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Intimate area

Infor­ma­tion on treat­ments in the genital area

Compared to the past, when for many women the area of the body below the navel was conside­red a taboo zone that was never talked about, today more and more women are looking at their external genitals from an aesthetic point of view. It is now common practice to shorten pubic hair or shave it comple­tely; intimate piercings are worn more frequently, women are more revealing in public and skimpy swimwear often reveals details or makes anomalies in the vulva and labia area visible - which is not always pleasant for the wearer. 

Surgery in the pubic region is a very intimate matter. However, the incre­asing preva­lence of these proce­du­res also harbors the risk that unpro­fes­sio­nally performed proce­du­res can lead to an unsatis­fac­tory situation or that incorrect self-percep­tion and expec­ta­ti­ons can lead to disap­point­ment. A correctly planned and skillfully performed procedure, on the other hand, is described by patients as "one of the best decisions" for their body image. 

Who better to under­stand, grasp and implement this topic than a gyneco­lo­gist experi­en­ced in intimate surgery who deals with this region on a daily basis? After all, a woman can also claim to be "pretty" in her intimate area.

Various topics

The treatment options in the intimate area range from:

  • Change in the vulva / mons veneris / mons pubis
  • Labia (labia minora) reduction or equalization
  • Labia (labia minora) augmentation
  • G-spot injection
  • Measures for vaginal tightening

Intimate area treat­ments - the most important facts in brief

Further details on intimate area treatments

The mons pubis, also known as the anterior vulva or mons veneris, comprises the upper front area of the female genitalia. It lies between the groin and extends downwards to the labia minora and labia majora. As a rule, the mons pubis is covered by hair and is an area slightly cushioned by the subcu­ta­neous fatty tissue. Due to the partial or complete intimate shaving that is often common today, changes such as increased fat deposits or sagging skin on the mons veneris are more easily recognizable. This can be remedied by intimate surgery with minor procedures. 

Procedure of the intervention

A mons pubis correc­tion is performed on an outpa­ti­ent basis and usually under local anesthe­sia. However, the operation can also be performed under general anesthe­sia at the patient's request. If the mons pubis is too bulging, it is corrected by local liposuc­tion.

Atrophic, sagging and wrinkled skin is tightened by excising excess skin.

In the case of a rather flat or sunken pubic region (often with ageing or after signi­fi­cant weight loss), a plumper, more youthful appearance can be achieved in this body region by filling in the body's own fat tissue (which must first be removed by liposuc­tion from the waist/​hips or the inside of the knee).

The labia minora extend from the mons veneris to the anal region, framing the clitoris and the entrance to the vagina. The size and shape of the labia minora (labia minora) vary greatly by nature. All of these appearan­ces are "normal" and "natural". No human being is comple­tely even and symme­tri­cal! Nevert­hel­ess, many women believe that their labia are too large, do not have a pleasing shape or feel disturbed during sport (especi­ally horse riding and cycling) or irritated during intimate inter­course. In addition, there is often a clear asymmetry, which is perceived as unattractive. 

A reduction in size or symme­triza­tion can be easily achieved through delicate, meticu­lous surgery. The foreskin of the clitoris (prepuce clito­ri­dis) can also be shortened and the labia can be slightly adjusted ventrally. If there is discom­fort with the existing anatomy or if you feel unattrac­tive, or if inhibi­ti­ons during intimate inter­course are putting a strain on your partner's relati­onship, a surgical correc­tion of the labia can successfully eliminate any existing discom­fort or even shame and lead to signi­fi­cantly more satis­fac­tion with your own body. The labia can be shaped relatively freely according to the patient's wishes. However, anato­mical princi­ples must be observed. We will advise you sensi­tively and realistically. 

Procedure of the intervention

Labia­plasty is performed on an outpa­ti­ent basis and under local anesthe­sia for small proce­du­res. For larger proce­du­res, however, a general anesthe­tic is more comfor­ta­ble for the patient. The operation is preceded by a detailed, under­stan­ding and very discreet consul­ta­tion. Here, special attention is paid to the patient's wishes and expec­ta­ti­ons. In the operating room, the incision is precisely marked before the procedure. After anesthe­sia has been induced, excess skin is removed very carefully and the remaining tissue is exposed symme­tri­cally. The edges of the wound are precisely adapted to each other using fine, soft sutures. These stitches dissolve by themsel­ves after 10-14 days and do not need to be removed; this spares the patient unplea­sant experi­en­ces in this sensitive region. The resulting scars are usually no longer visible or barely visible after a short healing phase. Sometimes the clitoral hood or the anterior vulva needs to be reworked in the same session to achieve a harmo­nious overall appearance. 

In addition to labia reduction, labia augmen­ta­tion is also incre­asingly in demand. In most cases, an augmen­ta­tion of the labia minora ("labia majora") is desired, as these lose subcu­ta­neous fatty tissue with incre­asing age (like the rest of the body) and therefore tend to appear flabby and require more fullness in order to create a more youthful appearance. The labia also have the biolo­gi­cal purpose of preven­ting the vaginal entrance from "gaping" and protec­ting the vagina as a body opening from environ­men­tal influences. 

Procedure of the intervention

For labia augmen­ta­tion, a minimally invasive fat transfer (lipofil­ling) is performed under local anesthe­sia. Fat that has been removed from another part of the body (such as the waist/​hips or inside of the knee) by liposuc­tion is first specially prepared and then injected back into the area to be filled using fine cannulas. In this way, a very indivi­dual correc­tion can be achieved. No scars are left behind. 

