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Vagina Facial: What Is the “Vajacial” And Is It Safe?
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The “vagina facial” is pop culture's favorite unnecessary vulva treatment.
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When you think of getting a facial at a spa, you probably imagine lying back while an esthetician applies creams, toners, and scrubs to your skin — maybe a pair of cooling cucumber slices over your eyes for added dramatic effect. What you’re probably not picturing is exfoliation in your bikini area or an LED light between your legs. But if you’re getting a vagina facial — AKA a “vajacial” — that’s likely what’s going down.
The vagina facial (which is really a treatment on one’s vulva, not the vagina) has been around for several years now, though it seems to resurge in pop culture every so often. Case in point: the season 4 episode of The Bold Type that focused on Jane’s vajacial experience...aaaand subsequent yeast infection, which was exacerbated after using an “intimate perfume” to combat a vaginal odor that made her self-conscious. (Big yikes.) The HBO series Insecure also brought up the treatment, with Molly undergoing a vajacial in the first season. And there are plenty of firsthand accounts of the procedure from folks who have tried a vajacial IRL.
But given how sensitive the vulvar area is, it begs the question: are vagina facials safe? What are the risks? And if you try one, how likely are you to end up with painful, itchy irritation like The Bold Type’s Jane? For those answers, we turned to two experts in the field: Dr. Mary Jane Minkin, a clinical professor of Obstetrics and Gynecology at Yale University and practicing gynecologist, and Dr. Sherry A. Ross, Women’s Health Expert and Author of She-ology and She-ology, the She-quel: Let’s Continue the Conversation.
The truth is: it depends. Some salons offer cleansing, exfoliation, ingrown hair treatment and/or removal, while others include abdominal massages, vaginal steaming, and the use of LED lights for antibacterial purposes. A vajacial might also include a “v-mask” (like a mud mask for one’s vulva) or a “high frequency wand” to enhance blood circulation. The procedure, while spa-like in nature, may also be used to treat vulvar acne, and to help add moisture and hydration to the vulva.
Dr. Sherry tells Teen Vogue that, like anything else, if you do decide to have a vajacial, you should make sure you’re in experienced hands. “Vajacials are safe in the hands of a trained esthetician who is comfortable and experienced in working in this sensitive area,” she says. “Vajacials being performed by inexperienced or poorly trained estheticians could result in infection, disfigurement, and pain — among other unnecessary side effects.”
In Dr. Minkin’s opinion, the less “mucking around” vagina owners do in that area, the better. “When you're dealing with the most sensitive tissue in the body, and you start putting foreign chemicals and substances on there, you never know what you're going to end up with,” she says.
Both Dr. Minkin and Dr. Sherry advise that skin irritation and infection are possible after undergoing a vajacial. “The major things that people might experience are itching or pain,” Dr. Minkin says, explaining that certain topical products used in a vajacial might upset the natural pH balance of one’s vagina. “The key thing that people don't understand is that the vagina is an acidic organ and we want it to be acidic. Acid is good in the vagina. When people start using all of these soaps with deodorants and things like that, it causes irritation.”
Dr. Sherry notes that skin irritation can also occur due to dirty instruments or unclean razor blades during a vajacial. “An old or dirty razor blade carries unwanted bacteria that can cause razor burns, bumps, acne and other irritations to the skin,” she explains, adding that skin in the pubic area is especially sensitive and vulnerable. “Harmful bacteria can get into a hair follicle, which can cause acne or folliculitis.”
“Since the vagina is very sensitive to changes in your daily environment, anything that affects its pH balance will also affect the smell and consistency of discharge and odor,” Dr. Sherry explains. If you notice a “strong, foul, fishy vaginal odor with a thin, grayish-white discharge,” Dr. Sherry advises that you should go see your doctor. She says that many vagina owners might be inclined to self-diagnose discharge, itching, and odors as a yeast infection and opt for over-the-counter medicine, but this could delay proper diagnosis and treatment if a patient has another type of infection or condition.
