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

Please explain what the advantages are over other treatment options.

Doctor Answers 16

Laser Vaginal Tightening versus Other Vaginal Rejuvenation Methods

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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.

The MonaLisa Touch Over Other Vaginal Rejuvenation Methods

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#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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

MonaLisa Touch and Vaginal Rejuvenation

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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?

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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.

Mona Lisa

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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

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

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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:

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

Why choose MonaLisa Touch over other lasers for vaginal Rejuvenation?

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Various modalities of vaginal rejuvenation include Hormone Therapy, Lasers, Radiofrequency devices, Platelet Rich Plasma, and injectables such as Hyaluronic acid, fat and topical therapy.

Choice of treatment is highly dependent on number of vaginal births, pre or post menopausal symptoms, and other desired cosmetic goals. In certain conditions more than one treatment modality is indicated. 

Early and close attention to vaginal health can help with lubrication, painful intercourse, SUI, tone, laxity and sensation. 

FDA approval and study proven effects.

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MonaLisa Touch is unlike any of the "vaginal rejuvenation" devices out there, as it is designed and approved specifically for atrophy, intercourse pain, urinary incontinence and other conditions seen in menopause.  The company took the time to fund the studies that prove that it has benefit and that it is safe to use.  It is the only device that is FDA approved to do this.  The other devices do not have approval for vaginal treatments, and their probes are not even FDA approved.  Because of this the device itself costs more for doctors to purchase and maintain, and we charge a treatment fee that helps us to cover the cost of the device. 

It is good to keep in mind, as well, that the MonaLisa Touch is the only device with published studies showing benefit and durability of that benefit (out to 1-2 years), so if you are going to spend money getting this done, it is best to spend it where there is proven benefit.

Mona Lisa Rejuvination

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Mona Lisa treatments are indicated for hormone deficient vulvo-vaginal atrophy, after menopause or hormonal depletion.  If this is what you mean by rejuvenation, then it is an excellent choice. It is not designed for vulvo-vaginal reconstruction. Best Wishes, Maurice Vick MD

Choosing the Mona Lisa Laser

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The Mona Lisa Laser is designed to treat vaginal dryness due to atrophy, and is the best local treatment for this problem.  It is not designed or cosmetic puposes.  Therefore, if the laser is needed for atrophy, the Mona Lisa is the best option.

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.