Dr Christophe Zirak

Vaginal Wall Lipofilling

Dr. Zirak is an expert in the art of using the patient's own fat, which, after being harvested through liposuction, is processed and reinjected to achieve tightening by thickening the vaginal wall. Additionally, this injection improves the trophicity of the vaginal mucosa. This reduces pain during intercourse (dyspareunia) and vaginal dryness. Thus, all the symptoms of GSM (Genitourinary Syndrome of Menopause) are alleviated.

  • The procedure is performed under sedation and lasts about two hours. Intimate relations can be resumed four weeks after the operation.
  • A subsequent pregnancy is entirely possible.
  • The advantage of this technique lies in the absence of potentially painful intra-vaginal scarring.

Technique

The required fat is primarily liposuctioned from the lower abdominal regions and the inner thighs. However, the harvesting can be done anywhere on the body. This fat is rinsed and kneaded. PRP (Platelet-Rich Plasma) is added to enhance its integration.

The prepared fat is then reinjected into the thickness of the vaginal wall (submucosal injection).

Post-Operative Care

  • A sensation of tension in the vaginal area will persist for two to three days, while the fat harvesting site will cause some discomfort during the same period.
  • Painkillers and antibiotics will be prescribed.
  • The sutures from the donor site will be removed after one week.

Results

  • The results will be evaluated after six weeks.
  • Thanks to innovations and improvements in this technique, the results are remarkably long-lasting.
  • Some patients report a sensation of "renewed virginity."

FAQ

Are there any limitations or contraindications to vaginal lipofilling?
No.

What are the possible complications?
Infection: very rare
Hematoma: very rare

Thromboembolic accidents: extremely rare, avoided thanks to retro-tracing injections
Vaginal perforation: performed according to the rules of the art, this complication is extremely rare as the injection is done under the vaginal mucosa

How many injections can I have?
As many as necessary. There is always a partial loss of the injected quantity. It is the patient who decides to stop the injections based on how she feels during sexual intercourse.

Is pregnancy contraindicated afterwards?
We cannot speak of a contraindication, but it should be noted that pregnancy can cause vaginal relaxation.

How long should I wait before exercising or having intimate relations?
It is recommended to wait one month before resuming sports activities or intimate relations.

Will my partner feel anything unusual?
Absolutely nothing unusual except a tightening of your vagina.

Is it true that fat dissolves over time?
No, this is false. There is always a loss of about 25% in the first few weeks, then the fat that "takes" remains for life. However, after any lipofilling, it is crucial to maintain a stable weight to avoid fat loss.

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