Is the MonaLisa Touch safe?
Doctor Answers 9
Yes, the MonaLisa Touch is safe.
- Vaginal itching
- Vaginal dryness
- Pain during intercourse
- Vaginal laxity
The MonaLisa Touch is not intended to be a vaginal tightening treatment, although some patients have noted that there is a degree of tightening. This is mainly due to the changes in the thickness and texture of vaginal tissue after treatment.
The treatment has been used in other countries (Europe, South America, Australia, Asia ...) for over 8 years now and there have been many studies published about its safety and effectiveness.
I perform the MonaLisa Touch treatment in my office and I can honestly say that every patient that I have treated has had excellent results.
It is important to note that this treatment is for women who suffer from the symptoms of vaginal atrophy and not for "cosmetic tightening". This is not an alternative to a Laser Vaginal Rejuvenation surgical procedure (which I perform as well). The goal of the MonaLisa Touch procedure is to restore your vaginal tissue's health and thus provide relief to patients that have been suffering both physically and emotionally.
MonaLisa Touch: Is is Safe? What does it do?
As for success and failure, consider the following:
When the vagina loosens after childbirth, it's the muscles that have loosened. The skin stretches too, but the distances between the levator muscles (Kegel muscles) and the muscles of perineum is commonly permanently widened. In addition, the attachments of pelvic floor muscles, the bladder, and the rectum can become damaged. Procedures generally known as vaginoplasty and pelvic floor reconstruction are designed to fix the damage, tighten the muscles, and tighten the skin to create a long lasting and effective solution. LVT, cures none of these things. It's designed to provide a mild superficial and temporary shrink to the vaginal skin only, not the muscles and not to damage to the pelvic floor. It's a trade-off. If you want something that works well and lasts a long time, consider vaginoplasty. If you want something less effective, temporary and cheap, then LVT might be your thing.
The data from Europe and that data starting to be published from US trials overwhelmingly shows Mona Lisa Touch (MLT) laser to be safe, with little to no down time of side effects.
The real question is, "Is it effective?" The answer seems to be yes, and I think the answer becomes stronger the more studies are published. It is important to know that the European studies were done with only 3 month follow up, mostly, and showed good results. They use a different time interval and slightly lower laser settings, so the US protocol is likely equally, if not more, effective. There is 1 year follow up data in press now that was recently presented at a national meeting that seems to show good 1 year success rates. As this and other longer studies are published we will have even more reason to recommend MLT as a first line therapy for vaginal atrophy, dryness and sexual function in menopause.
Keep in mind, MLT is not a "rejuvenation" techniques for tightening the vagina or reshaping the labia, it is for vaginal atrophy and sexual function in women in menopause.
Rebecca Dunsmoor-Su, MD MSCE
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