Intimate plastic surgery after childbirth. Changes and recovery methods

Childbirth is an amazing process of bringing a new person into the world, and for the female body it is a test of strength. It is not always the case that stretched or even torn tissues regain their original elasticity. In this case, the surgeons of the GALAXY Beauty Institute come to the rescue. Intimate plastic surgery provides a chance to restore a full sexual life even after serious breaks.

• Why is there a need for intimate plastic surgery after childbirth?
• In what cases is it necessary?
• Types of Vaginoplasty
• Perineal plastic surgery
• Labiaplasty

Why is there a need for intimate plastic surgery after childbirth?

The tissues of the cervix, vagina and perineum have good stretchability. After an ideal birth, they gradually shrink, returning to their original state. On average, this process takes six months, but the period largely depends on the woman’s body.

If the elasticity of the fibers is insufficient or the baby's head is too large, the tissues begin to tear. Microtraumas may not even be visible externally or may look like an abrasion. In more severe cases, stitches may be necessary. Often, to facilitate childbirth, a doctor or midwife will make an incision in the perineum.

Regardless of the size of the tear, a scar is formed in this place that is not capable of contraction. Because of this, full restoration is impossible. Damage to nerve fibers and blood vessels also significantly impairs recovery. Incisions heal easier due to smooth edges, but they also deform the tissue. In some cases, extensive scars cause narrowing of the vaginal opening and pain during sexual intercourse.

Fat removal

It is no secret that during the period of bearing a child, a woman seriously gains weight. This is extremely necessary to provide the fetus with all the necessary substances. Typically, standard weight gain averages between 12 kg and 17 kg. Of course, after childbirth, weight drops, but often the extra pounds remain. And often forever.

To quickly remove excess fat, they resort to a procedure such as liposuction. It helps restore the contour of the chin, knees, abdomen, waist and hips. The final result of fat removal can be observed after 4-6 months.

In what cases is it necessary?

Intimate plastic surgery is an opportunity to eliminate aesthetic and functional defects that have arisen due to tissue injury during childbirth:

• significant stretching of the vagina or its rupture;
• scars on the perineum, vaginal tissue, cervix;
• damage to the labia and changes in their shape (most often an increase in the size and drooping of the labia minora);
• urinary incontinence, frequent urge to urinate, infections in this area;
• prolapse of the uterus, vaginal walls;
• pain during intercourse;
• lack of sexual satisfaction, including from a partner, due to insufficient stimulation during coitus.

IMPORTANT! A variety of exercises to strengthen the vaginal muscles are effective only if there are no tears.

Video

Why are patients afraid?

Despite the significant benefits of Mommy makeover, most women panic when faced with the need to make a decision about complex modeling.

Let's sort out your fears:

• “This is a multi-hour operation. How safe is it for me?

Yes, indeed, the “Recovery after childbirth” complex takes several hours. But modern surgical techniques are quite optimized and allow complex interventions to be carried out in a short time.

Mommy makeover is widely used by doctors all over the world. The technique has been honed to perfection.

• “Anesthesia has an adverse effect on the body. I don’t want to put myself in danger.”

Modern general anesthesia with the latest generation drugs is quite easily tolerated by patients. During the operation, a whole team of specialists monitors your condition. From the moment of administration of muscle relaxants until the moment of awakening, the patient is under the supervision of an anesthesiologist. There are many opinions about the effects of anesthesia on the body, most of which are myths and speculation.

• “I'm afraid of pain during recovery. Lots of cuts – it’s scary!”

Yes, restoring the body after childbirth involves fairly large stitches. But we care about the comfort of patients, so we relieve pain with painkillers. As our patients note, already on the 2nd-3rd day there is practically no pain.

• “The stitches on the chest and stomach are scary. How can we make them unnoticeable?”

Proper care of sutures ensures rapid healing. Within a year, thin light stripes remain at the site of the incisions. Laser resurfacing visibly smoothes scars. Girls who decided to restore their waist after childbirth are happy with the results!

