Barbaros Mah. Ağaoğlu My Prestige, Kat: 15 Daire: 127 Ataşehir İstanbul
Mommy makeover generally refers to the surgical correction of sagging and deformed areas after childbirth. However, gynecological mommy makeover specifically includes aesthetic procedures performed only on the genital area.
Particularly after vaginal delivery, an episiotomy (birth incision) or tears that may occur due to uncontrolled straining during the baby's passage can create the need for a mommy makeover.
During vaginal delivery, an episiotomy incision is made to facilitate the baby’s passage. In some patients, scar tissue may remain after healing, leading to both aesthetic and functional issues. If scar tissue is present, episiotomy scar revision is usually performed alongside vaginal tightening or rectocele surgery.
The perineum is the 2-3 cm area between the vaginal opening and the anus. This region is not only in close proximity to the vagina but also serves as a key point where the pelvic floor muscles converge.
After vaginal delivery, tears in the perineal muscles may cause perineal body collapse. If these muscles are not corrected during rectocele or vaginal tightening surgery, conditions such as vaginal laxity or prolapse may recur. Perineoplasty is a crucial step in mommy makeover procedures and should not be overlooked.
Vaginoplasty is a vaginal tightening procedure. It can be performed solely by repairing the posterior vaginal wall (rectocele repair) or combined with a cystocele procedure if bladder prolapse is present.
To achieve optimal results in a mommy makeover, vaginal defects should be identified through a gynecological examination. If perineal body collapse is detected, perineoplasty should be added.
For women who have never given birth, a simple vaginoplasty may be sufficient. However, in those who have had a vaginal delivery, pelvic floor defects are inevitable. If these defects are not corrected, the benefits of vaginoplasty may be short-lived, leading to recurrence in a few years.
Cystocele surgery corrects bladder prolapse, while rectocele surgery repairs a sagging rectum. If prolapse is present, these two procedures are performed together in mommy makeover surgeries.
In women who have had vaginal deliveries, urinary incontinence can occur due to anatomical defects caused by bladder displacement.
This condition, which can significantly affect quality of life and even occur during sexual activity in younger women, is treated using minimally invasive procedures such as TOT (transobturator tape) and TVT (tension-free vaginal tape). These surgeries involve small incisions and take approximately 30 minutes. However, the exact location and severity of the defect must be carefully assessed before deciding on surgery.
Prolonged labor, delivery of large babies, or inappropriate insistence on vaginal delivery in cases where cesarean section is necessary can lead to urogenital or rectovaginal fistulas.
In underdeveloped countries, prolonged labor lasting more than six hours can cause pressure necrosis, where the baby's head compresses the tissue between the bladder and bowel, leading to fistula formation. Additionally, poorly healed episiotomies with severe infections may also result in rectovaginal fistulas.
Patients with a urogenital fistula (between the bladder and vagina) experience continuous urinary leakage and frequent urinary infections. Unlike stress incontinence, this leakage occurs without movement or exertion. Surgery involves a vaginal approach combined with cystoscopy (bladder endoscopy) to repair the defect.
Rectovaginal fistulas (between the rectum and vagina) are more serious due to fecal contamination. Symptoms include stool passing through the vagina, foul odor, and severe vaginal infections.
For high rectovaginal fistulas, a two-stage surgery may be required:
Due to the high risk of infection, rectovaginal fistula repair should be thoroughly discussed with the patient beforehand.
Labiaplasty is a surgical procedure to reshape the inner labia (labia minora) for aesthetic purposes. In some vaginal deliveries, the inner labia may tear uncontrollably.
At our clinic, the puzzle technique is used for labiaplasty, allowing for customized and aesthetically pleasing results tailored to each patient.
A torn labium can be restored to its desired appearance with proper surgical planning. Additionally, labiaplasty is frequently performed on patients who have not experienced labial tears but seek aesthetic enhancement as part of a mommy makeover.
Vaginal laser tightening is a procedure where laser light is used to tighten the vaginal tissue. However, in patients who have had a normal vaginal delivery and experience vaginal expansion and sagging, there may not be enough supporting tissue.
