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Emerging Trends in Nonsurgical Female Genital Rejuvenation

Vanaman, Monique MD*; Bolton, Joanna MD, FAAD; Placik, Otto MD; Fabi, Sabrina Guillen MD, FAAD, FAACS†,§

doi: 10.1097/DSS.0000000000000697
Review Article

BACKGROUND Aging, childbearing, and hormonal changes can lead to vulvovaginal laxity and mucosal atrophy that negatively affect a woman's quality of life. As more minimally and noninvasive options for genital rejuvenation become available in the outpatient setting, it becomes increasingly important for the dermatologic surgeon to be familiar with these popular procedures.

OBJECTIVE To familiarize dermatologists with the nonsurgical options available for female genital rejuvenation, patient motivations for pursuing these procedures, relevant anatomy, and potential adverse events.

MATERIALS AND METHODS A MEDLINE search was performed on nonsurgical female genital rejuvenation from 1989 to 2015, and results are summarized.

RESULTS Reports of nonsurgical female genital rejuvenation procedures using fractional carbon dioxide lasers, nonablative lasers, monopolar radiofrequency devices, hyaluronic acid fillers, and fat transfer are concisely summarized for the practicing dermatologist.

CONCLUSION Review of the literature revealed expanding options for nonsurgical female genital rejuvenation.

*Department of Dermatology, University of Illinois at Chicago, Chicago, Illinois;

Goldman, Butterwick, Groff, Fabi & Wu, Cosmetic Laser Dermatology, San Diego, California;

Associated Plastic Surgeons, S.C. (Arlington Heights and Chicago), Arlington Heights and Chicago, Illinois; Department of Surgery (Plastic), Northwestern University Feinberg School of Medicine Chicago, Illinois;

§University of California San Diego, San Diego, California

Address correspondence and reprint requests to: Monique Vanaman, MD, Department of Dermatology, University of Illinois at Chicago, 808 S. Wood Street, Suite 380, Chicago, IL 60612, or e-mail:

The authors have indicated no significant interest with commercial supporters.

© 2016 by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved.
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