Title : Vulva vagina regeneration in 2025
Abstract:
The vulva vaginal regeneration or biostimulation involves a group of procedures that improve anatomy and vaginal vulva functionality to improve aesthetics or achieve more pleasurable sex. External vaginal procedures are defined as those performed on the female genitalia outside the vaginal introit, with essential structures such as the labia Majora, Mons pubis, labia minora, clitoris hood, and introitus. Internal vaginal procedures are defined as those performed inside the vagina, extending from the introitus to the cervix. The prevalence of elective vaginal vulva regeneration procedures has increased in recent years, a trend that can be attributed to increased exposure through the media, including television reality and pornography. In a survey of 482 women undergoing labiaplasty, almost all had heard of "rejuvenation" procedures in the past 2.2 years, and 78% had received information through the media. In addition, genital self-image can have a considerable effect on sexual behavior and relationships. Genital dissatisfaction has been associated with decreased sexual activity, while positive genital self-image correlates with increased sexual desire and less sexual distress or depression. The big question of 2025 is whether it is necessary to use only one type of equipment, call it Laser, radio frequency, or HIFU. According to the pathophysiology of aging that leads to vaginal vulva atrophy, it is necessary to associate other types of treatments. It is my opinion that today we can perform excellent treatments of vaginal vulva regeneration without using laser, HIFU or radio frequency as a sine qua non condition, for which I will present various non-invasive techniques that are associated to achieve a good therapeutic outcome in patients. The combined use of non-cross-linked and cross-linked hyaluronic acid, the use of PRP, exosomes of PRP, nanofat, adult mother cells of adipose tissue, micrograft, and transcutaneous carboxytherapy achieves the biostimulation of the affected tissues. On the other hand, using EBD in isolation may not meet the Bioregeneration conditions, so I believe the therapeutic association of EBD equipment and different techniques acquires therapeutic relevance today.
