Down below can be a source of intense anxiety for many women – and for myriad different reasons. Perhaps childbirth took its toll, and things have never quite been the same since. Maybe sex is consistently uncomfortable, exercise a burden, and intimacy difficult. Whether the discomfort is physical or emotional, there’s a new focus on our nether regions; and a raft of procedures – both new and old – that can help to restore confidence in our bodies. Surgical labiaplasties are still making waves in the modern day: effectively tidying up the tissues and smoothing unwanted bulk (many women choose to combine them in a transformative “mummy makeover”). Meanwhile, stealthy, non-surgical techniques are on the rise: channeling the most powerful, proven technologies to tighten the pelvic floor, prevent urinary incontinence and even bring relief from common menopausal symptoms. But though these treatments might be staggeringly hi-tech, the practitioners behind them are renowned for their good, old fashioned hand-holding and support – making them some of the very best doctors in the UK for dealing with intimate issues. And while broaching these conversations can take time, trust, and enormous bravery – resolving them can feel revelatory. Why not book a consultation today, and see for yourself?
Nora Nugent, Tunbridge Wells
Calm in demeanour, and with a lovely Irish lilt, Nugent is excellent company when discussing intimate issues. ‘Women feel very vulnerable talking about labiaplasties,’ says the surgeon, who runs a busy breast and body-focused practice. ‘Still, we’re doing far more than we were a decade ago, partly because the taboo of surgery has reduced, but also because of greater awareness of the procedure.’ Nugent chats away about what’s troubling you, and the changes you hope to achieve. ‘For most women, the main consideration is aesthetic; though for some it’s about comfort: perhaps it feels awkward to wear a certain style of clothing, to exercise, or during intercourse.’ Her technique shapes the inner labia beautifully, while some light lipo to the mons pubis, just below the knicker line, helps to smooth unwanted bulk. Local anaesthetic is usual, but general is an option, especially for those looking to combine it with a breast augmentation or tummy tuck. ‘All surgeries need to be carefully assessed,’ she says. ‘But for most patients, a labiaplasty is a positive experience that restores confidence: in their body, but also in themselves’.
Consultation, £200; labiaplasty, from £3,475, under local anaesthetic, including surgical and clinic fees (noranugent.co.uk)
Dr Galyna Selezneva
You may feel like you’re losing control over certain parts of your anatomy, but there’s relief when you tell Selezneva what’s bothering you and she tells you that there are solutions. The psychiatrist-turned-body-sculptor has a sixth sense for what women need: ‘Patients today want a body that’s strong, resilient and that lasts.’ She advocates intelligent technology, such as EMsculpt to support the core pre-pregnancy or to build the glutes to preserve critical muscle mass in perimenopause. And because she’s an expert in the female form, she doesn’t leave any areas out. ‘Your vagina is in a very vulnerable position,’ she says. ‘It doesn’t get all those expensive face creams thrown at it – and it’s the one part of our body that we never exercise.’ Her EMsella chair uses electromagnetic energy to restore the pelvic floor; and her Ultrafemme 360 deploys radiofrequency to stimulate collagen production, doing away with dryness. ‘Every woman wants to look after her body. And who said her body stops at the face and breasts?’
Consultation, complimentary; EMsculpt, from £990; EMsella, from £2,000; Ultra Femme 360, from £3,500 (drritarakus.co.uk)