Desirial — Intimate Area Rejuvenation

Desirial intimate area rejuvenation at S-thetics Beauty uses hyaluronic acid formulations specifically designed for the vulvovaginal region — Desirial® for hydration and rejuvenation, and Desirial® Plus for volume restoration and shape correction. Both products are part of the Vivacy/IBSA product family, the same manufacturer as the Stylage filler range used for facial treatments. MDDr. Darina Šanšašvili administers the injections in the clinic setting. The treatment addresses dryness, loss of elasticity, reduced volume, and aesthetic changes in the intimate area — conditions that commonly arise from hormonal changes after menopause, post-partum recovery, or the natural ageing process. Results include improved hydration, increased tissue suppleness and elasticity, enhanced intimate comfort, and aesthetic improvement of the vulvovaginal area. The effect of a single 2 ml session typically lasts six to twelve months.

Intimate area rejuvenation with injectable hyaluronic acid is a subspecialty within aesthetic gynaecology that addresses the structural and functional changes that the vulvovaginal tissues undergo through hormonal shifts (particularly the oestrogen decline of perimenopause and menopause) and mechanical changes (pregnancy, childbirth, ageing). These changes manifest as reduced tissue hydration, loss of elasticity and suppleness, thinning of the epithelium, volume reduction in the labia majora and minora, and altered aesthetics — all of which can affect quality of life, intimate relationships, and self-confidence. At S-thetics Beauty, the Desirial and Desirial Plus products are used — hyaluronic acid formulations produced by IBSA/Vivacy specifically engineered and tested for intimate area applications. The standard Desirial product uses a lighter, less viscous HA cross-link designed to integrate into the vulvovaginal mucosa and immediately improve hydration, moisturisation, and tissue quality. It acts as a sustained moisture reservoir at the tissue level, with effects detectable in improved texture, suppleness, and the sensation of the tissue surface within weeks of injection. Desirial Plus uses a denser, more volumising HA formulation suitable for restoring lost volume and shape to the labia majora or correcting the aesthetic changes that follow weight loss, ageing, or post-partum recovery. This product is placed at a deeper subdermal plane to add structural support and three-dimensional volume restoration. MDDr. Šanšašvili performs the treatment using standard aseptic technique in the clinic environment. The treatment takes approximately twenty to thirty minutes. Topical anaesthetic may be applied to the treatment area to ensure comfort throughout. Because the vulvovaginal mucosa has a dense blood supply and a high tissue-healing capacity, the recovery from the procedure is rapid — most clients return to normal activities the same day, with only a brief period of avoiding swimming and high-heat environments. Each session uses 2 ml of the selected product, with the volume distributed across the treatment area by experienced judgement rather than a fixed injection point. Sessions may be repeated annually or semi-annually depending on the degree of change and the client's goals. Who benefits most: women experiencing genitourinary syndrome of menopause (GSM), also called vulvovaginal atrophy; women with post-partum tissue changes that have not fully reversed; women with labia majora volume loss from ageing or weight change; and women seeking aesthetic improvement of the intimate area alongside or independently of functional symptoms. Contraindications include active genital infection or inflammation, known HA allergy, pregnancy, current anticoagulant therapy, and autoimmune connective tissue disorders. A full consultation with MDDr. Šanšašvili is required before the procedure to discuss goals, suitability, and product selection.