Is CO2RE Intima effective for vaginal rejuvination?

What is the CO2RE Intima treatment and will it work well for vaginal rejuvenation? If so, how many treatments are required?

Doctor Answers 10

Is CO2RE Intima effective for vaginal rejuvination?

Thank you for your question.  CO2RE Intima is a CO2 laser that can treat both the inner and outer areas of the vagina for improvement.  CO2RE Intima is designed for women who want to relieve the signs of childbearing and aging in their vaginal area.  This includes post child bearing and peri and menopausal women, women who desire enhancement in sexual functioning and a better sexual experience, women who seek vaginal cosmetic improvement and women who want to feel more confident about their feminine health.The CO2RE Intima laser treatment can remodel labial and vulvar tissue fibers, restoring flexibility and shape. The treatment can also address dyschromia and skin pigmentation resulting in improved skin texture and tone.

Peabody Plastic Surgeon
4.8 out of 5 stars 23 reviews

CO2RE Intima fractionated laser for vaginal rejuvenation

CO2RE Intima is a fractionated CO2 laser that we use at our practice for women who are interested in non-surgical options for mild urinary stress incontinence, vaginal atrophy, or dryness.  In addition, we have seen a significant improvement on the external labia minora and majora in terms of tightening and skin laxity as well as color.

We typically recommend two to three treatments at four to six week intervals.  There is very little pain and can be downtime in terms of sexual abstinence.  Patients must be in the middle of their menstruation cycle and take preventative prescription Valtrex.

A thorough evaluation and pelvic exam is required as well as recent pap smear in the last year.

Surgical labiaplasty is also an option, if at the consultation that procedure would be a better fit for the patient.

Hope this helps.  Good luck.

David Shafer, MD
New York Plastic Surgeon
4.9 out of 5 stars 75 reviews

Laser Vaginal Rejuvenation/ Vaginal tightening of the anterior and posterior muscles.

There are many procedures out there that are consider "Vaginal Rejuvenation" with laser treatments that can be about once a week for 8 weeks and so forth. These "laser" treatments will only tighten the mucosa (mucosa is the lining of the vagina) In order for you to get the tightness to enhance sexual gratification and give you back the support you will need to go under a more invasive surgery in which the doctor actually gets to the muscles and brings them back together. 

One of the most common Female Genital Cosmetic Surgery procedures, Laser Vaginal Rejuvenation can enhance vaginal muscle tone, strength, and control. The doctor normally uses the laser to do all the precise cutting and dissecting, this minimizes bleeding and infection to 1%. During the procedure the doctor will cut the vaginal mucosa, which is the vaginal lining, in order to get to the anterior muscles. Once he reaches the muscles he brings back the muscles with dissolvable suture in order to bring back support to the urethra and the bladder. This will alleviate the symptoms of stress urinary incontinence. Once the anterior muscles are tightened the doctor will dissect any excess mucosa, it doesn’t make sense for the doctor to have the muscles nice and tight and the mucosa sagging, so he will dissect the excess mucosa. The doctor will then use the laser to cut the mucosa in order to get to the posterior muscles, the posterior muscles are the muscles you use to do “Kegel” exercises with (levator ani muscles), once he opens the lining of the vagina he brings back the muscles that have been stretched and torn apart to enhance the vaginal muscle tone, strength and control. This will effectively decrease the internal vaginal diameters. The last portion of the procedure is building back the perineal body, this is the area immediately outside the vagina between the vaginal opening and the anus, where most patients have torn and stretched out during child labor. The doctor will then bring back the perineal body with 5 layers of dissolvable sutures. This will decrease the external diameters. We like for the patient to participate in a health and surgical design, so ultimately we will ask the patient if they would like to be 16 again, 18 again or as if they never had children. You know yourself, you know your situation and ultimately it is up to the patient to decide.

David Matlock, MD, MBA, FACOG
Los Angeles OB/GYN
4.9 out of 5 stars 10 reviews

Is CO2RE Intima effective for vaginal rejuvination?

