The author explores the concept of vulvar rejuvenation; an increasingly popular area of treatment within the non-surgical aesthetic sector, describing a number of clinical presentations and treatment modalities. Equally, the author acknowledges that surgical vaginal rejuvenation procedures are well established (labiaplasty and vaginaplasty) and in equal demand, with referenced statistics. The anatomy of the vulva is discussed in detail, along with common presentations in aesthetic gynaecology; dissatisfaction with the appearance of the labia, urinary incontinence, reduced sexual function and menopausal symptoms such as vaginal atrophy and associated symptoms. The objective measurement of treatment outcomes is stressed, and the author recommends utilising established scales, such as the Female Sexual Distress Scale (2002), the Female Sexual Function Index (2000), as well as the King’s Health Questionnaire (1997) for stress urinary incontinence.
The author gives a brief overview of some of the available modalities, exploring the use of dermal fillers, platelet-rich plasma, radiofrequency, lasers, polydioxanone threads, carboxytherapy as well as plasma sublimation, and reinforces that the data outcomes to date, are largely based upon case reports and anecdotal evidence.