Providing information regarding the non-surgical genital aesthetic and firming methods, Gynecology and Obstetrics Specialist Dr. Mert Yeşiladalı emphasized the importance of genital treatments stating “As age grows older, the connective tissues and their strength weakens and loosening occurs in the area. Hence, both genital loosening and urinary incontinence may occur. We see this problem in about 50% of women”.

Gynecology and Obstetrics Specialist Dr. Mert Yeşiladalı provided information about non-surgical genital aesthetic applications. Noting that vaginal sagging and enlargement are an important problem for women, Dr. Yeşiladalı underlined that this situation causes urinary incontinence and can significantly reduce the quality of life of women unless it is treated. He explained that non-surgical genital tightening applications, which have increased in use in recent years, can be a solution for many women.



Stating that many different methods are used in genital aesthetic applications, Dr. Yeşiladalı said, “The practices we call genital aesthetics are methods that have different treatments from external genital area aesthetics to inner vagina aesthetics. In fact, the treatments for tightening the genital area are treatments that are functionally necessary in some cases, rather than being aesthetic. Because there are muscle and connective tissues that support the genital area and bladder in the pelvis area, which we call the pelvic floor. The strength of these connective tissues decreases as the age progresses, as in the whole body. A loosening occurs in this area. Therefore, it can cause looseness in the vagina and cause bigger problems such as urinary incontinence. These treatments simultaneously tighten the vagina and increase the vaginal pressure, and can offer a non-surgical solution to the problem of urinary incontinence by strengthening the connective tissues in the pelvic region.



Stating that as age progresses, a loosening occurs in the connective tissues of the whole body, Dr. Yeşiladalı said, “Just as sagging occurs on our face, arms and legs, sagging occurs in the genital area in the same way. Especially in women who have had a vaginal delivery, the complaint of vaginal looseness can begin at a much earlier age. In women who have not given birth normally, especially after menopause, weakening of the connective tissues in this region can be seen with the decrease in the estrogen hormone. In fact, it is a very common problem in society. Especially in older women, we see complaints such as both laxity and urinary incontinence at a rate of almost 50 percent. However, applications to us is not at this rate. Patients tend to avoid revealing these problems and getting help.”


Noting that non-surgical connective tissue tightening procedures have been used in cosmetic surgery for a long time, and nowadays these procedures are performed with different technologies, Dr. Yeşiladalı continued his words as follows:

“There are technologies that use laser, radiofrequency or ultrasound energy, namely HIFU (Focused ultrasound energy). We use HIFU technology. By applying focused ultrasound energy to the connective tissue under the vaginal mucosa between 3 millimeters and 4.5 millimeters, thermal damage is created in this region up to a certain temperature. It triggers the production of collagen and elastin tissues in this area. In fact, we somehow activate the body’s natural repair mechanism.”


Underlining that there is no age limit for treatment, Dr. Mert Yeşiladalı said, “It is a method that can be applied to women of all age groups. In addition to tightening, this technology can also be used for drug-resistant recurrent vaginal infections, treatment of urinary incontinence, treatment of postmenopausal vaginal thinning and dryness, and whitening of the genital area.

Gynecology and Obstetrics Specialist for Yeditepe University Hospitals Dr. Mert Yeşiladalı gave the following information about the application:

“After the patients apply to us, we first make a general evaluation and see if they can be treated without surgery. If it is suitable for treatment, we apply a procedure that takes approximately 20-30 minutes in a single session and in polyclinic conditions. The procedure is painless and does not require anesthesia. Although we generally see the effect we want in a single session, we may need a second session in some patients. 3-4 weeks after doing a session, the patient also starts to notice the change.”

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