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Aesthetic Vaginal Medicine: What It Is and How It Differs from Surgery

What aesthetic vaginal medicine is, which non-surgical techniques it includes, and how it differs from intimate surgery. A clear and responsible explanation by Dr. Nerina Mengani at Santé, Barcelona.

June 10, 2026
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What it is: the set of non-surgical aesthetic medicine techniques applied to the female intimate area.

What it aims for: to improve hydration, firmness, comfort, and tissue tone, not to transform it.

How it differs from surgery: there is no operating room, incisions, or scars; these are in-office procedures.

The limit: it does not treat sexual function or infections, and it complements gynecological follow-up. Results may vary.

The term "aesthetic vaginal medicine" encompasses a set of non-surgical treatments that generate many questions, partly because they are sometimes confused with intimate surgery. In this article, we clarify what it is, what techniques it includes, and, above all, what distinguishes it from a surgical intervention, with an honest approach.

What is aesthetic vaginal medicine

It is the branch of aesthetic medicine —also called gynaeco-aesthetics— that deals with the care of the female intimate area using non-surgical techniques. Its objective is to improve hydration, firmness, comfort, and tissue tone, accompanying the changes that appear with age, postpartum, or menopause. It does not seek to modify anatomy, but to care for its quality and comfort.

What techniques it covers

  • Hydration with hyaluronic acid specific for the area, addressing dryness.
  • Regenerative techniques (PRP, PRF, exosomes) for tissue quality.
  • Radiofrequency for firmness and comfort through controlled heat.
  • Tone unification with chemical peeling, depigmenting laser, or mesotherapy.
  • Natural volume of the labia majora with hyaluronic acid.

How it differs from intimate surgery

This is the most important distinction. Intimate surgery is a surgical procedure, performed in an operating room, that modifies anatomy and belongs to another specialty. Aesthetic vaginal medicine, on the other hand, is performed in-office, without incisions or scars, and works on the quality, hydration, and comfort of the tissue, not on its structure. At Santé, we exclusively perform non-surgical techniques; intimate surgery is not part of our offerings.

What aesthetic vaginal medicine is not

As important as knowing what it is, is knowing what it is not. It is not a treatment for sexual function, it does not address infections or problems that correspond to conventional gynecology, and it does not replace your check-ups. It is an aesthetic and comfort complement that coexists with your usual medical follow-up. When a concern requires another approach, the correct thing to do is to refer you, and that is what we do.

How we approach it at Santé

At Santé, aesthetic vaginal medicine is performed by Dr. Nerina Mengani, a gynecologist with a Master's in Aesthetic and Cosmetic Gynecology. In the consultation, we evaluate your case with respect, explain each technique, and propose only what makes sense for you, with a natural objective and without overtreatment.

We attend in Spanish, English, Portuguese, and Russian on Avenida Diagonal 384, in the Eixample of Barcelona. The first consultation resolves your doubts in a discreet environment, without promises of guaranteed results.

Frequently Asked Questions

Is aesthetic vaginal medicine surgery?

No. These are non-surgical techniques performed in-office, without incisions or scars. Intimate surgery is a different field that we do not perform.

What concerns does it address?

Mainly dryness, loss of firmness, comfort, and tone of the area, after an assessment that rules out causes requiring another approach.

Is it painful?

It depends on the technique. Measures are used for your comfort, and discomfort is usually mild. We will specify this during the consultation.

When are results visible?

It varies depending on the technique: hydration is perceived sooner; regeneration, progressively. Results may vary between individuals.

Generalitat de Catalunya - Departament de Salut - Direcció General d'Ordenació i Regulació SanitàriaFinanciado por la Unión Europea - NextGenerationEU, Gobierno de España, ENISA, Plan de Recuperación, Transformación y Resiliencia