

• Active blood supply promotes rapid tissue healing. Low risk of loss of sensitivity due to high regeneration of nerve endings.
• The absence of sensory nerve fibers in the vaginal area ensures painless rehabilitation.

In conclusion, I would like to say that surgical and non-surgical methods of solution in intimate plastic surgery are the key to solving functional, psychological and aesthetic problems.

My recommendation to fellow doctors: if you identify similar complaints, as our patient had, you should additionally refer her to a plastic surgeon for a consultation, since the problem of vaginal muscle diastasis cannot be solved with the help of cosmetic procedures - you will not get any effect, and it is quite possible for an unhappy patient.

We remember that in complex and difficult cases, team play = happy patient.