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2025.09.30

For Those Concerned About Downtime After Gynecological Cosmetic Procedures|Explained by Akiko Miyamoto, Director of Bianca's Aesthetic Gynecology!

宮本 亜希子
Supervising Physician
Supervising physician in cosmetic gynecology and obstetrics and gynecology Akiko Miyamoto

After practicing insurance-covered medicine in general obstetrics and gynecology, including infertility treatment and perinatal care, I shifted my career to private practice and gynecological aesthetics driven by my own experience battling illness and the desire to “support women in enjoying their femininity throughout life.” Grounded in deep anatomical knowledge and technical skill, I address women's health challenges with "authentic femtech"—procedures like gynecological plastic surgery, Vaginal Rejuvenation® injections, and vaginal hyaluronic acid injections—backed by medical evidence. She is dedicated to social activities promoting sex education, HPV vaccine awareness, and improving women's quality of life. She actively contributes to medical knowledge dissemination, including authoring Chapter 7, "Vaginal Hyaluronic Acid Injections," in the specialized textbook The Fundamentals of Cosmetic Surgery: The First Book to Read When Becoming a Cosmetic Surgeon.

婦人科形成のダウンタイムが不安な方へ|ビアンカの美容婦人科指導医 宮本亜希子が解説!

 

Hello, I am Dr. Miyamoto, an OB/GYN specialist at BIANCA CLINIC, where I focus on gynecological plastic surgery and vaginal aesthetics.

 

Many women interested in gynecological plastic surgery hesitate to take the first step due to concerns about downtime. In fact, questions about downtime are among the most frequently asked by patients during consultations.

 

This time, we'll specifically introduce the downtime for each representative gynecological cosmetic procedure. We'll also explain BIANCA CLINIC's unique approach to reducing pain and anxiety.

 

What is the downtime for gynecological plastic surgery?

 

In gynecological plastic surgery, procedures are performed on sensitive areas, so downtime may occur after surgery.

 

The nature and extent of downtime vary depending on the type of procedure and the patient's constitution, but generally includes swelling, pain, bleeding, and bruising.

 

For example, injectable treatments like hyaluronic acid injections typically involve minimal downtime and have little impact on daily life. On the other hand, surgical procedures involving incisions tend to require a somewhat longer recovery period.

 

During the downtime, it is ideal to rest to prevent symptoms from worsening. Additionally, lifestyle precautions such as showering, bathing, tampon use, and resuming sexual activity vary depending on the procedure.

 

Before undergoing treatment, it is important to receive thorough explanations from your doctor and consider whether it is feasible for your lifestyle. To ensure you can receive treatment with peace of mind, do not hesitate to ask about anything you don't understand or feel uncertain about.

 

Comparison of Downtime for Representative Gynecological Cosmetic Procedures

 

There are various procedures in gynecological plastic surgery, but the time required for recovery and the nature of the downtime vary significantly depending on the procedure.

 

Questions like "How much will it affect my work or household chores?" and "When can I resume sexual activity?"—knowing these points beforehand makes it easier to choose the treatment that's right for you.

 

Here, we compare the downtime characteristics and lifestyle restrictions of representative gynecological cosmetic procedures offered at Bianca Clinic.

 

Vaginal Hyaluronic Acid InjectionA procedure involving the injection of hyaluronic acid into the vagina to thicken the vaginal walls. It is expected to improve vaginal tightness, reduce dryness, and alleviate pain during intercourse.

 

Downtime: Swelling, pain, bruising, and bruising
Downtime period: Typically subsides within about one week
Lifestyle restrictions: Showers are permitted starting the same day. Sexual intercourse is permitted approximately one week later.

 

Vaginal Growth® InjectionA treatment that injects skin booster agents into the vaginal mucosa to enhance elasticity and moisture, improving vaginal condition. Vaginal anti-aging care.

 

Downtime: Swelling, pain, bruising, and bruising
Downtime period: Typically subsides within a few days.
Lifestyle restrictions: Showers are permitted starting the same day. Sexual intercourse is permitted approximately 5 days later.

 

Labia Minora Reduction SurgeryA procedure to remove and reshape the labia minora that cause discomfort due to asymmetry or hypertrophy. Local or intravenous anesthesia is used.
Downtime: Swelling, pain, bruising, and bruising
Recovery period: Approximately 2 weeks without suture removal, or 4 weeks with suture removal.
Lifestyle restrictions: Showering is possible starting the next day. Sexual activity is possible approximately 2 weeks after surgery without suture removal, and approximately 4 weeks after surgery with suture removal.

 

Subcutaneous tissue removal surgeryA procedure to remove the prepuce (the folds of skin surrounding the clitoris) for improved hygiene and appearance. It may be performed in conjunction with labia minora reduction.

