Why Should Someone Choose The MonaLisa Touch Over Other Vaginal Rejuvenation Methods?

Please explain what the advantages are over other treatment options.

Doctor Answers 11

The MonaLisa Touch Over Other Vaginal Rejuvenation Methods

#Non-surgical treatments with #Thermiva radiofrequency can reduce the labia for some patients. With the availability of recent technology, there are few nonsurgical vaginal rejuvenation options available for our patients. CO2 fractionated lasers include the FemiLift, MonaLisa Touch and IntimaLase. The ThermiVa is radiofrequency energy that can also treat the outer Labia to reduce and tighten this area.
It can increase blood flow, sensitivity, and orgasm. It can increase moisture and decrease urinary incontinence for many women.
PRP (Platelet Rich Plasma ) can be added to these procedures which may make a difference in the outcome. It can be injected into the vaginal mucosa to increase circulation and vaginal health, O-shot. PRP can also be used for a “G” Shot which is injected into the G-spot.
Such non-surgical laser vaginal rejuvenation require approximately 3 sessions. Once or twice yearly follow up treatments are recommended to maintain vaginal health. Also, if PRP is being added there is an additional fee per treatment session.
However, surgery is the most common treatment. It can usually corrected your concern in less than one hour with the use of a local anaesthetic. Often, many women feel more comfortable and relaxed with a quick twilight or general anaesthetic. Each procedure is customized to the physical findings as well as the desired goals of the patient. There is no one right solution for all patients, but there is a solution for every woman. The outcome of a Labiaplasty is a more youthful appearance, ability to wear all types of clothing without discomfort and/or embarrassment, and a more confident sex life.
The best procedure approach will be discussed in greater detail during your one-on-one consultation.


Orange County Plastic Surgeon
5.0 out of 5 stars 96 reviews

Mona Lisa

Mona Lisa Touch ( MLT) is a specific CO2 fractional laser developed specifically for the vagina and treatment for atrophic vaginitis. This is not for cosmetic purposes. While it does help with vaginal laxity, this should not be the primary use for the MLT. If your suffering from atrophic vaginitis ( extreme vaginal dryness) with resulting painful sex, then the MLT is very much the treatment of choice. 

Peter D. Weiss, MD
Beverly Hills OB/GYN

Laser Vaginal Tightening versus Other Vaginal Rejuvenation Methods

The advantages of laser vaginal tightening with FemiLift or MLT are the lack of downtime, the rapid return to sexual activity, and lower upfront cost. The tradeoff is a less intense effect and a temporary duration of effect versus surgery with vaginoplasty. This might be an ideal choice for women who suffer from vaginal laxity, but wish to have more children, have a busy schedule or can't afford surgery. Some effects of laser vaginal tightening such as increased lubrication can't be replicated by surgery. This opens the door for treatment strategies that combine laser vaginal tightening with surgical vaginal rejuvenation to allow motivated women to have the best of both approaches. The treatments are not mutually exclusive.

There is confusion among some clinicians as to what laser resurfacing of the vaginal skin accomplishes. This is probably due to the fact that a company who sought FDA approval for vaginal atrophy is only allowed to market their product for that indication while a company sought FDA approval for skin tightening is only allowed to advertise that indication. In essence, all nonsurgical vaginal CO2 lasers drill a matrix of holes into the vaginal epithelium. That process stimulates the production of collagen as the body seeks to repair the holes. The production of new collagen tightens the skin, corrects vaginal atrophy and enhances vaginal lubrication no matter what label the laser happens to be wearing.

You might also like...

MonaLisa Touch and Vaginal Rejuvenation

MonaLisa Touch is designed for the treatment of and alleviation of vaginal atrophy, not vaginal relaxation. While some patients are reporting that tightness is a happy side effect, it has not been FDA approved as a treatment option to address vaginal relaxation. The recommended treatment for vaginal relaxation is surgical tightening through vaginal rejuvenation surgery.

Vaginal Rejuvenation surgery is a safe, out-patient procedure that takes one to two hours under general anesthesia. Consult with a few surgeons to discuss your current medical standing and their recommendations for you. Make sure you visit with surgeon's who are highly trained and specialize in cosmetic vaginal surgeries and care. Ask to review before and after photos and read testimonials from their previous patients so you feel confident in their offerings and results. 

