A new and revolutionary treatment developed specifically to improve women’s intimate health and address cosmetic concerns both during menopause and after childbirth. Desirial® is an innovative injectable hyaluronic acid formula designed to rejuvenate the vaginal area by treating discomfort, dryness, and chronic irritation.

Feminine Vaginal Rejuvenation

When we are young the vaginal tissue is moist and thick, however when we reach menopause and levels of oestrogen decline, the tissue thins and becomes drier. Desirial® works to restore hydration, elasticity, tone and sensitivity of the vulva-vaginal area, whilst soothing irritated areas and improving the quality of the genital mucosal tissues.

A safe injectable hyaluronic acid filler specially formulated with the antioxidant Mannitol, Desirial® strengthens the protective function of the labia majora (the outermost lips of the vagina) and improves the aesthetic appearance of the area.

River Aesthetics are proud to be a UK Centre of Excellence for vaginal rejuvenation, where Dr Manning and Dr Woodward are national trainers for the Desirial® procedure who use their unrivalled expertise to educate other doctors in the technique. Trust the industry specialists and book your complimentary consultation today.

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    What are the medical uses of Desirial®?

    During menopause, oestrogen production decreases, and the tissues of the vulva thin and dry out. This causes loss of elasticity and lubrication of the tissues, which can be painful or sore. It is possible to use Desirial® to improve the volume, hydration and elasticity of the tissue.

    How long does it last?

    6 to 12 months dependent on the individual. Lifestyle is also a factor, so if you are a cyclist or a horse rider the cushioning effect will not last as long.

    What areas can I treat?

    Desirial® can be used either in the labia majora, the to improve volume or inside the vagina on the posterior or lateral vaginal walls.

    How does it work?

    Hyaluronic acid is like a sponge and holds many times its own weight in water, so, by injecting it directly into the intimate tissues it improves the hydration of the tissue in this area. The injection of Desirial® Plus to the labia majora brings the labia closer together, thus decreasing the amount of moisture loss.

    Does it hurt?

    This treatment is carried out using anaesthetic. Prior to Desirial® treatment, a topical anaesthetic is placed inside the vagina, to completely numbs the area. For Desirial® Plus to the labia majora, an injected local anaesthetic is used to numb the outer labia.

    Should I have Exilis Ultra Femme 360™ or Desirial®?

    The Ultra Femme is more appropriate for those with more symptoms of stress urinary incontinence, and also for those who wish to have more internal tightness. Desirial® is more appropriate for those who have lost volume in the outer labia. In the case of vaginal dryness, both options can apply.


    Dr Victoria Manning


    “Many women suffer in silence with vaginal and urinary symptoms following childbirth and the menopause. Whether it is leaking when you exercise or have discomfort during sexual intercourse, we have many non-surgical treatment options available and as female GPs we can discuss these in a safe caring environment.”

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