What is Esthelis, Restylane, Juvederm, Surgiderm, Teosyal, Matridex, Matridur?
New generation of injection fillers containing hyaluronic acid. It is prepared from bio fermentative hyaluronic acid by patented process. It is a monocomponent formulation – containing only one substance. Unique polydensified cohesive structure of Esthelis consists of cohesive gel, which is easy to administer. The skin is smooth after its application. Esthelis is supplied packaged sterile and ready to use immediately.
Esthelis can be used immediately with no prior skin test. The cohesiveness and elasticity allow treatment without overcorrection. The Esthelis injection is administered by a medical professional, which is trained in such injection fillers application. It takes approximately 30 minutes to perform. The final result is visible in 1 to 2 days. It is stable and long lasting. Its main advantage is the natural structure of the substance, which is own to the body and also degrades in the organism naturally. Therefore there is no risk of allergies and undesirable effects.
Use
Duration of the effect
Temporary (6 – 12 months).
Duration of the treatment
About 30 minutes.
What is Restylane®?
RESTYLANE® is hyaluric acid, which is natural to the body. This substance occurs throughout the body and ensures the hydration and elasticity of the skin. Over time, however, the production of hyaluric acid decreases, wrinkles form and the skin becomes less flexible. RESTYLANE® replaces natural hyaluric acid. It forms cushions under the skin that completely fill the wrinkles and furrows. Three kinds of RESTYLANE® (RESTYLANE®, Restylane Touch® or Restylane Perlane®) are used, depending on the depth of the wrinkles. The products are virtually identical: they differ only in the size of the acid beads. Smaller ones are used for minor wrinkles, and larger ones for deeper furrows and for renewing volume.
The treatment
The doctor applies RESTYLANE® to the skin using a thin needle. The slight burning sensation this causes disappears immediately after the substance has been applied. The skin is desensitized with cream at sensitive places, like the lips.
Results
The result of the treatment– smooth skin and fuller lips – can be seen immediately. Although the skin may be slightly swollen directly after the treatment, the swelling disappears within one or two days. The body completely decomposes RESTYLANE® within six to twelve months, at which point the effect of the treatment disappears. However, the treatment can be repeated without difficulty.
Injectable fillers are substances own or foreign to the body that are applied under the skin with the aim to smooth and lift aging skin. There are used own fat, collagen, hyaluronic acid, hydroxylapatite, acrylates and others. Anesthesia is local only in form of anesthesia cream. The duration of the treatment depends on the type of filler and size of treated area. Return to normal activities is possible right after the treatment.
Soft-tissue fillers such as injectable collagen or fat, can help fill in facial lines and creases, temporarily restoring a smoother, more youthful-looking appearance. When injected beneath the skin, these fillers plump up creased and sunken areas of the face. Injectable fillers can also add fullness to the lips and cheeks. They may be used alone or in conjunction with a resurfacing procedure, such as a laser treatment, or a recontouring procedure, such as a face-lift.
Injected collagen and fat are primarily used to improve the appearance of the skin’s texture. They can help fill out deep facial wrinkles, creases and furrows, “sunken” cheeks, skin depressions and some types of scars. They can also be used to add a fuller, more sensuous look to the lips.
Injectables are usually not helpful for severe surface wrinkles on the face, such as multiple vertical “lipstick lines” that sometimes form around the mouth. Instead, your plastic surgeon may suggest a resurfacing technique, such as a chemical peel, dermabrasion or laser treatments. Rather than filling in facial lines, resurfacing methods strip away the outer layers of the skin to produce a smoother appearance.
Deep folds in the face or brow caused by overactive muscles or by loose skin may be more effectively treated with cosmetic surgery, such as a face-lift or brow-lift. Injectable fillers are sometimes used in conjunction with facial surgery procedures; however, injectables alone cannot change your facial contour the way surgery can.
Prague has many attractive features for those considering injectable filllers abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and injectable filler surgeons ensure you’ll receive the best possible care. Injectable fillers Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Collagen is used primarily to fill wrinkles, lines and scars on the face and sometimes the neck, back and chest.
Collagen is a naturally occurring protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in 1981. It is produced in various thicknesses to meet individual patient needs.
In the medical world, the fat-injection procedure is known as autologous fat transplantation or microlipoinjection. It involves extracting fat cells from the patient’s abdomen, thighs, buttocks or elsewhere and reinjecting them beneath the facial skin. Fat is most often used to fill in “sunken” cheeks or laugh lines between the nose and mouth; to correct skin depressions or indentations; to minimize forehead wrinkles and to enhance the lips.
