Is the diVa laser the best vaginal rejuvenation treatment available right now?

Is this the best treatment to restore vaginal health currently on the market? 

Doctor Answers 10

Next evolution of Vaginal laser therapy is now available

Thank you for your question. The diVa laser treatment by Sciton lasers is the newest evolution of laser vaginal therapies that is built on the experience of years of Laser technology. Unlike the other lasers on the market that cause superficial ablation to resurface the top layer, diVa is a hybrid laser that delivers 2 types of lasers energy near simultaneously to aid in resurfacing the vaginal skin but also to stimulate re-growth of new collagen, blood vessels, and nerve ending below the surface. This deeper layer is responsible for the dynamic elastic nature of the vagina, the lubricating, secreting capability of the vaginal skin, and the sensitivity of the vaginal canal. Restoring this deeper layer creates a more significant change to dry, lax, painful tissue with longer term results.

I recommend speaking with a specialist that has extensive experience with the different technologies and understands the different outcomes achievable with each. We offer three different vaginal resurfacing technologies to accommodate the needs of different patients of all ages. The addition of diVa has practically replaced my other technologies because of the comfortable and adjustable platform to treat all of my patient's needs from problems with intercourse to urinary symptoms.

Bay Area Urogynecologist
5.0 out of 5 stars 15 reviews


Am I biased because I do the DiVa procedure?  Yes.  BUT, I tried all of the others before deciding on DiVa.  It's level of precision and automation, combined with the dual wavelength ablative/ non-ablative approach makes it superior

Guy Cappuccino, MD
Mount Airy Plastic Surgeon
5.0 out of 5 stars 92 reviews

Is diVa the right laser?

Absolutely, diVa by Sciton is by far the best for laser vaginal rejuvenation! The diVa is the only hybrid laser utilizing two wavelengths through the diVa handpiece. The treatment is quick and we can target specific regions if needed, to improve stress urinary incontinence, episiotomy scars, etc. Our patients experience decreased vaginal laxity, decreased stress urinary incontinence, better sexual function; specifically with improved lubrication and enhanced ability to reach orgasm, and decrease in pain with intercourse.

Johnny J. Peet, MD
The Woodlands OB/GYN
5.0 out of 5 stars 9 reviews

Vaginal rejuvination

In my opinion to address issues from childbirth to Menopause issues, the diVa gives women  great options.

It's a fast procedure with minimal discomfort.  Our clients have been very happy with their results.

As far as your question of "is it the best option", we would want to have a consult to find out what your issues are, to be sure that this would be the best solution to your issues.

Rakesh Nanda, MD
Columbus Physician
4.0 out of 5 stars 8 reviews

DiVa vaginal resurfacing laser

I think diVa gives the best results because unlike the other lasers on the market, it dilates the tissues that are redundant (folded up) within the vagina - therefore, it treats ALL the tissue rather than just the tissue that is folded over it. Like facial resurfacing, it creates a controlled burn to the vaginal mucosa which causes your own body to regenerate new younger tissue. We often combine diVa with the O-shot for increased results. diVa increases vaginal moisture without hormones, creates tightness you and your partner will notice, and increases orgasms. Best wishes!

K. Roxanne Grawe, MD
Columbus Plastic Surgeon
4.9 out of 5 stars 139 reviews

You bet!

Thank yo so much for your question. When compared to other vaginal laser therapy, I personally believe that the diVa is far superior. There are several reasons for that; but a few are: 

1.) the diVa uses the first hyrid fractional laser. This means that it is using two separate lasers at once. One that goes deeper to treat the lamina propria and the other that is more shallow but heats the epithelial layer. 

2.) the diVa uses a vaginal dilator that the laser goes into. This does several things. I keeps the laser head from coming in contact with the tissue. ( Much cleaner) and the laser head stays clear, give a more uniform treatment

3.) the diVa has rotational automation, so the laser actually backs itself out instead of the other lasers having to manually be retracted. 

Hope this helps

Michael Coyle, DO, FPMRS
Pensacola Urogynecologist
5.0 out of 5 stars 1 review

Best Treatment!

Absolutely! DiVa utilizes the world's first and only Hybrid Fractional Laser (HFL). This technology offers a virtually pain free and completely customized treatment based upon your individual needs. HFL's combined synergistic effect can precisely address your most intimate challenges and deliver the most desired results.

