Vaginal Rejuvenation Whats Better Laser or Cutting and Stitches?

I am looking to have vaginal rejuvenation done, solely to regain tightness. I am satisfied with the look of my vagina, however the opening and inner parts of my vagina, I would like to be like when I first had sex. My question is what works better having this operation with a laser or by actual cutting and stitches, I have seen doctors doing both and I am wondering what gives the best result to be as tight as the first time I had sex?

Doctor Answers 5

Vaginal Rejuvenation Techniques

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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 as 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 decreasestress 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.
Costs for non-surgical laser vaginal rejuvenation are approximately 3000 - for 3 sessions.Twice yearly or yearly follow up treatments are recommended to maintain vaginal health.If PRP is being added there is an additional $1000-1200 per treatment session.
However, surgery is the most common treatment. 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.
I perform a variety of treatments and surgeries to enhance, restore and rejuvenate the female genital region. This includes procedures to improve moisture, sensitivity and tighten the vaginal canal; which can enhance orgasm and restore or improve the appearance of the vulva. This includes the labia minora, labia majora, the clitoral region and the vestibule of the vagina. When necessary and capable, a vaginoplasty may be combined with a #Labiaplasty. Or, if the outer labia or labia majora may also be excessively large, uneven, or may be too small, the size may be increased with fat injections.

Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Vaginal rejuvenation surgery

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At my practice I only offer surgical vaginal rejuvenation. While many offer laser treatments, I have found that surgical vaginal rejuvenation surgery provides my patients with the best results possible. Your next step should be to have an in-person consultation and examination with a board certified plastic surgeon who specializes in vaginal rejuvenation procedures. After examining you and listening to your goals for the procedure, the surgeon will be able to recommend which type of procedure is best for you. Good luck!

Jimmy S. Firouz, MD, FACS
Beverly Hills Plastic Surgeon
4.8 out of 5 stars 18 reviews

What is the best way to tighten a vagina?

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At the present time, the vagina can be tightened in three ways:

1. Muscle Exercises: Kegel exercises. These can be supplemented by weights, biofeedback technologies, and the help of specially trained physical therapists. If the muscles are damaged, muscle exercises might not work very well.

2. Vaginal Rejuvenation, Laser Vaginal Rejuvenation, Vaginoplasty: Surgical tightening of the vaginal muscles and removal of stretched out vaginal skin. This encompasses perineoplasty, colpoperineoplasty, colporrhaphy and other procedures that involve trimming and suturing. These operations require surgical dissection (precise incisions). These incisions are sometimes made with stainless steel scalpels, electrosurgical scalpels, radiosurgical scalpels, or laser scalpels (laser vaginal rejuvenation). Vaginoplasty is the current gold standard for vaginal tightening.

3. Laser Vaginal Tightening (LVT): Nonsurgical tightening of the skin of the vaginal canal using lasers similar to those used for facial skin peels. These utilize a special probe that's inserted into the vagina. No anesthesia is needed. These procedures include the IntimaLase, the Femilift, and the MonaLisa Touch. Their appeal is convenience and cost - they're quick and easy. However, the results are only temporary because the real cause of the loose vagina is the loose muscles beneath the skin. Nonetheless, the prospect of no downtime has a strong appeal to women who don't want surgery and may be sufficient.

Vaginal Rejuvenation: Laser vs Surgical Tightening

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Both are popular techniques but by far the most controversial and questionable procedure even among gynecologists  is laser tightening procedures. An internet search will alert you to this quickly. Excision and  tightening of the underlying muscle wall is the most direct and secure way to do this. Whether or not it will be "as tight as the first time you had sex" is a different matter and depends on many factors including emotionally how "turned on" you are, muscle tone, etc. 

The best vaginal tightening options surgery laser and other options

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The important thing to realize is that industry is aware of the growing attention to vaginal condition and it's connection to women's confidence and sexual pleasure in modern times.  There are many companies that are trying to capitalize on these concerns.  These "new technologies" exist not because they are efficacious or offer something beneficial but rather because there is an extremely profitable market.  These lasers claim to promote "vaginal health" without even qualifying what that statement means.  The most common draw is the concept of "vaginal tightening."  The thought is that coagulative contraction would cause shrinkage of the vaginal walls making a tighter vagina.  This simply doesn't work and if it did would cause big problems.  The important thing to understand is that the vagina does not naturally get tightness from its lining.  During climax the vagina can open up significantly and there is enough surface area of lining in a young and tight vagina to allow a baby through.  Vaginal tightness comes from muscular sling and soft tissue.  Laxity can be attributed to both less tone and less soft tissue from atrophy.  Attempts to directly tighten the vagina like excisional vaginoplasty almost invariably lead the to pain with intercourse.  If we were able to tighten the vagina with a laser the result would be similar.  Many techniques toughted to tighten the vagina are simply caustic agents that irritate and inflame the vagina which leads to dryness that can feel like tightening but a dry vagina is not a good thing.  I recommend staying away from these technologies.  I perform vaginoplasty in my practice by directly addressing the problem-soft tissue atrophy.  I use a special technique of fat grafting to pad, soften and tighten the vaginal walls.  I also use this technique to lower the g-spot so it is more engaged in penetrative intercourse dramatically increasing pleasure and orgasmic potential.  Patients report much more pleasurable sex for both partners, increased intensity and frequency of orgasms and improved lubrication.  The procedure is commonly combined with a MACIE-labiaplasty.  Stay away from lasers and incisions in your vagina!  I hope this helps!

All the best,

Rian A. Maercks M.D.

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.