Jennifer R. Berman, MS, MD

Yes, typically, I recommend an annual touch-up treatment of MonaLisa Touch to maintain the benefits. The initial series of three treatments spaced six weeks apart helps to rejuvenate the vaginal tissue, improving issues like vaginal dryness, discomfort, and mild urinary incontinence. However, because the natural aging process continues, an annual maintenance session helps sustain the results over time. Each patient's needs may vary, so I always suggest discussing your specific situation during a consultation to create a personalized treatment plan. — Dr. Jennifer Berman Yes, typically, I recommend an annual touch-up treatment of MonaLisa Touch, but not the actual Mona Lisa, I use Morpheus8 to maintain the benefits. The initial series of three treatments spaced six weeks apart helps to rejuvenate the vaginal tissue, improving issues like vaginal dryness, discomfort, and mild urinary incontinence. However, because the natural aging process continues, an annual maintenance session helps sustain the results over time. Each patient's needs may vary, so I always suggest discussing your specific situation during a consultation to create a personalized treatment plan. — Dr. Jennifer Berman Yes, typically, I recommend an annual touch-up treatment of MonaLisa Touch to maintain the benefits. The initial series of three treatments spaced six weeks apart helps to rejuvenate the vaginal tissue, improving issues like vaginal dryness, discomfort, and mild urinary incontinence. However, because the natural aging process continues, an annual maintenance session helps sustain the results over time. Each patient's needs may vary, so I always suggest discussing your specific situation during a consultation to create a personalized treatment plan. — Dr. Jennifer Berman

Morpheus8 can effectively treat inner thigh fat by tightening the skin and stimulating collagen production, but it's more effective for skin tightening and improving skin texture rather than significant fat reduction. If your primary goal is fat reduction, treatments like CoolSculpting or liposuction might be more suitable. Standing vs. Laying Down: Standing: This position can help the practitioner see and target the bulge more accurately since gravity will show the natural distribution of the fat. Laying Down: This is typically more comfortable for the patient and is still effective, especially if the practitioner is experienced in assessing and treating the area. Ultimately, your provider will assess the best approach based on your anatomy and goals. Number of Sessions Needed: Most people need 3–4 sessions spaced about 4–6 weeks apart to see optimal results. However, this can vary based on the amount of fat and the degree of skin laxity.

EMTONE is a revolutionary treatment designed to address cellulite and improve skin elasticity by combining radiofrequency and targeted pressure energy. It’s a non-invasive procedure that many patients find appealing due to its effectiveness and convenience. When Can You Expect Results? Most patients start noticing visible improvements in their skin texture and tone after just one or two sessions. However, optimal results typically become apparent around 12 weeks after completing the recommended treatment plan, which usually consists of 4–6 sessions spaced about a week apart. The gradual nature of these improvements is due to the time required for your body to produce new collagen and elastin. Is There Any Downtime? One of the key benefits of EMTONE is that it requires no downtime. You can resume your normal activities immediately after each session. The treatment is quick, typically lasting 20–30 minutes per area, making it an ideal option for those with busy schedules. Some patients may experience mild redness or warmth in the treated area, but these side effects are temporary and typically resolve within a few hours. EMTONE is an excellent choice if you're looking for a non-invasive solution to cellulite and loose skin. For best results, consult with a qualified provider to customize your treatment plan based on your specific goals and needs.