Andrea Schiller, MD
Royal Oak OB/GYN
5.0 out of 5 stars 3 reviews

NO - There isn't ONE best vaginal rejuvenation treatment for everyone!

Great question, but unfortunately the answer isn't so simple. It helps to have a better understanding of what vaginal rejuvenation means. Every woman presents with different medical/obstetrical histories as well as different sexual experiences and expectations. What is important in choosing the best vaginal rejuvenation treatment is to find an experienced reconstructive and cosmetic vaginal surgeon to perform a thorough evaluation and then provide you with your best treatment options. This may include surgery.

There are dozens of different vaginal complaints that women report when they come in for consultation - all of these can be improved and fall into the category of rejuvenation. Some may be addressed non-surgically and others require surgical correction. Offering a non-surgical option, such as diVa, to a woman who needs surgical correction would lead to no benefit and an unsatisfied patient.

Vaginal rejuvenation treatments include 1) devices to improve pelvic floor function and reduce urinary incontinence, 2) O-Shot to improve orgasm function and reduce incontinence, 3) PRP injections to the vulva after Fractional CO2 for labial tightening and lightening, 4) non-surgical laser vaginal resurfacing  (diVa, FemiLift, Intima, MonaLisa, etc.), 5) Radiofrequency treatments with ThermiVa, 6) Vaginoplasty for vaginal looseness, 7) Reconstructive vaginal surgery to correct prolapse with Vaginoplasty, and 8) Aesthetic Vulvar Surgery to address large labia, large clitoral hood,, dark vulvar skin, large mons, hymenal or anal tags, etc. The list is long and it should be custom tailored to each patient.

Of the non-surgical laser vaginal resurfacing options diVa and Intima are the newest ones (as of late 2016) and thus there is very little patient treatment experience. Alma's FemiLift was the first laser released in the U.S. and thus has the longest patient track record. I was the first U.S. surgeon to use FemiLift (November 2013) in a patient for treatment of vaginal looseness. Her results were phenomenal and convinced me of it's efficacy. I have since treated hundreds of patients, ages 24 - 80, for their complaints of vaginal looseness, stress urinary incontinence, and vaginal dryness from atrophic changes of menopause. This greater than 3 year personal experience with FemiLift with no complications and a 100% Patient Worth It Rating over 24 months on RealSelf attests to it being a superior option to all other lasers on the market. ThermiVa is 97% and MonaLisa is 94%.

Oscar A. Aguirre, MD
Aguirre Specialty Care - Pelvic Surgery & Intimate Aesthetics®

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

Too many Vaginal Laser options?

As a urologist that has subspecialty certifcation in female pelvic medicine and reconstructive surgery I have been at the forefront of the new laser technology revolution. The Mona Lisa touch MLT laser was the first to be studied scientifically and come to market for vaginal therapies. It was first studied and developed in Italy about 5 years ago and has been used to treat The genitourinary syndrome menopause or also known as vulvavaginal atrophy. The MLT fractional CO2 laser causes micro injuries in the vaginal canal and vaginal tissue. The patients then heal their own vaginal tissue. The build up of Vaginal skin, collegen and blood vessels  restores the vaginal canal to pre-menopausal age. It has been effective in reducing the pain of vaginal intercourse, vaginal dryness, bladder infections and some forms of incontinence.

Other lasers have just started getting into this effective field of Vaginal therapy. The Erbium (diVa-  different waveform of laser energy )and Radiofrequency (THERMIVa) do not have  stringent scientific data  showing their effectiveness. However, there are a lot of Plastic Surgeon's, Ob/ gyn and dermatologist providing this form of therapy .

Diva leads the field for vaginal rejuvenation

As more vaginal rejuvenation treatments are performed, the differences between the various lasers are becoming more apparent. Aside from the obvious  - faster, better dilation and coverage, less poking/safer - the unique dual wavelength of the Diva allows for deeper resurfacing. The carbon dioxide lasers are limited by how deeply they ablate, so that after the first treatment, when the vaginal mucosa has already thickened, you get diminishing returns with each subsequent treatment. That doesn't happen with the Diva. 

I do combine platelet-rich plasma therapy with the Diva procedure, to aid with new collagen growth and blood vessels to nourish the tissue as it heals - this makes sense, since we use PRP after facial resurfacing and microneedling. 

Jessie Cheung, MD
Hinsdale Dermatologic Surgeon
5.0 out of 5 stars 3 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.