Pigmentation

Hyperpigmentation or uneven pigmentation can be unsightly details.
Read more to find out the causes and treatments

Depigmentation

Indication

excessively pigmented skin

Surgical technique

home protocol + laser depigmentation

Procedure

10/20 min for 4 treatments in a protocol that lasts 2 months

Complications

inflammation, secondary hyperpigmentation

Postoperative pain

no

Recovery

immediate

Piccole labbra troppo grandi ridotte senza incisioni

Indicazione
piccole labbra troppo grandi (ma non troppo)
Tecnica

riduzione ottica per aumento delle grandi labbra con lipofilling o acido ialuronico

Procedura
10/20 minuti, anestesia locale, ambulatoriale
Dolore
scarsissimo
Recupero
0-2 giorni

Whitening: myths, reality of a treatment

It is quite common thought that the pink color of the genitals is more pleasant than the dark one. In my experience most women requesting a labia minora correction procedure when asked “Would you prefer pink or dark labia minora?” the answer is consistently the same: “Rosee.” The same goes for the perianal and perineal region. It seems that the pink color is the most welcome, the most reassuring and probably in the unconscious most similar to the perfection of the adolescent anatomical model and therefore to absolute beauty. I find nothing aberrant in a woman or man who wishes to have pinker genitals or perigenital area. The problem is not the legitimacy of the desire for treatment but the extreme difficulty of finding an appropriate treatment with high efficacy and low complication rate.
The genital region is in fact difficult to treat due to the delicacy of the tissues and their sometimes unpredictable reactivity. Treatments that prove effective on facial skin pigmentations prove to be ineffective or excessively effective on mucous membranes and genital skin. Lasers that act favorably on the pigmentations of other body areas must be used with appropriateness and particular precautions.
The masters of depigmentation are Egyptian, Indonesian and Arab dermatologists, who deal with pigmentation problems infinitely more complex than those we are used to. They, the masters, with whom to interface in the search for treatments with innovative topical compounds of efficacy and low local reactivity. Depigmentation or whitening is a myth exaggerated by the media, exaggerated, almost censored by the somewhat moralistic common thought but in reality it is a little requested procedure

Whitening methods

Whitening can be achieved by applying depigmenting acids. The application is carried out by the doctor with a procedure that lasts approximately 15 minutes. This will be followed by the prescription of appropriate cosmeceuticals or topical drugs produced specifically for each individual case. It is important that there is close communication with the doctor in order to ascertain the effectiveness of the home treatment and the absence of complications. We also resort to the use of lasers with depigmenting or mildly exfoliating capabilities. For example Neodymium laser, CO2 or Erbium laser to improve skin texture. The effect of the CO2 laser is to exfoliate the most superficial layers of skin and mucosa.
The same mechanism occurs with the Erbium treatment although it has less penetrative capacity in the tissues. However, CO2 and Erbium are only able to treat the surface of the skin, i.e. the epidermis and the first layer of dermis. The production of the pigment instead takes place at the level of the deep dermis where the melanocytes that produce melanin are positioned, the pigment which, when superficial, gives the characteristic dark color to the skin. The ideal treatment therefore must aim to treat both melanin and melanocytes. The complexity of the treatment therefore requires a multi-systemic approach through applications of acids, lasers and topical therapies.

Risks and complications

The least risk you run from inappropriate treatments is failure to achieve a result. The greatest risk is increased pigmentation. To minimize the possibility of risk it is essential to contact doctors with proven experience in the sector.

Rischi e complicanze

I rischi sono dettati: 1) dal mancato conseguimento del risultato: questo avviene quando le caruncole imenali, ovvero i lembetti di destrutturazione dell’imene, non vengono uniti nel modo corretto. Questo determina una insufficiente resistenza durante l’atto coitale e la mancata fuoriuscita di cui gocce di sangue che per alcuni pare abbia ruolo così rilevante; 2) ricostruzione di una parete imenale eccessivamente rigida: si tratta di una problematica che può avere conseguenze antipatiche e che richiede il reintervento. Avviene quando l’imene viene ricostruito stringendo eccessivamente i lembi e determinando la formazione di un anello imenale rigido e non perforabile. In questo caso l’atto sessuale non può avvenire perchè l’imene non può frammentarsi perchè eccessivamente irrigidito. Il trattamento consiste nell’ammorbidire la struttura imenale.
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