Oh, and PSA: there's no need to spray any “intimate perfumes.” It’s totally normal to have some kind of smell down there at any time. As Jane on The Bold Type ultimately concluded: “Your vagina is supposed to smell like a vagina; not freshly baked cookies.” Dr. Sherry notes that it’s always a good idea to know what your vagina naturally smells like, so that you can properly identify new or concerning odors.
Dr. Minkin says the number one way to keep your vagina healthy is to keep the tissue “as clean as possible.” She explains that there’s a number of over-the-counter products on the market that are pH-balanced and safe to use on one’s vaginal area, such as moisturizing washes. Dr. Minkin also says probiotics can help boost the “good bacteria” in the vagina, but stresses that such OTC options should never be a replacement for seeing a doctor. “Again, if you think you have a significant odor, then talk to your gynecologist, nurse practitioner, or health care provider to see if there is a bacterial infection,” she says.
According to Dr. Sherry, a vagina needs the same kind of TLC that you’d give to any other part of your body. “Between urine, sweat, and its location so close to the anus, cleaning the outside of the vagina...is critical to prevent dirty bacterial buildup that leads to acne and to avoid odors that develop throughout the day,” she says, emphasizing that cleaning should be done externally. “Using a gentle, unfragranced intimate wash is ideal, especially one that is made specifically for the vagina. The vagina is not ‘dirty,’ but it does need to be cleaned daily like any other part of your body where heat, sweat, and bacterial build-up can occur.”
Many of Dr. Minkin’s patients ask her the same question: “Am I normal down there?” It’s a common concern, especially in a time where porn is easily accessible, creating “idealized” versions in our heads of what vulvas are “supposed” to look like. Such a worry, Dr. Minkin says, might lead a person to seek cosmetic treatment on their vaginal area — like hair removal, brightening, and other procedures, some of which occur during a vajacial.
But it’s important to keep in mind that there’s not one “right” way for a vagina or vulva to look. As Dr. Minkin puts it: “The key thing is that there is not one perfect, ‘normal’ looking vulva; they have many, many, many shapes.” And, it would seem, they don’t really “need” mud masks at all.
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How A 14-Year-Old Sex Worker Became One Of Photography's Greatest Muses
The love story of photographer Mary Ellen Mark and her muse, Tiny.
“I remember the first time I met Tiny,” late photographer Mary Ellen Mark explained in an interview with Leica News. She was visiting Seattle in 1983, on assignment for Life magazine, documenting Seattle’s homeless and runaway youth. Mark waited outside a club called the Monastery, where street kids were known to frequent.
“A taxicab pulled up and these two little girls got out,” she recalled. “They were very young teenagers. They were made up like they were playing dress-up with makeup and short skirts. They were dressed like seductive prostitutes. And one of these young girls was Tiny.”
Tiny, born Erin Blackwell, was 14 years old when she met Mark and working as a sex worker to support a fledgling drug addiction. In the circle of street kids she ran with, everyone had a nickname. There were Rat, Lulu, Smurf, Munchkin, and there was Tiny, blessed with her nickname because, in her words, “I was exceptionally small.”
Mark directly approached Tiny, hoping to photograph her. Tiny, afraid Mark was the police, screamed and ran away. But eventually Mark tracked Tiny down, visiting her at her mother’s house. Thus began a relationship that would extend until Mark’s death in 2015. An ongoing exhibition titled “Tiny: Streetwise Revisited“ spans the course of Tiny’s life, from her time taking dates on the Seattle streets to her life as a middle-age mother of 10. 
In her photographs, Mark captures Tiny with unflinching honesty and compassion. Tiny, as a subject, held nothing back. “I’m just drawn to her openness and her ability to tell her story in the most honest way,” Mark said. The black-and-white images capture a young woman at once tough and vulnerable, jaded and naive, distressed and optimistic.
