https://scientificeditorial.com/index.php/JAC/issue/feed 2026-10-22T07:33:22+00:00 Nastassia Ratskova submission@journalofappliedcosmetology.com Open Journal Systems <p>_{The JOURNAL OF APPLIED COSMETOLOGY is an international journal dedicated to publishing original papers, reviews and other material which represent a useful contribution to research on the skin and on cosmetics. It is aimed at cosmetic chemists, dermatologists, microbiologists, pharmacists, experimental biologists, toxicologists, plastic surgeons, and all other scientists working on products which will come into contact with the skin and its appendages. The Journal is published every 4 months in English. It is distributed to cosmetic chemists, dermatologists, plastic surgeons, medical and pharmaceutical schools, medical libraries, selected hospitals and research institutions through the world, and by subscription to any other interested individuals or organizations. Statements and opinions expressed are personal to the respective contributors and are not necessarily endorsed by the Editor(s), Advisers, Publishers of Distributors of this Journal.}</p> https://scientificeditorial.com/index.php/JAC/article/view/Staged-Injectable-Biostimulation-Followed-by-Surgical-Correction 2026-10-22T07:33:22+00:00 Claudia Rita Mazzarella claudiamazzarella77@gmail.com

<p style="text-align: justify;">Vulvovaginal symptoms may occur outside menopause after obstetric trauma or hormonal changes. A 40-year-old woman presented with vulvar burning and dyspareunia persisting for six years after vaginal delivery, followed by two years of breastfeeding and approximately four years of oral contraception. Examination showed vulvovaginal hypotrophy resembling genitourinary syndrome of menopause and a symptomatic post-obstetric introital deformity with hymenal caruncles. Three monthly injections of non-crosslinked hyaluronic acid with 0.01% calcium hydroxyapatite were administered to the vulva and lower third of the vagina, followed by suture-free en bloc excision of the caruncles using bipolar radiofrequency electrosurgery. The Vaginal Health Index increased from 5 to 20 and 23, the six-item Female Sexual Function Index from 2 to 22 and 30, and dyspareunia visual analog scale scores decreased from 10 to 3 and 0 at three months postoperatively, without complications. This hypothesis-generating case cannot establish that preoperative biostimulation improves surgical outcomes.</p>

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