Because the anesthetic agent lidocaine is mixed in with collagen, additional anesthetic is usually not used when receiving injectable fillers. However, if you are especially sensitive to pain, your doctor may use a topical cream anesthetic or a freon spray to numb the injected area.
You may also choose to have an injected local anesthetic or sedative drugs.
Both the donor and recipient fat areas are numbed with local anesthesia. Sedation can be used as well. If you elect to use sedation, be sure to arrange for a ride home after your treatment.
The injectable filling procedure takes from 15 minutes to one hour.
Collagen
Injectable filler treatment with collagen can begin after a skin test determines that you’re not allergic to the substance. The collagen is injected using a fine needle inserted at several points along the edge of the treatment site. If a local anesthesia has not been used, you may feel some minor stinging or burning as the injections are administered.
Since part of the substance is salt water that will be absorbed by the body within a few days, your doctor will slightly overfill the area.
You may be asked to hold a hand mirror during the procedure to help your doctor decide when you’ve had enough.
Fat
After both the donor and recipient sites are cleansed and treated with a local anesthesia, the fat is withdrawn using a syringe with a large-bore needle or a cannula (the same instrument used in liposuction) attached to a suction device. The fat is then prepared and injected into the recipient site with a needle. Sometimes an adhesive bandage is applied over the injection site.
As with collagen, “overfilling” is necessary to allow for fat absorption in the weeks following treatment. When fat is used to fill sunken cheeks or to correct areas on the face other than lines, this overcorrection of newly injected fat may temporarily make the face appear abnormally puffy or swollen.
An Injectable fillers procedure can enhance your appearance and your self-confidence, however it will not change your looks. Before you decide to have this procedure, keep in mind that the results are not long-lasting. The best candidates for injectable fillers are men and women who are physically healthy, psychologically stable, and realistic in their expectations as to how injectable fillers can enhance their appearance. to see the effect of other people’s injectable fillers surgery, click here for injectable fillers before and after photos.
In your initial consultation, your plastic surgeon will evaluate your face – the skin, the muscles and the underlying bone – and discuss your wishes for the surgery. Your doctor will help you select a treatment option based on your goals and concerns, your anatomy and your lifestyle.
Your surgeon will ask you about your medical history, drug allergies, and check for conditions that could cause problems, such as active skin infections or non-healed sores from old injuries. Collagen injections are generally off limits for pregnant women, individuals who are allergic to beef or bovine products, patients who suffer from autoimmune diseases, and those who are allergic to lidocaine (the anesthetic agent contained in the syringe with the collagen material.)
Collagen
Immediately following the injectable filler treatment, you may notice some minor discomfort, stinging or throbbing in the injected area. Occasionally some bruising or swelling will occur, but it is usually minor. Any redness that appears in the injected site usually disappears within 24 hours.
However, in some individuals, particularly fair-skinned patients, this redness may persist for a week or more. Tiny scabs may also form over the needle-stick areas; these generally heal quickly.
No bandaging is needed and you are free to eat, drink, and wear makeup with sunblock protection shortly after the injectable filler surgery.
There may be some temporary swelling and redness in the treated area which should disappear within a few days. If these symptoms persist, contact your surgeon.
Fat
If a larger area was treated, you may be advised to curtail your activity for a brief time. However, many patients are able to resume normal activity immediately.
You can expect some swelling, bruising or redness in both the donor and recipient sites. The severity of these symptoms depends upon the size and location of the treated area. You should stay out of the sun until the redness and bruising subsides – usually about 48 hours. In the meantime, you may use makeup with sunblock protection to help conceal your condition.
The swelling and puffiness in the recipient site may last several weeks, especially if a large area was filled.
Results from collagen injections varies. The injected material is eventually metabolized by the body. You should not expect the same long-lasting results that may be gained from cosmetic surgery.
In some individuals, the results may last only a few weeks; in others, the results may be maintained indefinitely. Researchers believe that age, genetic background, skin quality and lifestyle as well as the injected body site may all play a role in the injected material’s “staying power.” However, the precise reason for the variation of results among patients has yet to be identified.
If you’ve had short-lived results from fat injections, you shouldn’t necessarily assume that collagen injections will work better for you. And, conversely, if you’ve had disappointing results from collagen, don’t assume that injected fat is the answer.
