Ms. Miko Kobayashi, a Japanese Chinese, married her Japanese husband 10 years ago and gave birth to a daughter last year, and had a comfortable and leisurely life. However, she did not feel happy and contented because her sex life was not harmonious after childbirth. Her thin Japanese husband thought that the changes in his wife’s physiology after childbirth could not meet his physical requirements and became increasingly cold towards her. Three months after she was discharged from the hospital, she called to thank the Plastic Surgery Department of the Union Hospital for relieving her pain and giving her confidence in life! People have problems with their sexual organs, influenced by traditional concepts, and always have a hard time talking about it, especially when some girls lose their virginity for a while due to trauma or rape, resulting in a ruptured hymen and causing psychological barriers to marriage. In addition, after vaginal delivery or with the increase of age, many women have a loose vagina, resulting in unsatisfactory married life and even causing family breakup. Other women have vulvar deformities, such as labia minora hypertrophy, which makes some female patients feel very painful. Professor Huang Weiqing, a well-known expert in plastic surgery at the Union Hospital, has been dedicated to the clinical research and application of gynecological plastic surgery. Through thousands of cases of vaginal tightening, hymen repair, labia minora plastic surgery and other female organ surgery, he has accumulated rich clinical experience, enabling many patients to recover their self-confidence and confidence in life after the surgery. These gynecological plastic surgery methods are simple, short, less traumatic, and can be performed both in hospital gynecological clinics, and the time of surgery is chosen after menstruation to about 10 days before menstruation is appropriate. 1, hymenoplasty: hymen is the membrane tissue of the external vaginal opening, rich in blood and nerves. A ruptured hymen caused by various reasons not only causes physical trauma to the patient, but also causes more serious psychological trauma. Hymenoplasty can repair the ruptured hymen and restore a woman’s self-confidence and self-esteem to a certain extent. Who is suitable for hymenoplasty? Hymenal repair can be considered for hymenal rupture caused by sexual intercourse, strenuous exercise, trauma, irregular gynecological examination, etc. At your first visit, your doctor will perform a gynecological examination to determine if you have a ruptured hymen. If you have vaginitis or vulvodynia, the surgery should be performed only after you are cured. To ensure healing, the surgery should be performed within 10 days after and before your menstruation. How is hymenoplasty performed? Due to individual factors, the method of hymen repair is not exactly the same for each person. Your plastic surgeon will choose the right procedure for you depending on the situation. Complications from hymenoplasty are relatively rare, and hundreds of our patients have successful hymenoplasty each year without problems and are satisfied with the results of the procedure. Possible complications of the procedure include poor wound healing and infection. You should follow your doctor’s orders and instructions before and after the procedure to reduce the risk. Pre-operative preparation: If you smoke, you should stop before surgery. Aspirin and certain anti-inflammatory medications can cause increased bleeding, so you should stop taking these medications for a period of time prior to surgery. Hymenoplasty is usually performed on an outpatient basis and you can go home on the day of surgery on your own. Oral antibiotics are given post-operatively to prevent infection. Take a sitz bath with 1/5000 potassium permanganate solution twice a day for 7 days. Do not take blood-activating drugs such as aspirin and do not smoke. Minimize activities for one week after surgery. Avoid strenuous exercises such as bathing, cycling and swimming for one month after surgery. 2. Vaginal tightening: Many women have a weakened vaginal sphincter for various reasons, and the mucosal wall becomes shallow and the air enters and exits the vagina during sexual intercourse and exercise is out of control, making abnormal sounds and affecting normal activities and the harmony of sexual life. Vaginal tightening can be considered for anyone with unsatisfactory sex life due to vaginal laxity after transvaginal delivery, old perineal tears, poor wound healing after lateral perineal incision or congenital causes. Vaginal rejuvenation can improve sexual problems caused by vaginal laxity, but it cannot solve sexual problems caused by psychological or other reasons. Your doctor will perform a gynecological examination before vaginal rejuvenation to determine if you have vaginal laxity and what is causing it. You should be very open about the problems you feel most uncomfortable with and what you most want to achieve with the procedure. This will help the surgeon understand your expectations and determine if they are actually feasible. What can a plastic surgeon do to re-establish vaginal tone? An incision is made on the posterior side of the vaginal opening approximately 0.3 cm from the skin-mucosal junction, the posterior vaginal wall is freed under the mucosa and the fascial muscles of the posterior vaginal wall are sutured right and left opposite to each other to strengthen the vagina. Possible complications of the procedure include hematoma (collection of blood under the skin that may need to be removed), infection and reaction to anesthesia. You should follow your physician’s medical advice and instructions before and after surgery, as this will reduce some of the risks. The surgery is usually performed in a hospital outpatient operating room. The surgery is performed with local anesthesia. After the surgery, the vagina is filled with gauze to prevent a hematoma from forming. You may be allowed to go home after surgery, but some patients are kept in the hospital for observation. You will be kept in bed for 12-24 hours after surgery and given oral antibiotics to prevent infection. Take sitz baths with 1/5000 potassium permanganate solution twice a day for 7-10 days. Remember not to take aspirin and anti-inflammatory medications and do not smoke. The stitches will be removed one week after surgery. sexual intercourse is prohibited for 6 weeks. Avoid excessive force, bending and heavy lifting in the early postoperative period. You can usually return to work 1-2 weeks after surgery and resume physical exercise at 4 weeks. The results of vaginal tightening may be dramatic or mild, depending on how lax you were before surgery. The results of the surgery are long lasting. 3. Labiaplasty of the labia minora: The labia minora are on average 5-10 mm wide and 30-60 mm long. Labia minora hypertrophy can cause sitting and walking discomfort, affect urination, poor appearance and low sex appeal during sexual intercourse, which can be corrected by performing labia minora plastic surgery. Who is suitable for labiaplasty? Those with labia minora hypertrophy (more than 10 mm wide), labia minora deformity or obvious asymmetry of labia minora can be considered for labiaplasty. At your first visit, your doctor will perform an examination to determine if you have indications for labiaplasty. The first step is to make sure that the development of the labia minora has stopped. If you have vaginitis or vulvovaginitis, you should be cured before the surgery; to ensure wound healing, the surgery should be performed within 10 days after and before your menstruation. Possible complications of the surgery include bleeding, poor wound healing and infection. You should follow your physician’s orders and instructions before and after surgery. Labiaplasty is usually performed on an outpatient basis, and you should have someone to take you home on the day of surgery and accompany you that night. Some patients need to stay in the hospital for 1-2 days for observation. After surgery, you should stay in bed for 12-24 hours and take oral antibiotics to prevent infection. Take a sitz bath with 1/5000 potassium permanganate solution twice a day for 7-10 days. Do not take drugs such as aspirin and do not smoke. The stitches will be removed one week after the operation, and sexual intercourse will be prohibited for 3 weeks. In today’s society, with the improvement of people’s living standard, quality of life (including the sexual life is beautiful or not) is the concern of the majority of women. In the trend of increasing development of plastic surgery technology, seize the opportunity to receive gynecological plastic surgery, to relieve your unspeakable secrets and restore your confidence in life!