Cosmetic Gynaecology | The Lovely Clinic
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COSMETIC GYNAECOLOGY

DELICATE, DISCREET REJUVENATION AND SENSATION ENHANCEMENT

It’s natural to want to feel your best down below, and our range of non-surgical therapies will help rejuvenate this delicate area – and enhance sensation too.

USING FILLER TO RESTORE PLUMPNESS

We can also treat the vaginal area with Desirial, a specific hyaluronic acid filler, to recreate youthful plumpness for the labia majora. It’s painless, safe and discreet, and is performed with a local anaesthetic. Desirial is also suitable for use inside the vagina to improve hydration and sexual satisfaction. The treatment can be repeated every six to twelve months.

ENHANCING SEXUAL RESPONSE

Using the regenerative factors contained in your own blood, we can also use platelet rich plasma (PRP) therapy to heighten sexual satisfaction. This natural and painless treatment is called the O-Shot, and can reduce dryness, lessen pain associated with intercourse, and improve orgasm.

Radiofrequency treatment

ThermiVa FAQs

How long has ThermiVa been used for?

ThermiVa has been available in the UK since 2015.

How does ThermiVa work?

Radiofrequency heats tissue to 40-45 degrees. At this point, controlled thermal energy causes new collagen production by fibroblast activation, and also increases vascularity and blood flow.

What are the medical uses of ThermiVa?

ThermiVa is used to treat urinary incontinence and sclerosis.

Is this vegan?

Yes, the device contains no animal products.

What else is ThermiVa used for?

  • To stimulate new collagen production inside the vagina and the outer labia. This has the effect of “plumping up” the tissues Inside the vagina and the outer labia.
  • The base of the ThermiVa treatment can also be used for the ThermiTight procedure. The new tissue is more resistant to tearing, and can be used for those with vaginal atrophy.

Which areas can be treated?

Inside the vagina and the outer labia.

Why is ThermiVa used?

Relaxation of the vaginal muscles is common after childbirth or naturally as we grow older. This leads to decreased sexual satisfaction, orgasmic dysfunction and stress urinary incontinence. Treatment produces a more youthful appearance to the vulva, improvement of vaginal elasticity and tightness, reduction in sexual dysfunction, and improvement in stress urinary incontinence.

Can this be seen as preventative?

Yes, because it can prevent further tissue sagging and descent.

Can I just use a cream to get the same result?

There is no cream which will give the same lightening and tightening as ThermiVa; nor will a cream have any effect on urinary incontinence.

Is there anything ThermiVa can’t treat?

It must not be used in the following cases:

  • Women who have an implanted defibrillator, mechanical heart valves, pacemaker or any other device affected by radiofrequency energy
  • Stages of pelvic organ prolapse over stage 2
  • Women who have an active STD
  • Women who have had recent vaginal surgery

You must:

  • Have had a normal smear test in the past two years
  • Tell the doctor if you suffer from herpes outbreaks, as it may be necessary to have an antiviral tablet prior to treatment
  • Have a negative pregnancy test before treatment

The procedure also may not be suitable for women who have frequent urinary tract infections.

How does the appointment work?

It’s important that any ThermiVa is performed after a consultation, to make sure it’s right for you. If we’re treating the outer labia, a picture is taken for your medical records. We place a plastic pad on the buttock to conduct the radiofrequency. A gel is used to conduct the radiofrequency inside the vagina and on the outer labia. A single-use disposable probe is used to perform the treatment, as it heats the tissues. Absolutely no anaesthesia is required; there is little to no discomfort – most patients describe a warming sensation. Treating inside the vagina takes around 24 minutes, and treating the outer labia takes around six minutes. You’d normally be in the clinic for between 45 minutes and an hour. We recommend three sessions, spaced one month apart for the best results.

How should I get ready for the procedure?

You should wax three days before the procedure and/or shave 24 hours beforehand. It’s better not to do it on the day you have your period. Empty your bladder before treatment, and ensure you’ve had a normal smear test in the past two years.

Do I need a check-up?

A check-up is not necessary unless there are any specific concerns.

Does it hurt?

Not at all, there is only a warm sensation.

When does it start to work?