Although it’s true that some individuals’ bodies are more receptive to one substance than the other, others may find that neither substance produces long-lasting results. Sometimes one substance may work better than the other for a specific problem.
The duration of fat injections varies significantly from patient to patient. Though some patients have reported results lasting a year or more, the majority of patients find that at least half of the injected fullness disappears within 3-6 months. Therefore, repeated injections may be necessary. Your doctor will advise you on how to maintain your results with repeat treatments.
Injection implants enable you to augment the lips, to smooth the wrinkles away and to correct the contours of the face. You will be young and beautiful….
Beautical consists of dissolved polyacrylamide hydrogel, which is biologically degraded. This substance is used especially for reduction of turned-down corners of the mouth, renewal of the volume of sagging temples, improvement of the appearance of the lower eye lids, renewal of the volume of the cheek bones and of the cheeks, correction of deep nasolabial furrows and improvement of the contour of the jaws and chin. Enzymes in the body gradually degrade the gel over a period of two to four years and excrete it from the body by a natural pathway. The use of permanents fillers (Bio-Alcamid, Artecoll, Demalive) is comparable.
Temporary (2 – 4 years).
About 30 minutes.
Beautical (formerly Outline) consists of dissolved polyacrylamide hydrogel, which is manufactured in the laboratories of the PyroCytech company in Bordeaux in France according to the highest qualitative specifications. The use of the Beautical substance is comparable with permanent fillers such as Bio-Alcamid and Aquamid, with the difference that Beautical is a temporary filler, which is degraded by the organism. This temporary filler, which can be applied very accurately to the skin, has excellent filling and smoothing properties. The supple gel augments inadequate volume and the result is a natural, young-looking volume of the skin and smoothing of wrinkles and furrows. The Beautical substance interacts actively with the skin. The soft positive charge of the Beautical substance attracts negatively charged collagen in the skin like a magnet and thus forms a dense network with the skin’s own collagen. The gel thus becomes part of the skin tissue and its presence is not palpable. As soon as the positive charge is neutralized by the negative charge, the “magnetic” attraction disappears spontaneously. Enzymes in the body gradually degrade the gel over a period of two to four years and excrete it from the body by a natural pathway. Because of this property, Beautical is an extremely safe product that opens the door to the future. Beautical is a temporary implant with relatively long-term effect. Most temporary implants are effective for about half a year to a year; in contrast, the results of treatment with Beautical are apparent for a period of two to four years. Beautical exists in two forms: Beautical 2 for correction of finer wrinkles and furrows and Beautical 5 for correction of deeper furrows and renewal of volume, e.g. in the cheeks.
The doctor anaesthetizes the skin locally using an anaesthetizing cream or injection. Beautical is injected through a fine needle into the skin or immediately under the skin. The treatment lasts less than half an hour. Immediately after the treatment, the skin is red and swollen; this disappears within one day. Bruises sometimes appear. You can continue your normal daily activities immediately after the treatment.
The result of treatment with the Beautical substance is immediately apparent. After stabilization of the gel in the skin, the volume of the injected substance decreases by about 30%. This eliminates the risk of excessive correction. After two weeks, Beautical forms a network with the skin and the final effect is visible. The skin is soft and supple to the touch and the gel remains at the place where it was applied. Sometimes, it is necessary to undergo several applications of achieve the optimum results. Further treatment can be undergone after four weeks. The use of the Beautical substance leads to a pleasant, natural appearance for a period of two (Beautical 2) to four years (Beautical 5).
Permanent.
Duration of the treatment
About 15 – 30 minutes.
Bio-Alcamid® is an implant gel consisting of 97% water and 3% polyacrylimid. It has been used for cosmetic correction since 1995. Bio-Alcamid® can be injected subcutaneously very accurately. Following its application, Bio-Alcamid® can be manipulated to produce exactly the desired shape. The cushion of gel remains under the skin but can be removed at any time. The product is very useful for major enlargement of the volume at a single place.
The doctor applies a local anaesthetic before introducing Bio-Alcamid® under the skin. After the treatment, the skin is reddish and swollen. For two weeks, the skin is hard to the touch and bruises may form. These effects then disappear. The body forms a thin capsule of connective tissue around the implant, which ensures that the gel remains exactly in the place where it was applied. Several treatments may be required to produce the optimum effect. The treatments are separated by a period of four weeks.