Why Should I Choose The MonaLisa Touch Over Other Vaginal Rejuvenation Methods?

Mona Lisa Touch and Femi Lift by Alma are both fractional CO2 laser devices. They are equally effective and produce excellent results. We have Femi Lift in our practice.ThermiVA is a radio frequency based device that works through direct bulk heating. ThermiVa has been supported by claims that it increases lubrication and improves vaginal function. In that ThermiVa is not FDA approved for intra-vaginal use, and that these claims are not supported by any valid, peer reviewed studies that I can find, it is unlikely that ThermiVa will help with any vaginal issues in a lasting way.. This technology is not able to raise tissue temperatures sufficiently to promote new collagen growth (Neocollagenesis), which is necessary for any lasting results. It has been shown that Neocollagenesis occurs ONLY when the tissues are heated to 60-70C. ThermiVa absolutely does not heat tissues to 60-70C, but only achieves perhaps 45-55 degrees Celsius. By heating the vaginal lining tissues, ThermiVa causes swelling, or edema. There is no scientific basis that supports the notion of ThermiVa producing long lasting results. Furthermore, as we all learned in 2nd year medical school pathology class, chronic inflammation and edema leads to FIBROSIS (a pathologic process). Fibrosis is a disorderly process of SCAR FORMATION, as opposed to the functionally regenerative process of Neocollagenesis. Think about nasty ugly scars on the skin that occur due to injury. That is the process of scar formation. Fractional laser devices, such as Femi Lift by Alma lasers, actually have been shown through rigorous scientific study, to promote Neocollagenesis by heating the vaginal lining tissues to 60-70 degrees Celsius. Furthermore, Femi Lift also causes fractional ablation of the vaginal lining, resulting in regrowth of a thicker and more youthful vaginal lining. In my practice we have treated dozens of patients with Femi Lift and I have nor seen a single treatment failure. Furthermore, most, if not all of my stress urinary incontinence patients (mild to moderate severity) have completely resolved their SUI.

Steven M. Gitt, MD, FACS (in memoriam)
Phoenix Plastic Surgeon
4.8 out of 5 stars 36 reviews

Vaginal Rejuvenation methids: comparing FemiLift/Mona Lisa Touch, ThermiVa and surgical vaginoplasty/perineoplasty

The term "vaginal rejuvenation" is a marketing term that means different things to different people, but unfortunately it is here to stay...

I suspect what you mean by that term is a "...vaginal tightening operation." Frequently other surgery (labiaplasty, minora or majora; clitoral hood reduction) is addad and, if the "rejuvenation" is performed surgically, a plastic/cosmetic revision of the introitus, or opening of the vagina is also performed.

Here is a brief overview of Whom should have Which technique:

1. Sensation of "wide vagina" with little friction, less "rubbing," more difficulty orgasm-ing in parous women (women who have had childbirth(s), frequently with a "gaping" ("open") vaginal aperture: BEST PROCEDURE IS PERINEOPLASTY + VAGINOPLASTY SURGICAL REPAIR with plastic repair of opening. **If there is also "ballooning" of the far upper vagina with a modest problem of urinary incontinence, either a surgical repair of the uppermost vagina can be done, or (and this is NEW)-- a FemiLift or Mona Lisa Laser procedure or ThermiVa RF procedure may be done at the same time for the UPPER vagina only to provide tissue shrinkage and collagen remodeling which frequently helps with urinary incontinence. This is especially helpful for those few physicians (Dr. Alinsod and myself among them) who perform most of our vaginal tightening surgery in the office under local anesthesia.  **Laser or RF is NOT a good technique for someone with post-childbirth laxity planning on no further childbirths who wishes lasting significant tightening and revision of the appearance of the opening

2. Women feeling "loose" after childbirth, but planning on having another child/children in the next several years:  This is a great place for a laser or possibly RF vaginal tightening procedure.  It will tigthen only modestly (not as tight as a surgical repair,) but costs < 1/2 as much, is painless, and will last ~ 3 years.  The procedure entails an ~ 15 minute painless non-surgical treatment monthly X 3, with a "touch-up" in 1 year.  (After your final child, these women may wish a full permanent surgical tightening...)