There will be an immediate improvement, although some of this is due to a small amount of swelling caused by the procedure. The best results come some weeks following the final treatment.

Can I get back to normal afterwards?

Yes, there’s no downtime with a ThermiVa treatment; you can go to the gym, and even have sex on the day after treatment.

Can I go to work afterwards?

Yes, absolutely.

Can I have this treatment whilst pregnant or breastfeeding?

This is not approved for use during pregnancy or whilst breastfeeding.

How often can I have ThermiVa?

This is variable depending on the individual – but, as a general rule, after three treatments spaced one month apart, you’d have an additional treatment every six to twelve months.

What happens if I never have ThermiVa again?

Nothing. You’ll have some ongoing improvement because of the collagen stimulation which has occurred as a result of the treatment. Obviously as you get older, the tissues will continue to age as normal, but you’ll enjoy a residual effect for some time to come.

How old should I be to have ThermiVa?

This depends on the rate of ageing and other factors. It’s suitable for anyone who has had vaginal births, is menopausal, or just feels like they need some help with vaginal laxity.

What can go wrong?

Very little. There is a small risk of overheating the tissues, and some patients say they have a sensation like a urinary tract infection after the procedure.

What are the different types of intimate rejuvenation available?

ThermiVa is radiofrequency. It doesn’t breach the dermal barrier, so there’s no discharge following treatment. Broadly speaking, with a radiofrequency device, deep heat energy is transmitted through the tissues to heat them. It requires no anaesthesia and no downtime. Other radiofrequency-based devices include ReVive, Viveve and Protégé and Intima. Laser-based devices are also available, which use small beams to create microscopic areas of tissue damage. This tends to be more superficial than with radiofrequency, inducing a wound healing cascade. Typically, no anaesthesia is required, and there’s no downtime. Laser-based devices include the FemiLift, MonaLisa Touch and IntimaLase.

How do we make sure it doesn’t get too hot?

The ThermiVa device has a feedback mechanism which is constantly monitoring the temperature of the tissue, so that the temperature range of 40-45 degrees is never exceeded.

Should I go for ThermiVa or Desirial?

ThermiVa is more appropriate in the case of those with stress urinary incontinence, and also for those who wish to have more internal tightness and ‘scoop up’ the pelvic floor. Desirial is more appropriate for those who have lost volume in the outer labia. In the case of vaginal dryness, ThermiVa is preferred, due to ease of treatment and safety. Of course, both can be combined.

Should I go for ThermiVa or vaginal laser?

This depends on the reason for treatment. ThermiVa will deliver a deeper penetration of energy through the tissues, so it is excellent for stress urinary incontinence. It also allows a patient to get straight back to normal life afterwards. Both are well established forms of treatment, with good results.

Anything else I need to know?

Please note that you are paying for the treatment only and no guarantee is made of any outcome. Refunds cannot be given under any circumstances, as the product has been used and the service has been delivered.

DESIRIAL FAQs

What happens if I never have Desirial again?

Nothing, you simply return to your pre-treated state over a period of time. As hyaluronic acid stimulates some collagen production, after several Desirial treatments it is often seen that the results of treatment last longer and longer.

Can you tell me about the different types of Desirial available?

  • Desirial – this is used to replace hydration and improve the elasticity and tone of the vaginal area.
  • Desirial Plus – this gel is more elastic and viscous. It is used to plump up the outer labia to improve appearance and dryness.

Is Desirial a drug?

No. Desirial is classified as a medical device, but the application of Desirial is a specialist procedure.

How old should I be?

This depends on the rate of ageing. Some younger women have Desirial after having children to improve elasticity and sensitivity. It is also popular amongst women who are menopausal to improve the symptoms of uncomfortable dryness. Ideally, we prefer not to treat those under 25 without an exceptionally good reason.

What are the medical uses of Desirial?

During menopause, due to the decrease in oestrogen production, the tissues of the vulva thin and dry out. This causes loss of elasticity and suppleness of the tissues, which can be painful or sore. It is possible to use Desirial to improve the volume, hydration and elasticity of the tissue. It can also be used to improve episiotomy scars.

How does it work?

