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Vagina dryness treatment: Hydration and Restructuring of the Vulvovaginal Mucosa

Useful information for patients on Hydration and Restructuring of the Vulvovaginal Mucosa 

Understanding Vaginal Dryness

Vaginal dryness is very common, especially after menopause when hormone levels naturally change. However, it can also be caused by other underlying medical conditions. Because of this, it is always a good idea to have a medical examination of the condition before treatment before starting any treatment.

Sometimes, dryness is linked to changes in the vagina's natural pH balance. This can be triggered by:

  • Excessive douching (vaginal showers)
  • Internal vaginal lotions or scented products
  • Frequent use of antibiotics

What Is Vulvovaginal Hydration and Restructuring?

Vulvovaginal hydration and restructuring refers to a group of non-surgical or minimally invasive treatments designed to improve:

  • Vaginal moisture and hydration
  • Tissue quality
  • Elasticity and comfort of the vulvovaginal area
  • Vaginal mucosal health

These treatments aim to support the health of the vaginal lining (mucosa), which can become dry, thin, or less elastic over time.

Changes in the vaginal area are common and can be caused by:

  • Menopause (reduced oestrogen levels)
  • Hormonal changes (e.g. after childbirth or during breastfeeding)
  • Ageing
  • Certain medications or medical treatments
  • General skin and tissue changes over time

Techniques for this may include:

  • Hyaluronic acid and vitamin-based injections (HA)
  • Platelet-Rich Plasma (PRP)
  • Microfat or nanofat grafting

When performed by a qualified plastic surgeon, this treatment is considered safe and effective. However, as with all surgery, risks should be discussed during consultation.

Your practitioner may recommend one or a combination of the following: 

Vitamins and Hyaluronic Acid

  • Uses injections of external hyaluronic acid (HA) (HA is a naturally occurring substance in the body) and vitamins (e.g. ascorbic acid) in the vaginal wall
  • Help improve hydration and tissue quality
  • May reduce vaginal dryness and irritation
  • Aim to support natural lubrication

These approaches aim to improve lubrication, trophism, and tissue quality.

Platelet Rich Plasma (PRP)  

PRP has the potential to be a non-hormonal minimally invasive treatment in patients with sexual dysfunction, producing an increase in collagen formation and neovascularization of the vaginal mucosa (new blood vessels formed in the tissue lining). 

PRP is done by drawing blood from the patient, processing it and extracting the portion where a higher platelet concentration is present and with it a high concentration of the patient’s own growth factor. This rich platelet plasma is then applied into the vaginal lining.

PRP in the vagina wall supports tissue repair and regeneration. This may help improve hydration, sensitivity and overall tissue health. Some early studies suggest potential benefits, but more research is needed to fully understand how long the results can last.

Micro and Nanofat (Utilising Patient’s Own Tissue) 

There are many ways to rejuvenate the vulvovaginal area. However, micro and nanofat offer significant and long-lasting improvement, being an autologous treatment that integrates into the tissues without producing serious side effects.  

  • Uses your own fat (usually taken from another part of the body)
  • Processed and injected into the area 

This may help: 

  • Improve tissue thickness and quality
  • Restore volume
  • Support long-term tissue regeneration

Because it utilises your own tissue, it is generally well tolerated.

Who Is It For?

May be suitable for patients experiencing: 

  • Vaginal dryness
  • Mucosal atrophy
  • Reduced lubrication
  • Mild sexual discomfort

Preparation

Before surgery, patients typically undergo:

  • Consultation and medical review to investigate what is producing the vaginal dryness and decide on what will be the best treatment plan for each specific case
  • Assessment of suitability for injectable or fat-based treatments
  • Any vaginal discharge or infection must be treated before 

Interested in having this procedure?

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Useful Information

Ensure you consider all aspects of a procedure. You can speak to your surgeon about these areas of the surgery in more detail during a consultation.

Length

How Long Is the Procedure?

Hydration and restructuring of the vulvovaginal mucosa with vitamins and hyaluronic Acid (HA)/PRP: 20-40 minutes (office procedure) 

Anesthesia

Do I Need Anesthesia?

HA/PRP: Topical anesthesia is typically used for better results and more comfort. 

Fat grafting: Local anesthesia with light sedation

General anesthesia, or pudendal blockage may also be chosen.  

Inpatient/Outpatient

Is The Procedure Inpatient or Outpatient?

 Typically an outpatient procedure. 

 

Additional Information

What are the side effects? 

  • Temporary swelling 
  • Bruising 
  • With HA, potential allergic reactions
  • Irregularities in the area

Potential Risks:

  • Variable response
  • Limited long-term evidence for certain techniques
  • Infection
  • Uneven results 

Hydration and restructuring of the vulvovaginal mucosa with vitamins and hyaluronic acid or PRP, the incorporation to habitual life is immediate while the same procedure with micro and nanofat usually needs 24 hours of recovery at home.   

  • HA/PRP: Immediate return to daily activities.
  • Fat grafting: 24 hours rest recommended. 

Patients commonly report improved lubrication and comfort in daily life. Multiple sessions may be required depending on the method used. 

Please note: Individual results vary from patient to patient due to factors such as age, skin quality, body type, and overall health. To understand what results you can expect, consult with a qualified aesthetic plastic surgeon.