The result of the treatment can be seen immediately. After two weeks, the Bio-Alcamid® cushions can no longer be felt and the skin is again elastic. The product provides permanent cosmetic correction; however, because the natural ageing process is continuous, another treatment may be required after about five years.
Injection implants enable you to augment the lips, to smooth the wrinkles away and to correct the contours of the face. You will be young and beautiful….
Radiesse is formed by particles of calcium hydroxyapatit (CaHa) in the form of gel that is suitable for facial abnormalities correction. CaHa is a natural part of human tissues (teeth, nails). On one side, results are fully evident immediately. On the other side, the substance is completely excreted from the body by a natural pathway over a period of one to two years. The filler is especially used for renewal of the volume of the cheek bones, reduction of deep nasolabial folds, correction of turned-down corners of the mouth, improvement of the contour of the jaws and nose shape, as well as for enlargement of the small or recessive chin.
Temporary (1-2 years).
Approximately 30 minutes.
Radiesse is a injection implant that is very suitable for correcting facial imperfections. It includes calcium hydroxyl apatite particles (CaHa) in gel formula for easier application. CaHa is a natural component of human tissue (teeth and nails) and has been used in medicine for over 25 years. A great advantage of the product is it’s immediately visible and long-lasting effect. Duration of the effect depends on the client’s age, skin type, lifestyle and muscle activity in the application area. For instance in the nasal area the effect may be visible for up to several years. However, over time the substance naturally fully leaves the body.
The treated area may be anaesthezised before treatment, either by using a anaesthetizing cream or injection. Radiesse is then applied directly underneath the skin and a physician gently rubs it into desired shape. Immediately after treatment the treated area may be red, swollen and slightly painful, bruises may rarely appear. However, this is all only temporary. In some cases the desired effect is achieved already after the first treatment, in other cases repeated treatments are required. The treatment may be repeated any time.
The effect is immediately visible. As soon as after two weeks the product cannot be felt in skin. The gel stays where it has been applied, since CaHa particles are stabilised in skin by newly formed collagen. The effect is visible for one to two years, in some cases even longer.
Almost everyone’s skin is marred with marks, moles or other skin protrusions. Some of these may need to be removed for medical reasons and others because of cosmetic reasons. If you are dissatisfied with your moles or any other skin protrusions, we recommend contacing a dermatologist who will analyze and remove them.
Prague has many attractive features for those considering mole removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and mole removal surgeons ensure you’ll receive the best possible care. Mole removal Prague costs are often much more affordable than in the UK or with the NHS. Many people have had their moles succesfully removed; see our before and after photos of mole removal Prague. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Removing unwanted hair from the face, neck or breasts can be done with electrolysis. Electrolysis is a nearly painless method of hair removal and does not leave scars. Information about electrolysis hair removal abroad can be found here.
Prague has many attractive features for those considering electrolysis hair removal abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and electrolysis surgeons ensure you’ll receive the best possible care. Electrolysis hair removal Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Biostimulation treatments use a laser to deliver healing heat to the patient’s skin. Biostimulation treatments can be used to treat scars, inflammatory processes of the skin or to regenerate and oxidize the skin. The procedure is non-invasive, painless and there are no post-treatment restrictions.
Prague has many attractive features for those considering biostimulation treatment abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and biostimulation laser treatment surgeons ensure you’ll receive the best possible care. Biostimulation treatment Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Injection implants enable you to augment the lips, to smooth the wrinkles away and to correct the contours of the face. You will be young and beautiful…. Collagen is used to fill wrinkles, scars and tiny furrows on the face and sometimes the neck, back and chest. It is protein that provides support to various parts of the human body: the skin, the joints, the bones and the ligaments. Injectable collagen, patented by the Collagen Corporation under the trade names Zyderm and Zyplast, is derived from purified bovine collagen. The purification process creates a product similar to human collagen. Injectable collagen received approval from the Food and Drug Administration in the year 1981. It is produced in many viariations to meet individual patient needs.
An abnormal sized labia(lips of the vagina)can cause discomfort during hygiene, sport activities and sexual intercourse. Labioplasty, often spelled labiaplasty, allows for the reduction of internal or external labia, which are often augmented and asymetrical. Surgery of the external labia, which may be losing size or elasticity, can also be done.
The female external genitalia consists of the vaginal opening, urinary opening and a peak with many sensitive nervous endings called the clitoris. This whole area is covered on all sides with gentle folds of skin tissue. The inner lips (labia minora) come together in the area of clitoris. The female external genitalia is covered on all sides with larger skin folds with fat cushions, known as the outer lips (labia majora). The outer lips usually cover and protect the external genitalia. Sometimes the labia minora grows larger in size or length and thus protrudes between the labia majora.
