The Bespoke Experts
Aesthetic Concerns ‘Down There’: What’s Normal, What’s Not, and What Can Be DoneAesthetic Concerns ‘Down There’: What’s Normal, What’s Not, and What Can Be Done

Aesthetic Concerns ‘Down There’: What’s Normal, What’s Not, and What Can Be Done

May 26, 2025
by
Bespoke Rx
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Let’s be honest: You’ve wondered if your vulva looks ‘normal.’ 

Maybe after childbirth. Maybe after weight loss or menopause. Maybe just from social comparison. Aesthetic concerns about the vulva and vagina are common, valid, and deserve honest conversation.

What Are Common Aesthetic Concerns?

While there’s no single definition of “normal,” many women express discomfort or self-consciousness about:

  • Labial length or asymmetry
  • Darkened pigmentation
  • Loose or sagging skin
  • Visible stretching post-delivery
  • Changes in appearance after aging or hormonal shifts

These concerns may be cosmetic—but they’re rarely just about looks. They’re often about comfort, confidence, and intimacy.

Why the Vulva Changes

Several natural events influence the way the external genitals appear:

  • Childbirth: Tearing, episiotomies, and stretching can change labial shape or symmetry
  • Hormonal shifts: Estrogen loss can thin tissue and lead to sagging or color changes
  • Aging: Collagen and elasticity decrease over time, much like in facial skin
  • Genetics: Some women naturally have more prominent or asymmetrical labia

These changes aren’t a reflection of hygiene, sexual activity, or personal failure. They’re simply biology.

When Aesthetics Affect Quality of Life

For some women, changes lead to discomfort:

  • Pain or irritation during exercise or sex
  • Difficulty wearing tight clothing
  • Visible bulging in leggings or swimwear
  • Reduced sexual confidence or avoidance of intimacy

If appearance is affecting how you feel or function, it’s worth exploring options.

You’re Not Being Vain

Let’s reframe this: aesthetic concern is not about chasing perfection—it’s about seeking alignment between how you look, how you feel, and how you function. Just like skin care or dental work, vulvar aesthetics can be part of your self-care.

What Are Your Options?

  • Labiaplasty: A surgical reshaping of the labia, often for functional or comfort reasons
  • Topical treatments: Can address discoloration, irritation, or texture
  • EmpowerRF: A non-surgical treatment that uses gentle energy to:
    • Stimulate collagen and firm tissue
    • Improve muscle tone and skin appearance
    • Restore symmetry and elasticity without cutting or downtime

EmpowerRF works by delivering radiofrequency and electrical stimulation to gently remodel tissue and restore contour. It’s a discreet, effective option for women seeking improvement without surgery.

What to Expect

Sessions are in-office, usually under 60 minutes, and feel like a warm, rhythmic pulse. Most women report improvement in tone, appearance, and comfort within a few weeks. Results build over time with no recovery period needed.

Confidence Is Not Cosmetic

Your comfort matters. So does your confidence. If you’ve been hesitant to look in the mirror or dread intimacy because of how things look or feel “down there,” you’re not alone—and you have options.

Final Word

There is no one way a vulva should look. But if you feel like yours has changed in a way that impacts your life, it’s okay to explore solutions. EmpowerRF offers a graceful, non-invasive way to honor your body and your preferences.

Your vulva is part of your story. If that story includes a chapter on renewal, make it one you write by choice—not by silence.

*Photos copyright 2020 by Bespoke Rx. All rights reserved. Videos used only with patient permission. Individual results may vary.
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