Does FemiLift Work for Vaginal Tightening?

This is a great question because many new procedures are being marketed as nonsurgical alternatives. Here's the lowdown:Femilift, the Mona Lisa Touch, and the IntimaLaser procedures are nonsurgical laser procedures that treat the skin of the vaginal canal. They use the same technology of fractional laser skin peeling used for the face. These procedures are examples of laser vaginal tightening (LVT) - actually laser vaginal skin tightening.When the vagina loosens after childbirth, it's the muscles that have loosened. The skin stretches too, but the distances between the levator muscles (Kegel muscles) and the muscles of perineum is commonly permanently widened. In addition, the attachments of pelvic floor muscles, the bladder, and the rectum can become damaged. Procedures generally known as vaginoplasty and pelvic floor reconstruction are designed to fix the damage, tighten the muscles, and tighten the skin to create a long lasting and effect solution. LVT, cures none of these things. It's designed to provide a mild superficial and temporary shrink to the vaginal skin only, not the muscles and not to damage to the pelvic floor. It's a trade-off. If you want something that works well and lasts a long time, consider vaginoplasty. If you want something nonsurgical with no downtime that's less expensive, that yields milder, temporary results, then LVT might be your thing. For my patients, the decision process is similar to choosing between Botox and a facelift. They both improve wrinkles, but one requires a much larger commitment of time, courage and dollars. I offer both options in my center and my patients appreciate the opportunity to explore all of their alternatives.

Patients typically note improvements after their first treatment.  Once they complete their series of 3 treatments, patient are amazed at the changes.  Including improvement in laxity, dryness, sexual response, and stress incontinence.

The important thing to realize is that industry is aware of the growing attention to vaginal condition and it's connection to women's confidence and sexual pleasure in modern times.  There are many companies that are trying to capitalize on these concerns.  These "new technologies" exist not because they are efficacious or offer something beneficial but rather because there is an extremely profitable market.  These lasers claim to promote "vaginal health" without even qualifying what that statement means.  The most common draw is the concept of "vaginal tightening."  The thought is that coagulative contraction would cause shrinkage of the vaginal walls making a tighter vagina.  This simply doesn't work and if it did would cause big problems.  The important thing to understand is that the vagina does not naturally get tightness from its lining.  During climax the vagina can open up significantly and there is enough surface area of lining in a young and tight vagina to allow a baby through.  Vaginal tightness comes from muscular sling and soft tissue.  Laxity can be attributed to both less tone and less soft tissue from atrophy.  Attempts to directly tighten the vagina like excisional vaginoplasty almost invariably lead the to pain with intercourse.  If we were able to tighten the vagina with a laser the result would be similar.  Many techniques toughted to tighten the vagina are simply caustic agents that irritate and inflame the vagina which leads to dryness that can feel like tightening but a dry vagina is not a good thing.  I recommend staying away from these technologies.  I perform vaginoplasty in my practice by directly addressing the problem-soft tissue atrophy.  I use a special technique of fat grafting to pad, soften and tighten the vaginal walls.  I also use this technique to lower the g-spot so it is more engaged in penetrative intercourse dramatically increasing pleasure and orgasmic potential.  Patients report much more pleasurable sex for both partners, increased intensity and frequency of orgasms and improved lubrication.  The procedure is commonly combined with a MACIE-labiaplasty.  Stay away from lasers and incisions in your vagina!  I hope this helps!
All the best,
Rian A. Maercks M.D.