Intimate surgery for women
Postmenopausal Vaginal Rejuvenation in Paris
Postmenopausal Vaginal Rejuvenation in Paris
Doctor Adriana guzman
Who is this treatment for?
Genital atrophy refers to dryness and inflammation of the vaginal and/or vulvar walls caused by decreased estrogen production. It most commonly occurs after menopause, during breastfeeding, or due to any other condition that reduces estrogen levels, such as ovary removal or cancer treatments. The loss of estrogen leads to tissue atrophy, reducing the production of glycogen—our natural lubricant—which is essential for the survival of lactobacilli, the main bacteria in the female microbiota. These bacteria help maintain the acidic pH balance of the area. As a result, vaginal tissues lose elasticity and lubrication capacity, causing uncomfortable symptoms such as dryness, itching, and painful intercourse.
A woman’s intimate health can change dramatically over time. These changes are often experienced as signs of aging, affecting daily life, sexual activity, and desire. Speaking about these symptoms is still taboo, with only 25% of women daring to seek help.
Intimate surgery for women
LABIA & CLITORIS
VAGINA & VULVA
EPISIOTOMY
THE URETHRA
Postmenopausal Vaginal Rejuvenation
Intimate surgeon in Paris
CURRENT TREATMENTS
There are four main treatments available:
- Hormone Replacement Therapy (HRT) remains the most effective treatment, when possible (it is contraindicated in cases of hormone-dependent cancer), and it is often combined with local treatments.
- Topical treatments using creams and gels are recommended to relieve discomfort, but they do not address the root cause.
- In aesthetic gynaecology, hyaluronic acid-based treatments such as Desirial are effective due to their hydrating and volumizing effects, which typically last around 9 months.
- Fractional CO2 vaginal laser treatments such as Monalisa Touch stimulate tissue regeneration and increase glycogen production by thickening the vaginal mucosa. A treatment plan of 3 to 4 sessions is needed for optimal results, followed by yearly maintenance sessions.
REGENERATIVE MEDICINE
Dr. Adriana Guzman is pleased to offer regenerative medicine to restore vaginal mucosa using fat injection techniques: Nanolipofilling or Nano Fat Grafting.
Nanolipofilling uses stem-cells or multipotent adult (non-embryonic) , autologous (from the same person) cells that can help maintain tissue health by promoting healing and regeneration. This is achieved through the combined action of biological substances like growth factors, binding proteins, and essential chemical agents involved in tissue repair.
Studies show that adipose-derived stem cells have greater regenerative potential than bone marrow stromal cells in aesthetic and reconstructive surgery.
Postmenopausal Vaginal Rejuvenation in Paris
Dr. Adriana guzman
TREATMENT GOALS
The benefits are numerous in improving women’s intimate health: better-quality tissues, particularly the vaginal opening (introitus) and the perineal skin, especially the posterior commissure, enhancing elasticity, moisture, and structural support.
Regenerative medicine meets the needs of aging genital tissues, especially during menopause when hormonal changes make tissues fragile, atrophic, and more sensitive.
It effectively delivers cells that improve support and stimulate the production of high-quality tissue, reducing burning sensations and discomfort in the intimate area.
HOW THE PROCEDURE WORKS
Autologous fat cells are obtained via gentle liposuction using a soft-tipped cannula. The extracted fat is then prepared, filtered, centrifuged, and homogenized to create nanoparticles.
These fat droplets can then be injected into the most superficial layers of the skin and mucosa using very fine needles. In the deeper layers, they help enhance regeneration in underlying structures.
PRACTICAL INFORMATION
Fat harvesting requires micro-liposuction, which must be performed in a sterile environment—usually in an operating room, most often as an outpatient or day surgery procedure.
TYPE OF ANESTHESIA
Local anaesthesia with sedation, epidural, or general anaesthesia may be required due to the involvement of two treatment areas. This will be discussed with the anaesthesiologist to determine the most suitable option for each patient.
DURATION OF RESULTS
Results become visible and noticeable within a few weeks. Since the nanoparticles are living tissues, once integrated, they remain in place and continue to improve tissue quality and function over time.
NORMAL POST-OPERATIVE COURSE
There is typically no discomfort after the procedure (no discharge, nothing noticeable). Some swelling and sensitivity in the area may occur. As with any filler injection, bruising and mild discomfort may appear but are entirely temporary.
Compression garments are recommended for the areas where fat was harvested. Some bruising and discomfort may occur but are easily managed with pain relievers.
POSSIBLE COMPLICATIONS
Infections and uneven fat distribution in the vaginal wall may occur and require appropriate treatment. Due to the proximity of the urinary and rectal canals, precise and careful technique is essential.
CONTRAINDICATIONS
Pregnancy or breastfeeding, local inflammation, and/or infections in the area.
There is no doubt—regenerative medicine is the most effective way to combat the effects of cellular aging. It is your own fat that helps your body heal itself.
HEALTHCIE