FemiLift: What if it Doesn't Work?

What's the next step if the treatment wasn't successful?

Doctor Answers 5

What to do with FemiLift nonresponders?

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FemiLift is a treatment for several things: vaginal atrophy, vaginal laxity, urinary incontinence, lichen sclerosus. Depending on which of these you are treating and what has been tried before the procedure was done will determine what treatment should be explored next.

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Femlift is a very effective therapy for vaginal dryness.  It also works well in some cases of urinary incontinence or mild prolapse / laxity.  In cases of more severe pelvic organ prolapse or severe vaginal laxity, a surgical approach may be superior to Femilift.  In our practice some patients need surgery but also do Femilift to improve the quality of the vaginal tissue after surgery.


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The FemiLift treatment is 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. This will be very reminiscent of a typical gynecological exam and will not be painful. The probe will send laser energy into all 360 degrees of your vaginal tissues and help your internal and external tissues to tighten and become more youthful. 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

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The protocol is for patients to do a series of 3 treatments, spaced one month apart to see the benefit. Subsequent maintenance treatments will depend on the severity of your case. If you have in fact completed a series, please discuss more invasive options with your OBGYN. 


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You may or may not notice results after one treatment.  As Dr. Pelosi noted the FemiLift treats a variety of problems including vaginal atrophy, vaginal laxity, urinary incontinence, and lichen sclerosus.  It may take three or more treatments to reach your goals.  Discuss your concerns with your provider.  Depending on your specific desires, your Doctor will be able to estimate the number of treatments you will need.  

Marilyn Pelias, MD
New Orleans General Surgeon

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.