Hyaluronic acid holds many times its own weight in water, so, by injecting it directly into the vulvo vaginal tissues it improves the hydration of the tissue in this area. The application of Desirial Plus to the labia majora brings the labia closer together, thus decreasing the amount of moisture loss.

How long does it last?

This is variable depending on the individual, and can be anywhere from four to 12 months. Due to the tissue renewal seen after treatment, subsequent treatments will require less product to achieve the same result.

When does it start to work?

You will see the best results after around two weeks, once the treatment has had time to settle down.

What can go wrong?

Whilst complications are rare, they can and do happen. Such complications may include infection, bruising or irritation. When using Desirial inside the vagina, the anterior wall is not injected to avoid pressure on the urethra, which may affect urination.

Does it hurt?

This treatment is carried out using anaesthetic. Prior to Desirial treatment, a topical anaesthetic is placed inside the vagina, which you may do at home before coming to the clinic, to completely numbs the area. For Desirial Plus to the labia majora, an injected local anaesthetic is used to numb the outer labia, so when the treatment is performed it is painless.

Is there anything you can’t treat?

There are a few contraindications for Desirial. It cannot be used in areas which have current inflammation or infection, such as thrush or herpes.

Will people be able to tell?

Results with Desirial are very natural in appearance and nobody would know that you have had the procedure.

Which areas can I treat?

Desirial can be used either in the labia majora to improve episiotomy scars, or inside the vagina on the posterior or lateral vaginal walls.

Can I go to work afterwards?

Yes, you can return to work after the treatment, but please do not go to the gym or exercise for a couple of days. Avoid sex for one week following treatment.

Can I have this treatment whilst pregnant or breastfeeding?

This treatment is not approved for use during pregnancy or whilst breastfeeding.

How can I avoid bruising?

Most people do not bruise. If you’re prone to bruising, you may want to get some arnica or bromelain.

How should I prepare for the procedure?

It’s helpful if you shave completely or wax before your appointment. You may be given a topical anaesthetic to apply inside the vagina before your appointment. You may also be given a vaginal douche or pessary to use at home containing betadine to clean the area prior to treatment which you insert before using the topical anaesthetic. For your comfort, you may wish to avoid having this treatment whilst you are on your period.

Do I need a check-up?

Most people do not require a check-up, but you are always welcome to contact us should you have any questions or concerns.

Is this preventative?

Due to collagen stimulation, Desirial can help to prevent future atrophy, but it would not be usual to perform this procedure as a preventative measure.

Can I just use a cream to get the same result?

Unfortunately, no, because no cream can give the volume replacement of Desirial. There are gels and creams which can be used to improve vaginal hydration, but of course these are a temporary measure. You may also find a topical oestrogen cream can help to decrease tissue atrophy and improve hydration.

How does the appointment work?

In the case of Desirial, you will have likely inserted a topical anaesthetic gel at home or arrive early in the clinic to do it there. The treatment is performed by injecting Desirial into the lateral and posterior walls of the vagina, which is painless. Afterwards, you will be given a douche to use at home to keep the area clean for a couple of days. For Desirial Plus to the labia majora, a local anaesthetic is injected which completely numbs the area prior to treatment. A cannula is used to guide the Desirial Plus into the correct tissue layer to give the volume improvement.

Is this treatment vegan?

The first non-animal based hyaluronic acid product, Restylane was introduced in 2003. Since then all fillers produced by the major companies such as Juvéderm, Belotero, Teosyal all contain non-animal hyaluronic acid. These products, however, will at some point have been tested on animals as required by regulations prior to sale in certain countries.

Should I have ThermiVa or Desirial?

ThermiVa is more appropriate in the case of those with stress urinary incontinence, and also for those who wish to have more internal tightness and “scoop up” the pelvic floor. Desirial is more appropriate for those who have lost volume in the outer labia. In the case of vaginal dryness, both options can apply. Of course, it is possible to combine both treatments

Anything else I need to know?

Please note that you are paying for the treatment only and no guarantee is made of any outcome. Refunds cannot be given under any circumstances, as the product has been used and the service has been delivered.

APPROACHING EVERY FACE AS UNIQUE

TLC