For women who seek aesthetic procedures due to mild vaginal expansion without significant prolapse, vaginal laser tightening can be performed in an office setting in just 10 minutes without affecting daily life or breastfeeding.
Patients who seek aesthetic procedures due to the effects of motherhood often experience estrogen deficiency due to breastfeeding. Estrogen deficiency leads to vaginal dryness, inadequate tissue renewal, decreased tissue resilience, and a disturbed vaginal flora.
Since vaginal estrogen medications cannot be used by breastfeeding mothers because they pass into breast milk, vaginal laser rejuvenation provides the benefits of estrogen without affecting the baby. The procedure takes about 10 minutes, and women can return to their normal life and breastfeeding immediately after the treatment.
For patients who come to our clinic with a desire for genital whitening, we offer two treatment models:
After childbirth, hormonal changes lead to decreased vaginal blood flow and a reduction in vaginal rugae (folds). The G-spot is a sensitive area located 2 cm inside the anterior wall of the vagina where vaginal nerve endings meet, and it is known as the area where sexual pleasure and orgasm are initiated.
With G-spot injection, this area is enlarged to enhance sensation and increase sexual pleasure. The orgasm injection can be performed easily in an office setting and does not interfere with daily life or breastfeeding. No medication is required, and sexual intercourse can be resumed 3 to 4 days after the procedure.
By the 6th month after childbirth, the blood flow and tissue of the genital area generally return to their pre-delivery state. After the 6th month, known as the late postpartum period, gynecological motherhood aesthetics can be performed. However, it would be more appropriate to wait until the first year after childbirth to allow for better tissue recovery.
Gynecological motherhood aesthetics can be performed under local, general, or spinal anesthesia. It is known that anesthetic drugs can pass into breast milk. Therefore, it is recommended to pump and discard breast milk for the first 6 hours until the anesthesia drugs are eliminated from the body. After this period, breastfeeding can continue without any issues.
Motherhood aesthetic surgery is planned individually for each patient. The specific defects related to childbirth and the required treatments are determined after a detailed gynecological examination. The surgery fees may vary depending on the clinic or hospital chosen. Detailed pricing information can be provided after the examination and hospital selection.
Typically, the patient is discharged the next day or on the same evening if no intervention has been made on the bladder. If no intervention was made on the bladder, most patients can return home in the evening. Pain is generally managed with simple pain relievers that do not pass into breast milk, and usually, there is no need for pain medication after the 2nd day.
Since all procedures are performed vaginally and no abdominal incisions are made, recovery and return to normal activities are quick. The patient can take a shower on the second day and resume sexual intercourse after 3 weeks. It is recommended to wait for 1 month before lifting heavy loads or engaging in strenuous physical activities. However, walking and light exercise can begin on the 3rd to 4th day. A common question from patients seeking motherhood aesthetic procedures is whether they can hold their babies.
After surgery, if the baby weighs less than 15 kg, there is no problem with holding the baby in the arms. However, for babies over 15 kg, it is recommended to wait for 3 weeks before carrying them. There is no issue with holding the baby while sitting, including on the day of surgery.
For the first 3-4 weeks after motherhood aesthetic surgery, sexual intercourse should be avoided to prevent infection. Proper genital hygiene should be maintained. Heavy lifting should be avoided during the first 3-4 weeks.
The main purpose of genital aesthetic surgery is to restore the genital structure to its desired appearance and function. There are no issues with becoming pregnant after motherhood aesthetic surgery, as no procedures are performed on the ovaries or uterus. However, since the genital anatomy has been restored to its desired shape, the mode of delivery should be considered.
Motherhood aesthetic surgery does not prevent vaginal delivery; however, there is a risk that the corrected areas may become damaged or sag again during vaginal birth.
The most common reason patients seek genital aesthetic treatment is a decrease in sexual performance and satisfaction. Genital motherhood aesthetics significantly improve sexual confidence, sexual arousal, sexual life quality, and pleasure.
As a result, genital motherhood aesthetics greatly enhance the quality of life for women. Additionally, problems such as urinary or gas incontinence, constipation, and recurrent vaginal infections are eliminated, significantly improving the quality of life for women.
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