3.Women who have not had a child, but either feel "wide" inside and/or have a partner who is a bit on the small side...  Laser (FemiLift, Mona Lisa) of RF (ThermiVa) is the perfect choice here. 

Important point for women contemplating vaginal tightening:  Best to see a practitioner who performs both surgical tightening and RF or Laser- then you can be assurred that he/she will chose the right procedure for you.  If you see someone who ONLY does one or the other, they may be inclined to recommend what they do, rather than what is truly best for you, although most ethical surgeons will refer you out if someone else can do the better procedure for you.  DO NOT have your tightening procedure performed at a Med Spa run by a non-surgeon; best to go only to a Board-Certified Plastic or Gynecologic surgeon!

Click below for info on "External Procedures.  Also, following is complete info on FemiLift Laser vaginal tightening:

“FemiLift”
Laser Vaginal Tightening for improved Sexual Pleasure


What is it? A non-surgical painless 15-20 minute office procedure utilizing reliable 3rd-generation CO2 fractional Laser technology delivered into the vagina via a round vaginal-shaped probe, repeated at monthly intervals X 3, with a “touch-up” in one year, which produces noticeable tightening of the entire vaginal barrel for increased friction and pleasure during sexual intimacy.


What does it accomplish? Via pulses of Laser energy into the collagen layer of the vaginal mucosa, concentrated thermal heating leads to collagen and elastin “shrinkage” and secondary regeneration producing tightening of the vaginal tissues. The shrinkage produces improved pressure on the “G-Spot” and increases stretch of the internal bulbs and crurae of the internal portion of the clitoris. Tightening also occurs along the base of the overlying bladder, with evidence that it additionally improves the pesky problem of minor urinary incontinence.

Treatment outcome is the complete remodeling of the vaginal tissue in addition to re-establishment of a firm "young like" vaginal tissue embedded with thick and long collagen fibers.

How does it do this? A Laser generator produces safe pulses of Laser energy delivered via a tube-shaped intra-vaginal device. These pulses place Laser energy via a microscopic laser-produced opening at intervals of several millimeters into the collagen under the dermis, the layer just underneath the vaginal skin. This causes a 360 degree symmetrical micro-contracture of the entire vaginal barrel, leading to overall tightening, including tightening of the upper vagina including support for the base of the bladder.

Who are candidates? Who are not candidates? Candidates: Women with minimal to moderate vaginal looseness or laxity- not severe enough to need a complete surgical repair (“Vaginoplasty”), but bothersome enough (less “grip”) to diminish sexual pleasure. Perfect candidates are: 1) women who have not yet had a child but either feel themselves “wide” inside, or with a partner with a small-sized penis; 2) women with laxity after childbirth who plan on another child/children and need “temporary” tightening until their final childbirth, after which they may undergo a permanent surgical tightening procedure if the problem persists; 3) women who will undergo a vaginoplasty (surgical tightening procedure) of the outer (lower)half of the vagina/vaginal floor, but also have noticeable widening in the far inner (upper) vagina (where a surgical pelvic floor tightening procedure traditionally cannot reach), frequently with a coexisting problem of occasional involuntary loss of urine, and who wish to avoid an in-hospital general anesthesia sometimes risky far upper-vaginal repair. 4) Women with mild urinary incontinence. Not Candidates: 1) Women with a significant pelvic floor vaginal laxity, involving significant widening and muscular separation- these women need a surgical repair and will be disappointed with a solely Laser procedure; 2) Women with significant urinary incontinence and/or prolapse: these women need a surgical repair/ “sling” or “tape” procedure.

Who (which health care professionals) should be doing the procedure? Who should not? Laser vaginal tightening should ideally be performed only by a surgeon who also is trained and skilled in the performance of Vaginoplasty and, hopefully, savvy in pelvic floor muscle physical therapy. A Board-Certified Gynecologist who additionally is skilled and certified in cosmetic and plastic vaginal pelvic floor work, and savvy in the usage of Laser for vaginal tightening is ideal, as (s)he is uniquely able to choose the right procedure for the right patient for the right reasons and is less inclined to (mis)use the Laser in women who truly need only pelvic floor PT, or in women who truly need surgery.

