PDO threads, calcium hydroxyapatite, and l-polylactic acid for vulvar flaccidity - indications, technique, and results

The labia majora become saggy with aging. Although filling with hyaluronic acid provides significant rejuvenation, it can also lead to the formation of true vulvar testicles if poorly indicated, especially in excessively flaccid vulvas, which do not support any further volumization. In these cases o...

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Bibliographic Details
Main Author: Vivian de Carvalho Amaral
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia (SBD) 2023-03-01
Series:Surgical & Cosmetic Dermatology
Subjects:
Online Access:http://www.surgicalcosmetic.org.br/Content/imagebank/pdf/v15/en_v15a192.pdf
Description
Summary:The labia majora become saggy with aging. Although filling with hyaluronic acid provides significant rejuvenation, it can also lead to the formation of true vulvar testicles if poorly indicated, especially in excessively flaccid vulvas, which do not support any further volumization. In these cases of excessive flaccidity, we believe that collagen biostimulators would be the best initial treatment, as their injection would lead to the replacement of dermal collagen and improvement in laxity, without a significant increase in volume. We have been using calcium hydroxyapatite, l-polylactic acid, and PDO threads since 2019, with good results.
ISSN:1984-8773