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Kinds

The selection of a specific operation for the restoration of intimate areas is selected during an in-person consultation by an aesthetic plastic surgeon. In general, all surgical interventions can be divided into three groups:

• colpoplasty (vaginal surgery);
• perineoplasty (reconstruction of the perineum);
• labiaplasty (correction of the shape of the labia minora or majora).

Often, the doctor combines several types of interventions, and also performs joint operations with a cosmetologist to achieve maximum results.

Contraindications

• oncological processes in the body;
• diabetes;
• cardiovascular diseases;
• general infections;
• infections, inflammation in the area of ​​intended intervention;
• blood clotting disorder;
• some diseases of the respiratory system;
• chronic diseases in the acute stage;
• allergy to anesthesia drugs;
• lactation period (mammoplasty is recommended six months after the end of breastfeeding);
• menstruation (intervention should be planned for the middle of the cycle).

Vaginal plastic surgery

The vagina is the area that is most often injured during childbirth. More often, women are faced with insufficient contraction, which leads to decreased sensitivity during intimacy. In second place in frequency are scars at the entrance to the vagina, which cause a significant narrowing of this area. During sexual intercourse, a woman feels pain.

Several techniques are used for recovery.

• Suturing the anterior vaginal wall is necessary when this area is stretched. In addition, the intervention has a good effect on bladder prolapse.
• Correction of the posterior vaginal wall is used in case of significant expansion of this area, as well as prolapse or prolapse of the uterus, severe urinary incontinence.

When working with the walls, the surgeon first excises part of the tissue and then applies sutures. Due to this, a noticeable narrowing of the vagina occurs.

Complete rehabilitation takes only 2 months, and sexual rest is limited to two to three weeks. After surgery, women note improved sensitivity during coitus.

Rehabilitation period

In combination with vaginoplasty, the rehabilitation period lasts up to 2 months. The patient spends no more than 2 days in the hospital under the supervision of doctors. In the first days or weeks after perineal surgery, there may be pain, which can be relieved with painkillers.

After discharge from the clinic, the surgeon gives you important recommendations for the rehabilitation period:
• Avoid physical activity;
• Avoid baths, saunas and being in a warm bath;
• Avoid sexual intercourse;
• Avoid sitting position.

Perineal plastic surgery

The perineum is the entire area from the beginning of the labia majora to the anus. During childbirth, the area of ​​the vaginal opening is most often affected. This is where the tissues are torn or cut on purpose. In severe cases, the ruptures can be significant, and subsequent healing leads to scar formation.

Perineoplasty may include:

• excision of scar tissue;
• narrowing or widening of the vaginal opening area;
• correction of weakened or torn levator muscles, which provide vaginal tone.

The operation not only narrows the opening to the vagina, but also reduces the risk of prolapse or prolapse of the uterus.

IMPORTANT! Perineoplasty is often combined with surgery on the vagina or labia as part of a comprehensive restoration of intimate areas after childbirth.

Breast lift

This procedure is called mastopexy. It helps get rid of sagging breasts due to breastfeeding and loss of tissue elasticity. It also allows you to change the shape of your breasts to the desired one. But if a woman is planning another pregnancy, then this procedure is not recommended for her. If desired, breast augmentation can be performed simultaneously with this operation.

The general recovery period after a breast lift takes 4 weeks. The final result can be observed after 11-12 months. By then, the seams will not be visible, and the breasts will take on a perfectly round and toned shape.

Labiaplasty

The labia minora suffer during childbirth more often than the labia majora. These tissues undergo significant stretching, which then causes them to increase in size and sag. A woman begins to experience discomfort during sex, wearing tight underwear, and riding a bicycle. Aesthetic defects (such as asymmetry or uneven edges) are also indications for surgery.

Correction of the size of the labia minora is carried out by resection of part of the tissue. In this case, the anatomical structure remains unchanged. Many women report that getting rid of excess tissue has helped make the area more sensitive.

Less commonly, correction is performed by enlarging the labia majora. As a rule, this operation is resorted to due to the loss of volume and tone.

