What is the difference between a Femilift, Vaginoplastic and vaginal rejuvenation?

Doctor Answers 7

Good question

Vaginal Rejuvenation is a general term for a wide variety of procedures to restore lost function to the vagina, either surgically or non surgically.

Vaginoplasty is a surgical procedure to narrow the opening and diameter of the vagina, to restore function lost over time and with childbirth.  Some women choose this procedure because they feel there is too much laxity in the vagina and they want a tighter feeling with intercourse.  

Femilift is a  Co2 laser device that treats the inside of the vagina.  It leads to moderate tightening of the vagina, as well as improvement in vaginal skin quality and lubrication.  Many women feel that it improves the sensitivity of the vagina with intercourse.  It also tightens the tissue under the urethra, helping reduce or eliminate urinary incontinence in women who are experiencing that.


Our office in Portland, OR offers all of these services under the expert care of myself and Dr Richard Rosenfield.


Portland OB/GYN
5.0 out of 5 stars 2 reviews

Difference between Vaginoplaty, Vaginal Rejuvenation and FemiLift

Thanks for asking Linda – this is a great question as it can be very confusing. Vaginoplastic and vaginal rejuvenation are used interchangeably. Both terms generally refer to a surgical vaginal tightening procedure. FemiLift is non-invasive procedure treatment which involves a thermal laser that is sent into your vaginal tissues without any incisions, needles, or surgery. The thermal heating created by this FDA-approved laser encourages your tissues to naturally tighten, but also causes them to generate collagen and elastin. During the procedure, our Nurse Practitioner will place a probe into your vaginal cavity which then sends laser energy into all 360 degrees of your vaginal tissues and helps tighten your internal and external tissues. Typically patients do a series of 3 treatments for maximum results. However, I recommend getting a in person consultation with a board-certified dermatologist.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

What is the difference between a Femilift, Vaginoplastic and vaginal rejuvenation

Great question as these can be confusing.A vaginoplasty and vaginal rejuvenation is usually referred in the same context.  Both are usually understood to be a surgical vaginal tightening procedure and are used interchangeably.A femilift is a non surgical Fractional CO2 laser by Alma used to tighten the vaigna, help with urinary incontinence as well as vaginal atrophy and improving lubrication.The main difference is one is a surgical procedure used to tighten the vaigna only.  the surgical approach will get better lighting results then the laser however it does carry some post op pain and downtime.The other is a non surgical device used to moderately tighten the vagina and help with urinary incontience as well as improving vaginal atrophy. This procedure carries no down time and is painless.

David Ghozland, MD
Santa Monica OB/GYN
5.0 out of 5 stars 27 reviews

Differences in Vaginoplaty and FemiLift

Certainly can be a confusing issue.  Basically a Vaginoplasty involves a surgical procedure either in the office or in the hospital. It may be considered for more severe stretching of the vagina as tissue can be removed and muscle tightening done.  FemiLift is a great alternative if you have vaginal laxity without marked droppage of your bladder or cervix.  I have seen patients report a marked tightening of the vagina with better sexual satisfaction.  In addition it can also correct vaginal dryness and improve on mild urinary leakage with activity or coughing/sneezing.  My suggestion is to get an evaluation by a GYN who is knowledgable in both areas.

B. Edward O`Dell, MD
Florence Physician
5.0 out of 5 stars 4 reviews

What is the difference between FemiLift/MonaLisa/ThermiVa, Surgical Vaginoplasty, and Vaginal Rejuvenation?

Thanks for asking, Linda-- great question actually, and it deserves a thorough answer.
FemiLift is a fractional CO2 intra-vaginal laser device which produces a re-surfacing of the vaginal lining and a VERY slight amount of tightening, in addition to helping quite a bit with mild urinary stress incontinence if applied correctly to the upper vagina. FemiLift alone is worthless as a good pelvic floor strengthening agent, but may be added on to a surgical pelvic floor reconstruction/tightening procedure to improve urinary continence. (*See FemiLift page on my website.)
Vaginoplasty is the term given to a pelvic floor surgical procedure, performed either in-hospital under a general anesthetic or, by 2-3 highly skilled docs in the U.S. in their office under "local" anesthesia, whereby the lower 2/3's of the vaginal canal is tightened, the "levator" muscles of the pelvis are brought together to re-build and strengthen the pelvic floor, the muscles at the vaginal outlet are brought together and strengthened/elevated to "rebuild" the perineal body, and the vaginal opening/vulvar vestibule and perineum are aesthetically reconstructed for a more pleasing appearance. (More correctly termed "vaginoplasty + perineoplasty")
"Vaginal Rejuvenation" ("VRJ") is a strange bird. The term was coined ~ 10 years ago by one of the scions of genital plastics, Dr. David Matlock of Los Angeles as a marketing term, and the unfortunate name has stuck. The problem with this term is: what the heck does it mean, it is so vague. As usually roughly translated, VRJ means the same as perineoplasty + vaginoplasty, but can mean different things to different surgeons. Most legitimate pelvic reconstructive surgeons prefer the more specific term "vaginoplasty," but I know some superb surgeons who also use VRJ. If your surgeon uses the term, pin him or her down re: exactly which procedures they consider part of a VRJ...
The weblink below will get you started; enjoy navigating this educational site.

Difference between FemiLift and Vaginal Rejuvenation

Femilift is a CO2 laser which resurfaces the vaginal walls to stimulate collagen regeneration resulting in improved vaginal lubrication and support. This results in improved vaginal sensation/tightness for both you and your partner, reduced stress urinary incontinence, and less vaginal dryness due to atrophy. It is an excellent non-surgical option for women with vaginal relaxation symptoms such as looseness and incontinence. However, not everyone is a candidate since the damage from vaginal deliveries may be so great that surgery is the better option. These women would need surgical vaginal tightening, known as Laser Vaginal Rejuvenation or Vaginoplasty.  You should consult with a urogynecologist, experienced in both reconstructive and cosmetic vaginal surgery, to determine if FemiLift, non-surgical Laser Vaginal Tightening, is an option for you. It's a great treatment for women who want additional children or want to avoid surgery. See link below for additional information regarding vaginal rejuvenation. 

Oscar A. Aguirre, MD
Denver Urogynecologist
5.0 out of 5 stars 34 reviews

The differences between FemiLift, vaginoplasty, and vaginal rejuvenation are

FemiLift is a nonsurgical treatment targeted at tightening a loose vaginal canal, improving vaginal atrophy of the menopause, and improving mild urinary incontinence. It's effects are temporary and the procedure is done in a series of sessions, then repeated annually if desired. Vaginoplasty and vaginal rejuvenation are two common and synonymous terms for surgical tightening of the vaginal canal, but they were created before nonsurgical vaginal treatments like FemiLift existed. So now there are two types of vaginal rejuvenation in the world - nonsurgical (FemiLift), and surgical (vaginoplasty). Surgical vaginal tightening is tighter, stronger and longer lasting (usually permanent) than nonsurgical and only needs to be done once. It has no effect on vaginal atrophy and sometimes an indirect effect on urinary incontinence which is hard to predict.

Marco A. Pelosi III, MD
Jersey City OB/GYN
4.6 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.