 

Downtime: Swelling, pain, bruising, and bruising
Recovery period: Approximately 2 weeks without suture removal, or 4 weeks with suture removal.
Lifestyle restrictions: Showering is possible starting the next day. Sexual activity is possible approximately 2 weeks after surgery without suture removal, and approximately 4 weeks after surgery with suture removal.

 

Vaginal opening reconstructionA procedure to tighten the vaginal opening that has become enlarged due to childbirth or aging. It not only improves appearance but can also alleviate discomfort during intercourse.

 

Downtime: Swelling, pain, bleeding
Downtime period: Until the one-month checkup
Lifestyle restrictions: Sexual activity may resume after 1 to 1.5 months.

 

The length of downtime and the nature of daily life restrictions vary by procedure, but in most cases, you can return to your daily routine within a few days to a few weeks.

 

Bianca Clinic's Approach|Efforts to Minimize Downtime

 

At Bianca Clinic, we continuously implement measures to minimize pain and downtime in gynecological cosmetic procedures.

 

During procedures, we carefully select between local anesthesia and intravenous sedation to minimize physical strain. We strive to alleviate patient anxiety as much as possible.

 

Additionally, we offer an "Edema Reduction IV Drip" to support your post-operative recovery and a "Post-Operative Oral Medication Set" to assist with home care.

 

We carefully listen to each patient's individual circumstances and preferences to propose treatment schedules that fit comfortably into your lifestyle. We strive to offer flexible treatment plans, taking into account situations such as "busy work schedules that don't allow for long breaks" or "childcare responsibilities that limit available time for appointments."

 

We provide a comfortable environment where you can undergo treatment with peace of mind while minimizing any burden. If you've been hesitant to take that first step due to concerns about downtime, please feel free to consult with us.

 

Gynecological cosmetic procedures should be done only after all concerns are addressed!

 

Cosmetic gynecology is one option for addressing sensitive concerns. While downtime isn't entirely eliminated, the burden can vary significantly depending on the procedure chosen and the clinic's support system.

 

At Bianca Clinic, we thoroughly address any concerns or questions you may have about downtime before proposing treatments that you can feel confident about.

 

If you're interested in gynecological plastic surgery, please schedule a consultation first. Let's work together to find the best option for you.

 

 

Dr. Akiko Miyamoto Profile
https://biancaclinic.jp/doctor/miyamoto/

After graduating from university, she worked in general obstetrics and gynecology, providing insurance-covered treatments such as infertility therapy and perinatal care. Later, prompted by her own battle with illness, she reevaluated her career path. Driven by the desire to "support women in enjoying their femininity throughout life!", she transitioned into private practice and gynecological aesthetics. The deep knowledge and solid technical skills she cultivated as an OB/GYN are highly regarded in the field of aesthetic gynecology. She is particularly recognized as a leading figure in Japan for female genital medicine, especially in vaginal rejuvenation. Since joining BIANCA CLINIC, she has served as a leading aesthetic gynecologist supporting women's beauty and health, addressing diverse concerns for numerous patients. She also actively contributes to sex education across various media, HPV vaccine promotion, and improving women's OQL (Organic Quality of Life). Her commitment to medical knowledge dissemination includes authoring Chapter 7, "Vaginal Hyaluronic Acid Injections," in the specialized textbook The Fundamentals of Aesthetic Surgery: What Every Aesthetic Surgeon Should Know First.

 

▷BIANCA CLINIC|About "Gynecological Aesthetics" by Dr. MiyamotoHere

 

<Dr. Akiko Miyamoto's Medical Services>
◆Vaginal Tightening & Darkening Treatment (Vaginal HIFU, Radiofrequency Therapy, etc.)
◆Labia Minora Reduction Surgery
◆Subcutaneous Tissue Removal Surgery
◆Clitoral Hood Reduction Surgery
◆Vaginal Reduction Surgery (Vaginal Wall Reconstruction)
◆Vaginal Opening Reconstruction
◆Vaginal Hyaluronic Acid
◆Vaginal Rejuvenation® Injection

 

<Professional Affiliations and Qualifications>
◆Japanese Society of Obstetrics and Gynecology
◆Japanese Society of Reproductive Medicine
◆Japanese Society of Aesthetic Surgery (JSAS)
◆Board-Certified Obstetrician and Gynecologist by the Japan Board of Medical Specialists
◆Japanese Society for Sexology
◆Certified Menopause Specialist by the Japanese Society of Psychosomatic Medicine for Women
◆Japanese Society for Psychosomatic Medicine in Women
◆AV Production Mine'S Exclusive Consulting Physician
◆Japanese Society of Female Pelvic Floor Medicine
◆Medytox Certified Vaginal Hyaluronic Acid Injection Instructor (KOL: Key Opinion Leader)

 

<Check here for more information about Ms. Akiko Miyamoto>
Dr. Akiko Miyamoto's Instagram account (@akko__1122) isHere
The official Instagram account for Bianca Clinic (@biancaclinic) isHere

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