FemiLift (fractional CO2 laser) is virtually the same as MonaLisa Touch. It resurfaces skin only, increasing elastin 7 collagen fibers. As such, it provides modest "spring-back" of the inner vaginal skin but sinse it treats the skin layer only and not the underlying fascial and muscular supports, it is a poor vaginal tightening modality for improving friction after childbirth(s). Surgery (Vaginal reconstruction; vaginoplasty) best for this. It is in my opinion a good "add-on" to vaginoplasty to help with modest urinary incontinence. While it can be used to "re-surface" the vulva, especially the labia majora, the results are uneven. Best for majora would be a labia majoraplasty (surgical) of the new "labia majora lift," (minimally invasive surgical procedure), developed by Michael Goodman MD and designed specifically to "lift up" sagging majora. RF (e.g. ThermiVa) is better than laser for correcting excess majora skin, but this requires 3 separate visits a month apart, costs ~ $3000, and lasts only 8-10 months. You have to do it "...forever..." and it ends up way pricy. In my opinion, better to find a skilled labia majora surgeon, pay ~ $5000-6000 out the door, and be done with it forever... Best, Michael P Goodman, MD, FACOG, IF, AAACS. Sacramento, CA, USA