Usually this overlap is not too big so it doesn‘t cause any discomfort either aesthetically or functionally. If the inner lips protrude too much they can cause discomfort in an aesthetic way and also in everyday life. Sometimes it is difficult to fit an abnormally enlarged labis into tight underwear or a swimsuit, sometimes it can cause discomfort during sport activities – for example bicycle riding. It can also cause problems with intimate hygiene and this “defect” can also represent a psychological obstacle during intercourse. Labiaplasty is effective with good results. Sometimes a plastic surgeon can meet the request for a modification or reduction of the outer lips, although these procedures are rarely performed.
Prague has many attractive features for those considering labioplasty abroad. Its location in Central Europe is easy to access; its mild climate is conducive to healing and its experienced clinics and labiaplasty surgeons ensure you’ll receive the best possible care. Labioplasty Prague costs are often much more affordable than in the UK or with the NHS. For more information about getting to and around the Czech Republic, please visit our handy cosmetic surgery Prague info guide.
Labioplasty patients must be adults. All potential labioplasty patients should have a thorough consultative examination with a labioplasty plastic surgeon. Here, the patient should not only receive an examination but also detailed instructions on how the labiaplasty will be performed and what the patient can expect. In most cases the patient will agree on her requirements for the size or shape of the operated area with the plastic surgeon. The date of the surgery should then be scheduled so that the patient will receive the labioplasty shortly after menstruation has ended. The labioplasty surgeon will also instruct the patient on proper intimate hygiene in the period following the surgery.
The labiaplasty is almost always performed under general anesthesia, on an operating table with the patient in a gynecological position. The surgeon precisely measures the direction of the surgical incisions before the surgery so that the final scars will not be visible and so they won’t cause discomfort to the patient. Great attention should be paid to the area of the clitoris so the gentle nerves that give special sensitivity to this area will not be damaged.
In addition to very gentle and careful work, it is necessary to stop any bleeding during labiaplasty. After the modification, a very tight but also gentle suturing of the surgical wound is necessary. To stitch the wound, various types of suturing material are used; sometimes absorbable, sometimes nonabsorbable (such sutures have to be removed after the wound is healed.) Which suturing material is used depends on the plastic surgeon and his/her experiences. Labiaplasty takes about one hour, depending on the extent of the surgery, and is not especially difficult on the patient. Soreness after the procedure is normally not a large problem; most patients only describe unpleasant, but not overly strong, burning in this area.
Patients usually go home the next day following their labioplasty. It is good to stay relaxed for about one week, avoid sitting for long periods of time, including long car drives, and to perform hygiene several times a day. We recommend showering and washing with an intimate hygiene soap or with a good and gentle antiseptic soap after each toilet use and to cover the area with a pad. Some patients heal better if the wound is left totally uncovered. The operated area can often swell, but usually the swelling disappears after several days. It is best to be regularly checked by your surgeon. The healing process takes a minimum of 10 but usually 14 days, sometimes even more. Smaller swelling can stay for a longer time and the operated area settles into its final shape approximately six weeks later. After this period, the patient can resume her sexual life again.
Labiaplasty almost always brings satisfactory results to the patient. Of course, much depends on the experiences of the labioplasty surgeon so that he/she is able to avoid possible complications. It also depends very much on the cooperation and discipline of the patient so that she can fulfill all the recommendations following the surgery. Some doctors – sexologists – don’t like these surgeries too much as they are afraid of a possible reduction of sexual sensation in women who have undergone labioplasty. When labiaplasty has been performed here, the opposite has been seen. Women who have had the surgery mention mostly improved sensations during sexual intercourse. Also by having the surgery, any psychological problems with their genitalia appearance is removed. This contributes to a more relaxed and improved sex life.
Both men and women occasionally wish to have their genitals altered through surgical means. In women it is usually vaginal surgery, surgery of labia minora or majora or hymen reconstruction surgery. Men usually wish to have the size and volume of their penis changed, or perhaps circumcision.
Generally speaking vaginoplasty is the modification of the female vagina. The most frequent procedure is the narrowing of the vaginal opening. This specific narrowing of the vagina can lead to it becoming more firm.
The goal of this surgical procedure is to provide the patient with a better sex life.
