Vaginal Laser Comparison 

Vaginal Laser Comparison 

What is Vaginal Rejuvenation or Vaginal Resurfacing?

First of all, vaginal rejuvenation is used to describe surgical tightening of the labia and vaginal tissues. It has also been used to describe less invasive laser or radiofrequency treatment of vaginal tissues for lubrication and tightening. Surgery is invasive, requires specific skills (not all gynecologists are the same), and has more risk of complications with a longer recovery. Surgery is the treatment of choice for severe pelvic relaxation symptoms. Laser resurfacing is performed in an office, has minimal complications, no downtime – but the effects are less dramatic, so it is better suited for less severe or early vaginal symptoms.

What is the difference between all treatments for Vaginal Resurfacing?
In the past few years (2013-2015), there have been multiple devices manufactured for vaginal treatments. The energy used is either radiofrequency (ThermiVa, IncontiLase/IntimiLase), fractionated C02 laser (Femilift, MonaLisa Touch), or Hybrid treatments (DiVa). All of these office treatments create heat energy which tightens tissue, but the C02 and hybrid lasers also cause fractional ablation or destruction of tiny areas in the vagina which stimulate the surrounding tissue to produce new collagen. Loss of collagen in the vagina causes dryness, thinning, and pain. New collagen formation is the treatment goal, and C02 lasers are superior to radiofrequency because they penetrate deeper (just under 1 mm).

All of the C02 lasers create biopsy-proven healthier tissue. All use a probe that is approximately 1 inch in diameter. The difference is in how the energy is delivered to the vaginal walls. Both the DiVa and Mona Lisa lasers rotate within the device so the procedures are generally quicker (5 minutes) and require minimal skill to operate. The Femilift laser requires the operator to rotate a 1 cm treatment window within the vagina and takes approximately 10 minutes. The advantage of the smaller operating window with the Femilift laser is that it allows the operator to focus energy in the vagina and treat different areas with more or less energy depending on symptoms or presence of synthetic mesh. Since vaginal canals are not all the same diameter, a smaller treatment window also guarantees that the laser is placed up against the tissues, allowing more complete penetration.

The good news is that there are now noninvasive and nonhormonal treatments for vaginal changes with aging. Women do not have to experience pain with intercourse after hormones decline. The treatments also show promise with early bladder changes (frequency, urgency, incontinence) and vaginal laxity that is not severe enough for surgery. There has been a paucity of options for female sexual health until now. At AgeDefy, we are dedicated to offering state-of-the-art, noninvasive options for sexual health.