RF or CO2 - which procedure would deliver results and target vaginal laxity, decreased sensation and early posterior prolapse?

You will find many different types of laser and radiofrequency devices that claim the same thing. They all provide some tightening, increase lubrication, and help with mild urinary incontinence. Most doctors purchase one device for vaginal rejuvenation and will promote what they have. I have both Monalisa Touch Laser, and ThermiVa at my office. So, her is the bottom line based on patient's experience:1. If your main goal is vaginal tightness, go with ThermiVa radiofrequency.2. If your main goal is vaginal dryness and lubrication, go with fractional CO2 laser like Monalisa Touch, Diva laser, or Femilift.
In summary, all these devices will cause improvement for mild vaginal laxity without any downtime. If significant prolapse or laxity is present, vaginoplasty surgery is the gold standard.

There are wonderful non surgical tools available to assist with vaginal rejuvenation. They address dryness, sensation, and tightening the tissue. They are very tolerable for patients and have no down time. It will not address vaginal prolapse. I've included a video that I hope you find helpful.

In answer to your question, both are very helpful. If you have a grade two posterior prolapse, you may require surgery as opposed to either noninvasive treatments. We do both CO2 laser vaginal rejuvenation, and Morpheus8V vaginal rejuvenation in clinic. We also do vaginoplastys, which is the same as a posterior repair, which is covered by insurance. You should seek advice from a pelvic prolapse specialist or urogynecologist who can help you determine if this is an insurance case that can be fixed and covered. We have a cosmetic gynecology practice in Louisville Kentucky and we take care of patients like you all the time. It sounds like since you have some degree of pelvic prolapse, you may require surgery. However, the Morpheus8V could offer you the most Rejuvenation of the two modalities you mentioned if you seek a non surgical approach. Though it is impossible to know without seeing you for a pelvic assessment. Of the two modalities you mentioned the Morpheus8V would probably get you the most tightening because of the depth of the microneedling and radio frequency as opposed to the CO2 laser, which is more surface. I hope this helps.