Risks of labia­plasty or mons pubis correction

After mons pubis correc­tion or labia­plasty, adverse events or compli­ca­ti­ons are very rare. In isolated cases, secondary bleeding or infec­tions may occur within the first few days after the operation. However, swelling and often minor hematomas are not uncommon following such proce­du­res. Hyper­sen­si­ti­vity of the skin can also occur in the first few weeks. However, all of these after-effects disappear very quickly on their own. 

After the procedure

The patient should take it easy for 2-3 days, above all refrain comple­tely from sport or physical exertion and never wear tight clothing. Public baths, spas or saunas should also be avoided. Vaginal inter­course must be avoided for at least 2 weeks. Showering is permitted from the day after the operation, but soap should not be used in the genital area. You are not "unclean" there. The vulva / labia should only be carefully patted dry. Local care with cream prescri­bed by us keeps the skin supple and promotes a rapid healing process. 

You can return to everyday life quite quickly. We will monitor the wound healing process closely with you and give you tips and treatment recom­men­da­ti­ons. You should allow approx. 4-5 weeks for complete healing. 

A rather new method that can lead to an increase in sexual sensi­ti­vity in some women is G-spot injections.

Under local anaes­the­tic, the region on the front inner vaginal wall first described by the gyneco­lo­gist Gräfen­berg in 1950 is "relined". This is an area approx. 4 cm behind the urethral orifice where many women react very sensi­tively to sexual stimu­la­tion and can trigger a vaginal orgasm. However, the sensi­ti­vity of this area varies signi­fi­cantly from woman to woman. Many women find it difficult to stimulate vaginally, which is why they want to increase their sexual pleasure by padding the G-spot and increase their ability to orgasm. By incre­asing the volume at this point during penetra­tive sex, there is greater friction and indirectly, via connec­tive tissue fibers pulling towards the clitoris, greater stimu­la­tion of the clitoral erectile tissue.

Method

G-spot augmen­ta­tion is a minimally invasive procedure. It can easily be performed under local anesthe­sia. Usually, a special, high-molecular hyalu­ro­nic acid is used, which has already been used millions of times in the facial area to fill wrinkles and also to enlarge the buttocks. This is a substance that is also naturally present in our body, but which breaks down comple­tely after 12 - 18 months. Injecting the G-spot with autolog­ous fat (lipofil­ling) is a more permanent solution. For this form of G-spot injection, a small liposuc­tion is first necessary, whereby the autolog­ous fat is specially prepared for the intimate surgery treatment. The hyalu­ro­nic acid or autolog­ous fat is injected into the area in question via fine cannulas and distri­bu­ted delicately. 

These proce­du­res are not usually accom­pa­nied by any discom­fort. In excep­tio­nal cases, post-operative bleeding or infection may occur within the first few days. Discrete swelling and pressure on the urethra are possible for a few days after the treatment. The use of tampons should be avoided for the first week and sexual inter­course should be avoided for 2 weeks. Showering is possible again the following day. 

As we get older, our body loses subcu­ta­neous fatty tissue and the connec­tive tissue loses elasti­city. This also affects the genital area and the vagina (the vaginal tube). Heavier births can also result in overst­ret­ching of the vagina. More frequently, women (and their sexual partners) complain of a loss of sexual sensation during intimate contact ("lost penis syndrome"). In addition, the skin becomes drier, less elastic and quickly irritated, especi­ally after the menopause. 
There are various ways to remedy this problem: Treatment of the inside of the vagina with a vaginal laser or short-wave therapy can cause the connec­tive tissue to shrink. Injecting autolog­ous fat can also "plump up" this region. In addition, microfat injec­tions with PRP (platelet-rich plasma) can improve the problem and newer injec­ta­bles such as "Sunekos" can restore the elasti­city of the connec­tive tissue. Treatment with hormone creams is also helpful. 
Ultim­ately, the posterior wall of the vagina can be signi­fi­cantly tightened and the muscles brought back together by surgery ("posterior colpor­rha­phy"). This is the most consis­tent way of tightening the vagina.
We will advise you compe­tently and seriously about the appli­ca­ti­ons that make sense and promise success in your personal situation.

In intimate aesthetic surgery, the cost of treatment depends on the extent of the procedure, the materials used and whether a short outpa­ti­ent setting is used or a more extensive operation is performed.

G-spot augmen­ta­tion ranges from CHF 1,500 (hyalu­ro­nic acid) to CHF 3,800 (autolog­ous fat).
The price for a labia reduction or vulva altera­tion: from 4500,-CHF
Injec­tions with microfat/​PRP combi­na­tion from 1900,-CHF
Local treatment with "Sunekos inticare" 490,- CHF per session (usually 2-3 appli­ca­ti­ons necessary)
A surgical vaginal tightening costs CHF 5,800
Health insurance companies do not cover the appli­ca­tion as it is an aesthetic treatment of choice.

The cost of an initial on-site consul­ta­tion is CHF 250. This amount can be credited towards your treatment if it takes place within 6 months. If you do not show up for the bindingly agreed initial appoint­ment, a cancel­la­tion fee of CHF 150 will be charged. 

The following rule applies to agreed surgery appoint­ments: In the case of planned and scheduled opera­ti­ons, it is often not possible for Medicine&Beauty AG to find a repla­ce­ment patient in the event of a cancel­la­tion. Due to these planning diffi­cul­ties, it is only possible to cancel surgery appoint­ments free of charge if this is done in writing by the customer at least 7 days (calendar days) in advance by e-mail or WhatsApp. 

For cancel­la­ti­ons made less than 7 calendar days before the planned operation, the customer will be charged 50% of the previously agreed operation costs. Appoint­ments canceled by Medicine&Beauty AG for health, medical or technical reasons cannot be refunded or compen­sa­ted. An alter­na­tive date will be offered at no additio­nal cost.