Plastic Surgery

Plastic Surgery: Aesthetic Enhancements & Reconstructive Care

Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.

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Vaginal Laxity

Vaginal laxity is the medical term for the loss of tightness in the vaginal canal. It is the most common physical indication of laser treatment. This condition is characterized by a feeling of openness or a lack of friction during intercourse.

The laser addresses this by inducing thermal contraction of the collagen fibers within the vaginal wall. Over a series of treatments, cumulative collagen production thickens the wall and reduces the canal’s internal diameter, restoring a sensation of tightness.

  • Sensation of looseness or openness
  • Reduced friction during intimacy
  • Thermal contraction of the canal diameter
  • Thickening of the vaginal wall
  • Restoration of structural tightness
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Stress Urinary Incontinence

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Stress Urinary Incontinence (SUI) involves the involuntary leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, laughing, or exercising. It occurs when the tissues supporting the urethra weaken.

Laser rejuvenation reinforces the anterior vaginal wall, which supports the urethra and bladder neck. By strengthening the collagen in this area, the laser provides better support for the urinary sphincter, reducing or eliminating leakage events without the need for mesh or slings.

  • Involuntary leakage with physical exertion
  • Weakness of the sub-urethral support
  • Reinforcement of the anterior vaginal wall
  • Improvement of the urethral closure mechanism
  • Non-surgical reduction of leakage incidents
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Vaginal Atrophy and Dryness

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Vaginal atrophy involves the thinning, drying, and inflammation of the vaginal walls due to a lack of estrogen. This leads to symptoms of severe dryness, burning, and itching. The tissue becomes pale and fragile, prone to micro-tears.

Laser therapy regenerates the mucosal lining. It stimulates angiogenesis, the formation of new blood vessels, which brings nutrients and hydration back to the tissue. This reverses the atrophic changes, making the tissue thicker, pinker, and naturally lubricated.

  • Thinning and inflammation of the mucosa
  • Symptoms of burning and itching
  • Fragility and susceptibility to tearing
  • Angiogenesis and restoration of blood flow
  • Natural re-lubrication of tissues

Post-Partum Tissue Changes

Childbirth stretches the vaginal canal and can tear the perineal muscles. Even after healing, the tissues may not return to their pre-pregnancy state. The introitus (opening) may remain gaping, and the internal canal may remain distended.

Laser treatment is effective for rehabilitating these post-partum changes. It helps to shrink the stretched tissues and improve the appearance and tone of the introitus. It serves as a restorative therapy for women seeking to regain their pre-baby body.

  • Permanent stretching of vaginal tissues
  • Gaping of the vaginal introitus
  • Disruption of perineal muscle tone
  • Rehabilitation of birth-related changes
  • Restoration of pre-pregnancy anatomy
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Menopausal Tissue Degradation

Menopause triggers a systemic decline in collagen production and a cessation of ovarian estrogen. This biological cause leads to a rapid aging of the genital tissues. The vagina loses its rugae (folds) and becomes smooth and inelastic.

Laser rejuvenation directly counteracts this biological degradation. Mechanically signaling the cells to produce collagen and elastin mimics the effects of estrogen on the tissue without introducing systemic hormones. It keeps the tissue biologically younger and more functional.

  • Systemic decline in collagen synthesis
  • Loss of estrogenic support to tissues
  • Smoothing and loss of elasticity
  • Counteraction of biological aging
  • Non-hormonal tissue revitalization

Decreased Sexual Sensation

  • Dyspareunia, or painful intercourse, is frequently caused by friction on dry, atrophic tissues. The lack of lubrication causes micro-abrasions and soreness. It can also be caused by scar tissue from episiotomies or tears.

    Laser therapy treats the root cause by restoring natural lubrication and elasticity. For scar tissue, the laser helps to remodel and soften the fibrotic bands, making the tissue more pliable. This eliminates the pain associated with penetration and friction.