Co2RE Intima is another Fractionated Co2 laser Like FemiLift or Mona lisa touch.
All of them work in the same manner. 
Fractionated CO2 laser are excellent choice for women are looking to increase moisture specially for post menopausal patients who have atrophic vagina, or Breast cancer Survives who might be suffering from dry vagina and unable to be with their partner sexually or enjoy sex, and are limited in other options.
Another area where CO2 laser can help is for some individuals who are suffering from pelvic pressure or are suffering from mild urine stress incontinence.
My suggestion is every women after giving birth vaginally would benefit from a 3 session of treatment with CO2 laser to bring back tightness into the vagina which naturally became lose after delivery.
Good Luck to you and Best of Health.

Eskandar Simhaee, MD
Great Neck OB/GYN
5.0 out of 5 stars 7 reviews

CO2RE Intima, FemiLift, Mona Lisa Touch: different brands of the same thing...

CO2RE Intima (aka Intima Laser) is yet another "me-too" fractional CO2 laser device, virtually the SAME as FemiLift and Mona Lisa Touch. The devices are quite decent to help "rejuvenate" vaginal pliability & moisture for post-menopausal women with dry, tight vaginas secondary to post menopausal atrophy. They also very slightly tighten the vaginal skin (they do not support the pelvic floor, truly "tighten" the whole vagina, or strengthen the vagina) and may help with women who have a new & smaller sexual partner, or women who haven't had children & wish to be a tad tighter. They are also decent to help diminish mild urinary incontinence in women who do not need or are not ready for a surgical incontinence operation.

The weblink below tells about vaginal CO2 devices; the website contains a bunch of useful info...


Michael OP Goodman MD
Davis, CA, USA



the CORE intima is a wonderful procedure for vaginal rejuvenation. I usually treat both the internal and external genitalia with the device. My patients have been happy with their results of increased vaginal tone and reduction of urinary incontinence.

Christopher Balgobin, MD
Minneapolis Physician
4.8 out of 5 stars 32 reviews

The new vaginal laser revolution.

There are a number of Fractional CO2 vaginal lasers that have come to market. The first and the one with the most scientific data showing its effectiveness is the MonaLisa Touch (MLT). It was first developed in Italy and brought to the US in 2014. The MLT has 1 year follow-up data on postmenapusal women to restore the vaginal caliber, vaginal lining back to a youthful state therefore improving vaginal dryness, painful intimacy and incontinence. Not all lasers are made alike.

Intima is a FemiLift clone and should have similar effectiveness if they've worked out the protocols and settings properly

Imitation is the rule for game-changing blockbuster technologies that revolutionize the treatment of medical and cosmetic complaints. The FemiLift CO2 laser is an extremely successful nonsurgical tool for vaginal rejuvenation and has been copied (sort of) by a growing number of laser companies. Intima is a FemiLift clone and should produce similar results if they use the same protocols which have proven effective for the market leading FemiLift. Dr. Matlock's comments are an important part of the counseling process prior to these procedures. A fully informed patient will make the right decision for her situation and be happiest with accurate realistic expectations.

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

Co2 laser rejuvenation

With the recent increase in awareness in the field of vaginal rejuvenation , we are seeing more brand names for laser resurfacing for the vaginal area. This would be similar to other fractionated co2 machines use for improving the health of the vaginal lining. There are other type of technologies in the market , such as radio frequency and erbium. Depending on what your concerns are,  these options are available to you. 

Cheri Ong, MD, FACS
Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 reviews

Vaginal Rejuvenation

Thank you for your question.  Vaginal rejuvenation means different things to many women.  Internally women may experience looseness and lack of sexual satisfaction because the vagina stretched as a result of childbirth.  Another issue can be leakage of urine when you cough or sneeze. And third, dryness or atrophy from loss of hormones.  The aspects of female rejuvenation can be enlargement of the inner labia and deflation of the outer labia.  Enlargement of the inner labia usually requires surgery depending on how long the labial lips are.
There are various devices on the market:  ThermiVa, Mona Lisa, CO2RE, etc.  In general, multiple treatments or a series is recommended with on average a yearly touch up depending on the initial reasons.  With a few expections, the improvement take place over time and the final result may not be apparent of a couple of months after finishing the treatments

I use ThermiVa and have had the procedure myself with very good results.  It is important that you first check with your gynecologist to ensure that there are no underlying issues that may require surgery. 

Roberta Gartside, MD, FACS
Reston Plastic Surgeon
4.8 out of 5 stars 27 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.