This surgery is usually performed in middle-aged women who have given birth. The vagina and vaginal opening has loosened because of the birthing process and increasing age.
The procedure is performed under general anesthesia and usually lasts 45 minutes. It is performed using the following technique: In the area of the vaginal opening, on its back side, an excision of tissue in various sizes (according to the wish of the patient, anatomical findings, etc.) is made. Then the wound is sutured. It is better to make the extent of the excision bigger and therefore narrow the opening more because it is common that the vaginal opening will widen slightly again.
If the incision is expanded even to the back of the vaginal wall and in different lengths, we can contract the whole vagina in this way. This surgery is also performed under general anesthesia, it takes about 1.5 hours.
The surgery does not only involve the mucosa, but it enters into the muscular layer of the vaginal wall. First, the vaginal mucosa is excided in the needed (chosen) extent; next, the muscular layer of the vagina is firmed and shortened. The last phase of the surgery is to suture the vaginal mucosa. The same procedure is valid regarding the extent of the excision as is mentioned in the correction of the vaginal opening. During this surgery, the prudence and experience of the surgeon is critical because of the vagina’s proximity to the terminal part of colon. This is necessary to prevent the creation of a so-called rectovaginal pouch.
Both methods of surgeries use absorbable suturing material. Following the surgery, it is recommended to avoid sexual intercourse for up to six weeks. More information about vaginoplasty abroad can be found here.
This term refers to the surgical modification of the inner and outer lips of a woman’s vagina.
The labia minora in women often protrudes between the labia majora and may reach an unbelievable size. The goal of this surgery is to reduce the protruding inner lips, and in severe cases, sometimes even almost completely remove them. Because of their function we do not recommend their total removal.
The surgery is not especially difficult; it can be performed under local anesthesia, analgosedation, or if needed, under general anesthesia. We use absorbable material for the sutures and don’t recommend sexual intercourse for about one month.
There are several solutions:
It is possible to perform all the above surgeries under local anesthesia, although it is better under analgosedation or general anesthesia. More information about labiaplasty abroad can be found here.
This most often occurs in young women. There are also several solutions:
Much could be written about the reasons women decide to undergo this surgery.
There are several methods, although it is impossible to fully reconstruct the real hymen. The only goal of this surgery is bleeding during sexual intercourse so the man believes he was the first man for his partner.
Usually, a thin, short and small flap of mucosa is separated from the vaginal wall (approximately 1/3 of vaginal width.) It is then sewed very gently to the opposite vaginal wall. In this way, the vagina is not blocked too much to interfere with menstruation; but at the same time, the woman will bleed during sexual intercourse.
The surgery is not difficult for an experienced surgeon. It is better to perform the surgery under general anesthesia. More information about hymenoplasty abroad can be found here.
– Total (complete) removal of the penis’ foreskin; the foreskin is removed to the extent that the glans penis is uncovered. The sutured surgical wound is under the glans penis. More information about circumcision abroad can be found here.
Common reasons for this surgery include:
– An incomplete foreskin removal that is combined with the enlargement of the opening of the foreskin flap for the glans penis.
This type of procedure is usually done for medical reasons:
It is possible to perform both types of surgeries under general anesthesia with several hours or a one day stay in hospital. It can also be performed under local anesthesia as an out-patient procedure, when the patient goes home after surgery. The sutures are not removed as they are from an absorbable material. Sexual abstinence is necessary for approximately 3 to 4 weeks.
Many men have questions relating to the possibility of a penis enlargement or extension. It is necessary to keep in mind that this surgical procedure has its difficulties; and the risk for complications is great. If complications do occur, they can lead to irredeemable penis damage, not only anatomically but also functionally (penis deformation, erection defects, etc.)
– And perhaps even enlargement of the penis in volume. It involves several procedures; usually a combination is best.
It is necessary to wear a special weighted bandage to retain the achieved state for several weeks after this procedure. If this bandage is not worn, the penis could shorten back to its original size during the healing process.
The most advantageous method is to use one’s own tissue – usually a fat tissue:
The tissue is taken from the lower abdomen (for example) and is injected with subcutaneous injections into the penis.
This tissue is taken from the area of the lower border of the buttocks – elliptic tissue excision from both sides. The wound is sewn; the resulting scar is hidden in the fold under the buttocks.
This method comes with a high risk of necrosis of implanted tissue, purulence and so on; on one or both sides. An adequate cool and calm mode is necessary for 4 to 8 weeks. The effect is more visible and longer lasting. More information about penis enlargement abroad can be found here.