What is the Science? Laser utilizes pixel CO2 fractional pulsed light wave technology as a cutting, a tightening, or a resurfacing tool. In this instance laser waves exiting the tube 360 degrees at closely spaced intervals “drill” microscopic closely spaced micro punctures into the dermis, producing a mini-defect in the collagen that both contracts, producing shrinkage, and stimulates the collagen to aggressively grow, thus bulking up this layer. The technology has been utilized in Europe and Asia for > 5 years, and a wealth of data has accumulated verifying its effects and success.

How long does it last? Present data suggest that, with a “touch-up” in a month’s time, the effects are appreciated for ~2-3 years or more

Best Wishes,

Michael P Goodman MD

Avoiding messy creams and Surgery

 As a urologist that has subspecialty certification in female pelvic medicine and reconstructive surgery  I have looked for therapies for postmenopausal women suffering from vaginal dryness and atrophy.  Multiple articles have demonstrated the benefits of the Mona Lisa Touch. I have seen excellent results with this revolunatoinary laser therapy to restore the vaginal lining and lubrication. It avoids the lifelong need for estrogen creams which can be messy and costly. It also avoids any surgery which come with their own complications and recovery. It has been very gratifying when patients return claiming they have found intimacy again with their partners.

MonaLisa Touch for vaginal atrophy

The MonaLisa Touch (MLT) is a very effective treatment for vaginal atrophy resulting from estrogen deficiency. Menopausal women suffer from this problem if they do not use estrogen replacement. In addition, many women can not use estrogens for other health related issues such as breast cancer. MLT is not a cosmetic technique for vaginal rejuvenation although there may be some slight tightening of the vagina. It does restore normal moisture and lubrication of the vaginal tissues.
If you are suffering from atrophic vaginitis and are unable or unwilling to use estrogens, MLT is the treatment of choice.

Choose MonaLisa for vaginal atrophy symptoms

 The MonaLisa Touch vaginal laser is FDA approved for the symptoms of vulvar vaginal atrophy.  This is often associated with lack of estrogen either post menopause or after treatment for breast cancer.  It resurfaces the vagina and up regulates collagen production and results in more mucous and moisture.  We have not long term data regarding the treatment of prolapse or incontinence.

Non-Surgical Vaginal Tightening

First you should consider your goals.  If you are looking to use lasers (MonaLisa Touch, FemiLift, IntimaLase) it is probably because you are not wanting more invasive surgery.  These lasers are for you to avoid surgery.  Although the laser companies cannot now say that their lasers are for vaginal tightening (they can only generally imply and tiptoe around the topic because of FDA issues) their real goal is for you to consider their lasers to tighten the vagina.  Now they can only say it is to improve the tissues of the vagina, or to improve tissue moisture, maybe reduce incontinence but not more.  If you look at the European and South American  marketing brochures and websites the companies have it is certain that their ultimate goal is to capture the large market for non-surgical vaginal tightening.  If you do not want surgery and are okay with the temporary results of lasers then you should seriously consider treatments with one of these devices.  

The second and better option is to consider the upcoming radio frequency device that will enter the US market in May, 2015.  ThermiVa uses radio frequency to improve tissue tone and tightness both outside the vagina in the labia majora tissues and inside the vagina itself all the way up to the top of the vagina.  The same restrictions on FDA language is considered by the company, Thermi Health, so they cannot claim they are for for vaginal tightening per se.  However, all their studies an research are involved in the claims for vaginal tightening.  For full disclosure, I have helped develop ThermiVa and I have my biases.  After almost a decade of using radio frequency energy in aesthetic gynecology I can say with certainty that it is a superior technology for skin and tissue tightening, improved tissue tone and softness and moistness, and a real aid in helping alleviate orgasmic dysfunction.  I can personally say that because I  have seen it and have treated patients for these problems.   My personal belief is that the days for use of lasers inside the vagina is limited.  Better and safer technologies have arrived.  Huge dramatic changes in aesthetic and functional gynecology are just around the corner and exiting times are ahead for the care and well being for women.

Hope this helps,

Red Alinsod, MD

Red Alinsod, MD
Laguna Beach OB/GYN
5.0 out of 5 stars 20 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.