Cosmetic Gynecology: Present and Future Perspectives

Abstract

Postmenopausal women and events like childbirth, and aging may cause structural and functional changes in women genitalia. The arising indications do not only cause psychological distress to women but negatively affect the sexual well-being and deteriorate the quality of their lives. Regenerative/ cosmetic gynecology procedures enable women to treat the functionality issues and modify the physical structure of vagina. This review discusses the latest developments in this field with regards to various kinds of procedures that are available, particularly the use of energy-based devices, and adipose tissue derived stem cells therapy for fat grafting which have revolutionized the regenerative gynecology procedures. These offer non-invasive modalities to treat the conditions like urinary incontinence among others which occur in high prevalence among women. Despite the advancements made in this field, it lacks regulatory guidelines and standardized procedures which imposes one of the biggest challenges of the field. Alongside, we have documented a procedure called Intimacell® which has been standardized for fat grafting procedures in vulvovaginal region.

Cosmetic gynecology—An emerging field for the dermatologist

“…Without inducing any harm to epidermis and surrounding tissue, HIFU induces neocollagenesis in mid and lower reticular dermis and neoelastogenesis in deep reticular dermis. In a comparative study between monopolar RF and HIFU, it was concluded that RF impacts tissue in more diffuse manner whereas HIFU causes more focal induction of collagen 18 …”

Vulvar Rejuvenation Using High-Intensity Focused Ultrasound (HIFU): Fundamentals and Technique

“…HIFU can induce neocollagenesis in the middle and lower reticular dermis, and neoelastogenesis in the deep reticular dermis. In a comparative study between monopolar radiofrequency and HIFU [6], the authors have concluded that RF affects tissue more diffusely while HIFU causes more focal collagen induction.…”