Mammoplasty Mommy Makeover

As a rule, after childbirth, the mammary glands need serious correction: not only the skin of the mammary gland itself is stretched, but the nipple-areolar complex is significantly deformed. What types of breast correction are used?

Areola lift with implants

An areola lift (periareolar mastopexy) is suitable for women with minor changes in the shape of the mammary glands. An incision is made around the circumference of the areola, excess skin is pulled together and excised. Scars are hidden in the pigmented part of the areola, so they are practically invisible.

If volume is lost, implants are installed.

AREOLA LIFT WITH IMPLANTS 360 ML

See more “Before” and “After” photos

Vertical lift on implants

Vertical mastopexy allows you to correct more significant defects of the mammary glands. Two incisions - around the circumference of the areola and vertical to the inframammary fold. Almost always, an implant is installed to form an elastic mammary gland.

T-shaped lift on implants

T-shaped (anchor) mastopexy is performed for ptosis of the 3rd degree (very severe sagging). An inverted T-shaped incision is made from the circumference of the nipple and along the inframammary fold.

It is possible both with and without the use of implants, provided that the patient has enough of her own glandular and adipose tissue.

Immediately after mammoplasty, the patient is put on special compression garments, which she wears for a month.

What is the effect after plastic surgery:

• breast lifting
• return of lost volumes
• neat areolas

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results

Many women hesitate for a long time before going for a consultation with a surgeon. In fact, if childbirth causes discomfort in the genital area or a decrease in the quality of sexual life, you can and should consult a doctor. A well-performed operation will help:

• normalize intimate relationships between spouses (it will become more pleasant for both the woman and her partner);
• get rid of tissue-deforming scars;
• eliminate the cause of prolapse of the vaginal walls and urinary incontinence;
• eliminate asymmetry or sagging of the labia minora;
• restore aesthetics to the intimate area.

The effect of the operations lasts for years, but with age the tissues lose their elasticity. This may cause old symptoms to reappear.

Modern surgery makes it possible to eliminate all the consequences of excessive stretching or tissue rupture during childbirth. Most operations do not require long-term rehabilitation and allow the woman to return to her normal life as quickly as possible.

Technique of the operation

Colporrhaphy is carried out exclusively in a hospital; before the operation itself, it is necessary to conduct a comprehensive examination aimed at identifying contraindications and clarifying existing disorders. The patient is hospitalized several days before surgery. Preoperative preparation, in addition to examination, includes preventive measures aimed at cleansing the intestines and vaginal sanitation. On the eve of the operation, if necessary, the patient should review the menu - food should be well digestible and fairly light. The last meal and liquid intake is allowed 12 hours before surgery, taking into account the need for general anesthesia. As for the treatment technique, any manipulations during surgery are performed vaginally:

• The cervix is ​​fixed with special clamps and moved to the side.
• Excision of the vaginal walls is performed.
• In this case, a diamond-shaped flap is isolated, and the underlying muscle tissue is sutured and fixed.
• The position of the incision depends on the type of intervention prescribed.
• After the main stage of the procedure is completed, layer-by-layer suturing begins.
• Separate sutures are placed on the muscle tissue and fascia, which dissolve over time.
• The mucous layer is closed with a continuous suture.
• To avoid the formation of “pockets”, the surgeon has to exercise strict control over the position of the wound edges.
• To prevent the formation of rough scars, it is necessary to exclude the appearance of deformations in the seam area in the form of rollers.
• If a median colporrhaphy is performed, sutures are placed simultaneously on the back and front walls to connect them, forming two channels on the sides intended for removing uterine secretions.

The final stage of the operation is draining the vagina, followed by treating the walls of the organ with alcohol. Then a tampon soaked in disinfectant ointment, most often Synthomycin emulsion, is inserted into the vagina. The accumulated urine is removed using a catheter.

Registration for the procedure

Our clinic’s specialists will advise on all questions regarding the operation and help ensure the highest level of safety and comfort during colporrhaphy.