The type and technique of using hyaluronic acid in my practice, and what problems it solves for my patients.
In aesthetic gynecology, high-density hyaluronic acids (HA) are used most widely. As a result, the acid molecules bind more water on their surface. Another very important feature of a hyaluronic acid suitable for gynecology is its cross-linking,
as a result of which the product and the water associated with it do not migrate, and the absorption period is prolonged.
Hyaluronic acid in gynecology has two applications: therapeutic and aesthetic.
In the first case, indications may include: vaginal dryness, fissuring of the vestibular mucosa during intercourse, pain in the scar after episiotomy, and, finally, a trauma-related (also postpartum) deformation of the vaginal vestibule. In these cases, the preparation is administered subcutaneously and intradermally. With this technique, vascularization increases in the area where the acid is administered, and the mucosa’s hydration and elasticity are improved. An additional advantage is that in cases of a painful scar after episiotomy there is separation of the perineal skin from
the deeper layers of the scar, resulting in relief of symptoms. In the case of a trauma-related
deformation of the vaginal vestibule causing a “gaping introitus,” thanks to
the volumetric effect of the acid, the vestibular walls become evened out and the vaginal opening is closed.
In aesthetics, the most common use of HA in gynecology is to improve the tone and elasticity of the skin of the labia majora by filling them with the product in question. Thanks to subcutaneous and intradermal injections of the preparation, their
volume and skin tension increase. In this case, the acid can also be implanted into
the deeper layers—the fatty tissue. With such an application, the effect of increasing
the volume of the lips will last longer. Another indication for the use of hyaluronic acid is
injecting the anterior vaginal wall in the area of the G-spot. The G-spot (Grafenberg) is, according to some researchers, a plexus of nerve fibers responsible for vaginal orgasm; however, others dispute the existence of such a structure. Either way, the anterior vaginal wall, at a section about 2 cm from the external opening of the urethra, is more sensitive to touch, and this area is called the G-spot. Thanks to submucosal injection of the acid
of hyaluronic acid into the area in question increases the sensitivity of this part of the vagina, and as a result
the chance of achieving orgasm is higher.
Hyaluronic acid is most often packaged in 1 ml syringes. It is administered using ‘blunt’ cannulas to avoid the risk of injecting the preparation into a blood vessel. The procedure is performed under local anesthesia, so it is painless and usually takes about 10 minutes.