The O-Shot involves injecting platelet-rich plasma (PRP) into the clitoral and vaginal areas to improve sensation, increase lubrication, and address sexual dysfunction. It promotes tissue rejuvenation and healing through growth factors in your own blood. Votiva, on the other hand, uses radiofrequency energy to tighten vaginal and external tissues. This treatment stimulates collagen production and improves elasticity, benefiting internal tightening and external cosmetic concerns like the clitoral hood. Can You Combine the O-Shot and Votiva? The O-Shot and Votiva can complement each other, but it’s crucial to space them appropriately to ensure both treatments work optimally. While Votiva’s radiofrequency and microneedling stimulate tissue, the O-Shot relies on PRP’s natural healing properties. Combining them too closely could interfere with the healing and regenerative processes triggered by the O-Shot. Recommended Timeline Before the O-Shot: It is generally safe to have one Votiva treatment before your scheduled O-Shot. This allows your tissues to begin the tightening process without interfering with the PRP’s regenerative effects. After the O-Shot: Allow at least 2-4 weeks after the O-Shot before resuming Votiva treatments. This gives the PRP time to integrate into the tissues and begin its rejuvenation process without potential disruption from Votiva’s radiofrequency energy. Why Wait Between Treatments? The O-Shot’s PRP requires time to initiate collagen production and tissue healing. Votiva’s heat and microneedling could temporarily inflame or disrupt the treated area if performed too soon, potentially diminishing the O-Shot’s benefits. By spacing treatments, you optimize both procedures’ results. Creating Your Treatment Plan If you’re looking to combine these treatments, here’s a suggested approach: Week 1: First Votiva session. Week 3-4: O-Shot treatment. Week 6-8: Second Votiva session. Week 10-12: Final Votiva session. This schedule allows your body to respond fully to each treatment without overlapping healing or regenerative processes. Addressing Concerns About Pain and Heat It’s natural to feel nervous about combining these procedures, but rest assured, they are both safe when performed by an experienced provider. Your practitioner can adjust Votiva’s settings to ensure comfort and safety, especially around sensitive areas treated with the O-Shot. Final Thoughts Always communicate openly with your provider about your treatment goals and concerns. A personalized approach ensures your comfort and maximizes the benefits of both the O-Shot and Votiva. With proper planning, these treatments can work synergistically to improve your sexual health and confidence.

Experiencing a halo mark after a laser treatment can be frustrating, especially after trying multiple treatments. 1. Why Did the Halo Mark Occur? A halo mark can happen due to pigmentation changes or subtle scarring after intense laser treatments, especially if a specific area received focused energy. Factors like skin type, healing response, or over-treatment can contribute to these outcomes. 2. Is the Mark Permanent? Six months after the procedure, your skin is still healing, but a plateau in improvement may suggest lingering changes. Pigmentary changes or vascular abnormalities could make the halo mark more noticeable. Permanent scarring is possible, but most cases can see improvement with the right approach. 3. Will Vbeam or Excel V Help? Yes, vascular lasers like Vbeam or Excel V can target redness caused by dilated blood vessels, reducing the appearance of the mark. These lasers are effective at calming redness and promoting even skin tone. Depending on the underlying cause of the halo (vascular or pigment-related), this could be a good next step. 4. Are There Other Options? If redness lasers do not yield satisfactory results, here are alternative treatments: Fractional Laser Resurfacing (e.g., Fraxel): Can refine skin texture and tone, especially for superficial scars. Chemical Peels: Mild to moderate peels can even out pigmentation and improve skin texture. Punch Excision: This surgical option removes the dilated pore and scar tissue entirely, followed by fine suturing for a clean outcome. It’s ideal if the dilated pore is the main concern. Microneedling with RF (Radiofrequency): Adds deeper collagen remodeling to improve texture and color. 5. What Can I Expect Next? Consult a board-certified dermatologist or plastic surgeon who specializes in laser and scar treatments. They can assess whether vascular lasers like Vbeam are suitable or if excision is better for you. Often, a combination of therapies tailored to your skin’s needs provides the best outcome. 6. Preventative Tips: Continue using gentle, hydrating products to support healing. Avoid sun exposure and use a high-SPF sunscreen daily to prevent pigmentation from worsening. Conclusion You’re not alone, and there are effective ways to address persistent marks from laser treatments. A combination approach targeting both vascular and structural changes can help restore your skin’s appearance. Speak to a specialist for a personalized plan. Let us know how your journey progresses—we’re here to support you!