Mark’s photo essay became the foundation for a documentary, also called “Streetwise,” expanding on the lives of these magnetic, down-and-out youths. Her husband, Martin Bell, was the director and Tom Waits scored the Academy Award-nominated film. “When you’re making a documentary, what you’re looking for are people who, in some way, are stars — like movie stars,” director Bell explained in an ABC News special. “And Tiny was exactly that, she was like a movie star.”
“I want to be really rich and live on a farm with a bunch of horses which is my main, best animal and have three yachts or more,” Tiny says in the documentary. “And diamonds and jewels and all of that stuff.” The looming comfort of fantasy is evident in Mark’s photo “Halloween,” pictured above, in which Mark dons a dark veil and stylish black gloves. Suddenly, she seems ripped from a high fashion editorial. Mark explained Tiny was dressed as a “Parisian prostitute.” 
Mark was born March 20, 1940, in Philadelphia. She graduated from the University of Pennsylvania in 1962, with a degree in painting and fine art, and two years later received her master’s degree in photojournalism. After graduation, Mark traveled to Turkey on a Fulbright scholarship, capturing the images that would later constitute her first book, Passport. This is when Mark took the photograph that, in her eyes, solidified her fate as a photographer. 
The photo was of a young girl named Emine, posing on the streets of Trabzon in a babydoll dress and white hair bow. There is something disarming about the way she comports herself, a sensual adult in a kid’s body, daring the viewer to keep looking. “I don’t like to photograph children as children,” Mark said of the image. “I like to see them as adults, as who they really are. I’m always looking for the side of who they might become.”
Inspired by photographer Diane Arbus, Mark was drawn to those living on the margins, exploring representations of beauty entirely different from those on magazine covers or most museum walls. “I’m interested in people who haven’t had all the lucky breaks in life,” she told American Suburb. “People who are handicapped emotionally, physically or financially. Much of life is luck. No one can choose whether he’s born into a wealthy, privileged home or born into extreme poverty.”
Even when “Streetwise” came to an end, Mark and Tiny never lost touch. For 32 years, Mark continued to photograph Tiny as she had children, fell in love, got clean. At one point, Mark and her husband Bell offered to take Tiny to New York with them under the condition that she attend school, and she turned it down, saying school wasn’t for her. “You can try to help, but there’s a line you have to draw about how much you can interfere,” Mark explained to Peta Pixel. “It’s how far you can go. Sometimes you think you’re helping and you’re not, but you know you’re there to observe. You’re there to tell a story.”
The life Tiny lives now doesn’t involve diamonds and yachts. But Tiny does have her life, comfort and safety, something she never takes for granted. When Mark interviewed Tiny in 2005, she explained: “I’d be proud to have my friends see that I made it. That I didn’t end up dead, or junkied‑out. I am surprised.” 
Mark died in 2015, leaving behind a vivid portrait of a human life, brimming with pain and struggle and freedom and survival. Through Mark’s lens, viewers are put face to face with the brutal reality of poverty, which plagues Tiny’s children’s lives just as it shaped hers. We see the effects of destitution, drugs, and hustling, the marks they leave on her flesh and in her eyes. And we see the vitality of spirit that enables one to carry on, to dream of horses and fight to be seen. 
On Saturday, June 25, the films “Tiny: The Life of Erin Blackwell“ and “Streetwise” will play at BAM Rose Cinemas as part of BAMcinemaFest 2016, with a Q&A by Martin Bell. The exhibition “Attitude: Portraits by Mary Ellen Mark, 1964–2015“ is also on view at Howard Greenberg Gallery through June 18.
Tiny with Mikka smoking in bed, 1999
Pat, Julian, and Tiny in Pat’s trailer, 2003
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Brassai, La fille de Joie au Billard Russe [Prostitute Playing Russian Billiards, Boulevard Rochechouart], 1933, Courtesy Daniel Cooney Fine Art
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