    • Pain caused by friction on dry tissue
    • Micro-abrasions and post-coital soreness
    • Discomfort from rigid scar tissue
    • Restoration of pliability and lubrication
    • Elimination of mechanical pain sources

Recurrent Vaginal Infections

  • A healthy vagina maintains an acidic pH to prevent infection. Atrophic vaginitis disrupts this balance, making the environment more alkaline and susceptible to bacteria and yeast. This leads to recurrent urinary tract infections (UTIs) and vaginitis.

    By restoring mucosal health, laser treatment helps re-establish the glycogen production needed for lactobacilli (good bacteria) to thrive. This restores the natural acidic pH, creating a defense barrier against recurrent infections.

    • Disruption of acidic pH balance
    • Susceptibility to bacterial and yeast overgrowth
    • Recurrent UTIs and vaginitis
    • Restoration of glycogen and lactobacilli
    • Re-establishment of the natural defense barrier

Hypermobility Syndrome Impacts

  • Lichen Sclerosus is a chronic inflammatory skin condition that causes patchy, white, thinner-than-usual skin. It can cause itching, pain, and scarring. While usually treated with steroids, laser therapy is emerging as a promising adjunctive treatment.

    The laser can help to resurface the affected areas and stimulate healthy tissue growth. It can improve the elasticity of scarred skin and reduce itching and discomfort associated with the condition, thereby improving the quality of life for these patients.

    • Chronic inflammatory skin condition
    • White, thin, and itchy patches
    • Scarring and loss of elasticity
    • Resurfacing of the affected epithelium
    • Symptomatic relief and tissue improvement

Connective Tissue Weakness

  • Patients with hypermobility syndromes (like Ehlers-Danlos) often suffer from extreme tissue extensibility. Their vaginal tissues may stretch easily but fail to retract, leading to significant laxity and reduced sensation.

    For this population, laser rejuvenation offers a method to induce stiffness and retraction that their bodies do not naturally provide. The thermal injury creates a controlled scar-like effect (fibrosis) in the deep layers, which adds necessary stability and resistance to the vaginal walls.

    • Extreme tissue extensibility and stretch
    • Failure of passive retraction
    • Induction of therapeutic stiffness
    • Stabilization of vaginal walls
    • Functional improvement for hypermobile tissues

Aesthetic Appearance of External Genitalia

  • While primarily functional, laser energy can also be applied to the external genitalia (vulva and labia majora). Aging can cause these areas to lose volume and become hyperpigmented or lax.

    External laser treatment can tighten the labia majora and improve skin tone. Some lasers can also be used for “bleaching” or reducing hyperpigmentation in the intimate area. This aesthetic improvement often complements the internal functional restoration.

    • Volume loss and laxity of the labia majora
    • Hyperpigmentation of intimate areas
    • Skin tightening of the external genitalia
    • Aesthetic skin tone improvement
    • Complementary external rejuvenation

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FREQUENTLY ASKED QUESTIONS

Can this treat a prolapsed bladder?

Laser treatment can help with very mild prolapse (Grade 1) by tightening the tissues that support the bladder. However, for moderate to severe prolapse where the organ is bulging out significantly, surgery is usually required to lift and secure the bladder physically.

Yes, many patients find significant relief from the intense itching and burning of lichen sclerosus after laser treatment. It helps heal the white patches and makes the skin more flexible and less prone to tearing.

Absolutely. A hysterectomy removes the uterus but leaves the vaginal canal. The top of the vagina (vaginal cuff) can still experience laxity or dryness. Laser treatment is safe and effective for maintaining the health of the remaining vaginal tissue after a hysterectomy.

Yes. Episiotomy scars can be rigid and painful. The laser energy breaks down the tough scar tissue and stimulates the growth of new, flexible collagen. This softens the scar and makes it more elastic, reducing pain during intercourse.

Yes. While childbirth is a common cause of laxity, genetics and aging also play huge roles. Women who have never given birth can still experience dryness, looseness due to collagen loss, or urinary leakage, all of which can be treated with the laser.

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