Intimate ageing

treatments for vulvar rejuvenation

Over time, the skin and mucous membranes in the intimate areas undergo the same changes as the rest of the body: loss of elasticity, reduced hydration and changes in pigmentation.

Changes that take place slowly, often without anyone noticing. With one important difference: they are rarely discussed, and even less often is a solution sought. Yet intimate wellbeing is an integral part of quality of life, and today aesthetic medicine offers effective, safe and non-invasive treatments to address it with the same expertise and discretion as any other cosmetic concern.

What is meant by intimate ageing?

The term intimate ageing refers to the set of changes that progressively affect the appearance and function of the skin and mucous membranes of the external genital areas, primarily linked to the hormonal and anatomical changes that accompany ageing.

The decrease in oestrogen, which is particularly pronounced during the menopause but also occurs more gradually in the decades leading up to it, leads to a progressive loss of moisture and firmness in the tissues. The skin becomes thinner, less elastic and more prone to irritation. The mucous membranes become thinner and lose their natural lubrication. Pigmentation may change, with darkening of the intimate areas linked specifically to a local increase in oestrogen during hormonally active phases.

These changes are physiological, but that does not mean they should be accepted passively when there are targeted and safe solutions available.

Who is affected by intimate ageing?

Intimate ageing is not a condition exclusive to the menopause. It can occur in women of various ages, often in connection with pregnancy and the postnatal period, cyclical hormonal changes, drug treatments that affect oestrogen levels, or simply the natural ageing process. Every situation is different and deserves to be assessed on a case-by-case basis.

What are the symptoms?

The most common symptoms are dryness and itching in the intimate areas, a sensation of tightness or fragility in the skin, uneven pigmentation and a general reduction in the firmness of the tissues. These are conditions that are often underestimated or attributed solely to gynaecological factors, when in fact they respond very well to targeted medical aesthetic treatment.

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Intimate rejuvenation: the solution offered by aesthetic medicine

Today, aesthetic medicine offers a range of treatments to address intimate ageing, all of which are minimally invasive, safe and require no significant recovery time. Dr Garavaglia determines the most appropriate treatment based on the characteristics of the tissues, the extent of the changes and the patient’s medical history.

Polynucleotides

Polynucleotides are molecules of biological origin with a marked ability to stimulate fibroblast proliferation, improve local vascularisation and restore the extracellular matrix of the tissue. Administered to the intimate areas via precise micro-injections, they act deep within the dermis and mucous membranes, providing a progressive and long-lasting regenerative effect. They improve the skin’s hydration, elasticity and vitality, reduce pigmentation irregularities and enhance everyday comfort.

Biostimulation

Biostimulation using non-cross-linked hyaluronic acid, vitamins and amino acids acts on the intrinsic quality of the intimate tissues, restoring moisture to the mucous membranes and improving the skin’s firmness and suppleness. It is an effective solution, particularly in the early stages of intimate ageing, when the main issues are dryness and a loss of superficial trophism.

PRGF

PRGF (Plasma Rich in Growth Factors) is the most advanced treatment for cases where a more intensive regenerative effect is required. Using the patient’s own blood, autologous growth factors are isolated and reinjected into the intimate areas, stimulating deep and long-lasting tissue regeneration. It is completely free from any risk of allergic reactions and has a significant trophic effect, with gradual improvements over the weeks following each session.

Intimate rejuvenation: how the treatment programme is structured

Every personalised intimate ageing programme begins with a medical consultation, during which Dr Garavaglia assesses the condition of the tissues, reviews the patient’s clinical and hormonal history, and determines the most suitable treatment plan. The standard course involves 2–3 sessions spaced 4 weeks apart, followed by an annual maintenance session to ensure the results are sustained over time.

Discretion is an integral part of our service: our clinic ensures the utmost confidentiality at every stage of the process, from consultation to treatment.

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Intimate ageing and quality of life: an issue that deserves attention

The discomfort associated with intimate ageing is real, but it is still all too often downplayed or dealt with in isolation. Dryness, itching, a feeling that the skin is fragile, and changes in the appearance of the intimate areas have a real impact on day-to-day wellbeing, self-esteem and relationships: an impact that should not be ignored or accepted as inevitable.

Discussing this with a doctor specialising in intimate aesthetic medicine is the first step towards finding a practical solution. It is not a taboo subject: it is a matter of health and quality of life, approached with the same clinical expertise and the same human care that Dr Garavaglia devotes to every patient.

Why choose Studio Garavaglia?

Undergoing treatment in intimate areas requires trust in the doctor even more than in the technology. At Studio Garavaglia in Milan, patients can be assured of complete confidentiality, with constant attention paid to their comfort and to achieving natural-looking results.

The aim is not to change, but to regenerate. To restore to the skin and intimate mucous membranes the vitality, hydration and firmness that time has gradually diminished.

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A confidential, no-obligation consultation to find out whether the treatment is suitable for your situation and what results you can realistically expect. The first step is always the most important.

FAQ: frequently asked questions about intimate ageing

No. Before the micro-injections, a topical anaesthetic is applied to minimise any discomfort. The session lasts around 20–30 minutes and is generally well tolerated. No significant recovery time is expected.

There is no specific age. The treatment is recommended whenever signs of intimate ageing appear, regardless of chronological age. Many women start treatment between the ages of 40 and 50, coinciding with the hormonal changes of perimenopause, but treatment may also be recommended for younger women in certain circumstances.

The standard course consists of 2–3 sessions, each 4 weeks apart. Results improve gradually over the course of the programme and become more established in the weeks following the final session. An annual maintenance session is recommended to ensure the results are sustained over time.
With scheduled maintenance sessions, it is possible to sustain the benefits achieved over time and slow down the progression of tissue changes.

Yes. Polynucleotides are biological molecules that are well tolerated, with a high safety profile and no risk of an allergic reaction in the purified formulations currently available. The treatment is minimally invasive and does not alter the structure of the treated areas.