Interview with Dr. Juan José Escribano Tórtola, Coordinator of the Aesthetic-Functional Gynecology and Cosmetic Genital Surgery Group of the Spanish Association for the Study of Menopause (AEEM) on the First National Congress of Aesthetic, Functional and Regenerative Gynecology.
The woman of the 21st century is completely different from that of previous eras. More intellectually active, more socially and culturally committed, more concerned with her physical appearance and more free and autonomous when it comes to addressing issues that until not long ago were considered taboo by the social environment and by herself, such as everything related to the emotional and sexual sphere.
We health professionals who are concerned about the well-being of women in the broad spectrum of the word, must become accustomed and receptive to these new demands for medical care in terms of aesthetic and functional gynecology and not consider them banal. Our patients demand attention in all aspects that may affect the quality of life, psychological, physical, emotional, social and sexual.
This Congress aims to bring to light the importance of these issues and address in a comprehensive way its treatment from professional ethics; in addition, it is our presentation as a group of Spanish gynecologists with the intention of providing the most updated information and scientific training by authorities in the field and that are addressed for the first time with national character, numerous current issues related to functional, regenerative and Aesthetic Gynecology will be addressed, and we will have the endorsement of major international scientific societies and our country.
Establish a series of basic principles of action in this field and disseminate the knowledge of many specialists in the field to interested health professionals, with the aim of improving the quality of life of our women.
Topics to be discussed
Each and every one of the topics included in the syllabus are important because they affect in one way or another what patients ask for. We could divide them into blocks related to:
- The hormonal sphere and its clinical repercussion in the different stages of life,
- Sexuality and what it implies in the modern and current woman,
- The concept of intimate beauty related to the aesthetics of the external genitalia and its functionality.
- The different medical, surgical and non-surgical treatments currently available as a range of possibilities available to each case in order to find the right solution for each patient, always under a comprehensive anatomical-aesthetic and functional approach.
Is there a lack of knowledge about gyneco-aesthetics among physicians?
There is a total lack of knowledge in this field, mainly among Spanish gynecologists, compared to other health professionals (aesthetic doctors, dermatologists, plastic surgeons, etc). Unfortunately, countries such as the USA, Latin America, Central Europe, etc, are many years ahead of us with respect to knowledge, technique and training in this new area. From our Group, created in 2015, we intend to promote with all kinds of activities this knowledge and spread it among all our colleagues to make available an exciting and very satisfying initial path.
Is women’s demand for gyneco-aesthetic treatments growing?
Data from the American Association of Plastic Surgery reveal an exponential increase since 2005 in all procedures performed in this field. Specifically, and by way of example, labiaplasty has seen a 47% increase in its performance in the last 4 years. Gynecologists can continue to ignore these concerns in our patients or, on the contrary, we can accept this new rest, train ourselves properly and make ourselves available to our patients.
Gynecological and esthetic treatments
Most of the patients come to the office because the new clinical situations cause them an aesthetic, functional or mixed problem.
Hypertrophy of the labia minora in the premenopausal stage, vaginal laxity syndrome in women who have had children and vaginal atrophy and urinary incontinence in menopausal women are among the problems that generate most demand.
Their resolution could be carried out by means of surgical techniques, among which labia minora labioplasty, labia majora reduction surgery, remodeling of the clitoral hood, remodeling of the vaginal introitus by means of anterior and posterior colpoperineorrhaphy, and all procedures related to the use of bioimplants or bior fillers with platelet-rich plasma, hyaluronic acid, etc., in different anatomical zones of the external genital area.
In addition, current technology allows the performance of non-surgical procedures using laser and radiofrequency to solve all those problems derived from the genitourinary syndrome of menopause (vaginal dryness, incontinence, dyspareunia, etc.), mild stress incontinence and vaginal laxity syndrome.