Perineal thread lifting in aesthetic gynecology: on the way from compromise to the golden mean

Pelvic floor dysfunction found in women regardless of their age has long been and remains one of the most controversial issues of modern gynecology. Numerous correction methods, from extensive surgical interventions to minimally invasive approaches, have been often opposed one another. However, to date we have formulated a clear recommendation: defects of the pelvic fascia and pelvic floor muscle compartment are the uncontested imperative indications for reconstructive surgery. Meanwhile, the issue of correcting early signs of pelvic floor dysfunction in patients with no myofascial defects is still a matter of debate, since surgical correction is often impossible or even more often not feasible in such cases. In this regard, it is necessary to consider perineal thread lifting as one of the most advanced and effective methods for treatment of the gaping vaginal opening that does not require surgical correction. © 2023, LLC MMA MediaMedika. All rights reserved.