In the decade that Denver, Colo.-based fellowship-trained and board certified urogynecologist, Oscar A. Aguirre, M.D., has been offering aesthetic vaginal-vulvar procedures, he says he has seen thousands of women come to the office, usually with the same basic cosmetic concerns.
These women, often in their 30s, 40s, 50s and 60s, say things down there have changed; they look older and want their more youthful appearance back. Their concerns are similar to what occurs on the aging face, including increased tissue laxity, loss of volume and skin color changes.
The terms patients use when they’re talking about what they don’t like can be tricky, says Dr. Aguirre, who moderated a symposium on feminine rejuvenation in July at THE Aesthetic Show 2017, in Las Vegas. Patients might refer to what they want as vaginal rejuvenation, when, in fact, the appearance of the vulva is what’s likely fueling their desires for cosmetic change.
With that in mind, Dr. Aguirre says there are, in general, five things that bother women most about the appearance of their feminine parts.