It is always necessary for doctors to know precisely what the patient has in mind; regarding both the result and the reasons for the desired surgery. Knowing this, we can hopefully meet the patient’s expectations; or inform them of the true possibilities. This is true for all cosmetic procedures.
The surgery is suitable for women with large outer lips that cause problems. It can be rubbing and hurting during walking, sport activities; problems with wearing specific clothes; if the lips are visible through swimsuit or they can present an obstacle during sex. Sometimes woman feels bad when she attracts attention of the others (e.g. in sauna) or of partner. The anomaly is usually on both sides.
Although it is possible to make an appointment for this procedure by phone without any previous consultations, I do not recommend it. First step in decision making if the surgery is worth it for you is to make an appointment for check-up – consultation with the doctor that would be eventually in charge of the surgery. It is common that the client consults her problem with more doctors and makes her appointment with the one to which she feels the strongest confidence.
During the performance ambulantly under local anaesthesia, in a woman that is fit and doesn’t undergo any medical treatment, no pre-surgical examination is necessary.
The principle of the surgery consists in the excision of the excessive part of the labia. The treatment is usually performed under local anaesthesia and ambulantly. The performance under general anaesthesia is of course also possible. In this case an internal pre-surgical check-up is needed and the treatment is then more expensive. The extension of the excision is drawn on the skin (it is possible to agree on it), the labia is then locally anesthetized. This part of the surgery is painful but lasts only 20 seconds. The extra skin is removed, the bleeding is ceased and the suturing of mucosa is made either with absorbable sutures that are not taken out or with classical sutures.
Progress after surgery might be complicated with bleeding that is not strong and doesn’t need any medical treatment, it is solved the same way as with bleeding during menstruation. The labias are usually very swollen and moderately painful. Caused by the swelling the look of the vaginal opening is changed, the labia look completely different and this look has nothing in common with the final result. The swelling and pain will fade after approximately one week to ten days. After the surgery you can have problems while sitting.
Since the surgery is made in the area where it is difficult to keep sterility, progress after surgery is very often complicated with infections and breakdown of the wound edges. In this procedure the insignificant complications of wound healing with no extra treatment are very frequent. It is possible to avoid danger of more significant complications of wound healing such as wound breakdown with painful infection by optimum treatment. Even insignificant complications are manifested by pain in the area of vaginal opening.
After surgical treatment: It is simple and provided by the patient herself – increased hygiene, showering with the use of soap or shampoo. Minimum twice a day wash with disinfecting solution – you will receive it during the surgery. At the beginning put sterile gauze into the underwear, later on sanitary pads are sufficient.
The checkups after the surgery with normal progress and absorbable sutures are not necessary although it is better to come for a check up after a week and after 14 days. Check up after 3 months is also appropriate to evaluate the final result. It is necessary to mention danger of creation of rigid scars as a late complication in patients with inherent inclination to creation of keloid and hypertrophic scars. This risk is lower than 1% and the state can be treated with care for such scars.
If you want to look good but also natural, if you don’t have enough time or you are bothered by makeup, you can solve it with permanent makeup. Permanent makeup is a method by which natural colours are inserted to the upper layer of the epidermis which causes desired accentuation or even reshaping of given facial part. With permanent makeup it is possible to shape for example size of eyebrows, to accentuate the eyeliners or lips and also to balance their asymmetry.
Permanent makeup is a surface skin micro pigmentation which effects are limited for the period of time of 1 to 3 years. The effect doesn’t last for the whole life, like e.g. tattoos. It can thus flexibly react to changes in face and trends in makeup so that you could be sure that you look best in any situation.
Permanent makeup is divided in
The application of permanent makeup is double-phase process. It is possible to distinguish the shade and intensity of colour after at least three weeks after the first part of the procedure. 3 to 5 weeks is followed by another visit, so called complement, when tiny errors are fixed.
Ideal age for micro pigmentation / permanent makeup is 17 – 90 years old. Permanent makeup is suitable for anybody who wants to underline her everyday makeup. As a basis for makeup, not a replacement of day or night makeup, it will not limit you to use your favourite makeup (e.g. you can still use your favourite lipstick when contouring and colouring lips), while by sport or other activities you will be sure that your lips look fresh and neat.
Permanent makeup is not suitable for example for person who takes medicine for reducing of bleeding (Heparin, Varfarin), tranquillizers, antibiotics or person with strong diabetes.
The lasting is individual, according to the amount of fat and thickness of the skin, exposure to the sun, hormone level, in average 1 to 3 years (although there are even clients that come for reconstruction after 5 to 6 years).
Temporary trend – an effort for perfect body – forces women to pay attention also to parts of their bodies that are mainly fully hidden from the eyes of public. For last few years the plastic surgeons have come up with aesthetic modifications even in the most intimate places – external part of female genitalia.
The female external genitalia consists of vaginal opening, urinary opening and a peak with many sensitive nervous endings – clitoris. This whole part is on sides covered with gentle skin folds of tissue – the inner lips (labia minora) that come together right in the area of clitoris. The female external genitalia is on sides covered with bigger skin folds with fat cushions – the outer lips (labia majora). The outer lips usually cover and close the external genitalia. Sometimes it happens that the labia minora grows into bigger size or length and thus they can protrude between the labia majora. Mostly this overlap is not too big so it doesn‘t cause any discomfort neither aesthetically nor functionally.
If the inner lips protrude too much they can cause discomfort in aesthetic way and also in everyday life. Sometimes it is difficult to fit this abnormally enlarged labis into tight underwear or swimsuit, not even mentioning underwear of “tanga“ type, sometimes it can cause discomfort by sport activities – for example bicycle riding. It can also cause some problems with intimate hygiene and this “defect” can represent also a psychic obstacle during the intercourse. The labiaplasty is then effective with good results. Sometimes the plastic surgeon can meet the request for modification or reduction of outer lips, although these procedures are performed relatively rarely. Sometimes there is even request for hymen reconstruction surgery that can also be performed.
Relatively frequent request for modification or reduction of vagina is although already part of gynecological procedures.
As a necessary condition for the procedure is an adult patient. Another necessity is thorough consultative examination with plastic surgeon when the patient gets not only the examination itself but also detailed instruction how the surgery will be performed and what is to be expected. In most cases the patient can agree on her requirements for size or shape of the operated area with the plastic surgeon. The date of the surgery should be then scheduled so that the patient will be operated shortly after the ended menstruation. The plastic surgeon has to instruct the patient also about the need of right intimate hygiene in the period after the surgery.
The labiaplasty is performed almost always under general anaesthesia, on the operational table in gynecological position. The surgeon measures precisely the direction of surgical incisions before the surgery so that the final scars will not be visible and mainly that they will not make any discomfort to the patient. Great attention should be paid to the area of clitoris so the gentle nerves that give special sensitivity to this area will not be corrupted.
Beside very gentle and careful work it is very necessary to cease the bleeding during the surgery. After the modification very tight and also gentle suturing of surgical wound is necessary. To stitch the wound various types of suturing material are used, sometimes absorbable othertimes nonabsorbable (such sutures have to be removed after the wound is healed). Which suturing material is used depends always on the plastic surgeon and his/her experiences. The surgery takes according to the size of the procedure around one hour and is not especially difficult to the patient. Also soreness after the procedure is normally not big, the patients mention only unpleasant but not that strong burning in this area.
The patients after the labiaplasty usually go home next day after the surgery. It is good to stay calm in the next period for about one week, to avoid long sitting, including long car drive and to have the opportunity of perfect hygiene several times a day. We recommend showering and washing with a soup for intimate hygiene or with good and gentle antiseptic soup after each visit of the toilet and to cover the area with pad.
Although some patients heal better if the wound is left on countrary totally uncovered or “free“. The operated area get relatively often quite swelled, but usually the swelling disappears after several days. It is better if you are regularly checked by your surgeon. In any case you should know that the healing process takes minimum 10 but mostly 14 days, sometimes even more. Smaller swelling can stay even for longer time and the operated place gets its final shape approximately after 6 weeks, after this period the patient can start with her sexual life again.
The labiaplasty brings almost always very satisfactory results to the patients. Of course it very much depends on the experiences of the plastic surgeon, so that he/she is able to avoid possible complications that are nevertheless not too common. It also depends very much on the cooperation and discipline of the patient so that she can fulfill all the recommendation in the period after the surgery.
Some doctors – sexologists – don’t like these surgeries too much, they are afraid of possible reduction of sexual sensation in operated women. The experience of last years, when labiaplasty has been performed here, the opposite has been seen. Women who undertook the surgery mention mostly improved sensation during sexual intercourse. Also that by the surgery their psychic problem of their genitalia appearance is removed contributes to global relaxed and improved experiences in their sexual life.