Laser labiaplasty with laser incision causes less bleeding, does not require tissue clamping-more gentle
I have used laser incisions exclusively for the most delicate eyelid plastic surgery operations for the past 15 years.
The delicate labial tissues require the same care, which is why i use the laser labiaplasty technique.
Because the laser seals -closes-many small blood vessels during the incision bleeding is less and thus traumatic clamping of the tissues (which causes a crush injury) is not required. Less trauma and less bleeding means quicker recovery and healing.
Many studies in the past 15 years have proven that the laser incision is less traumatic and produces less scarring than traditional scalpel incisions.
Laser incisions are most useful in delicate thin tissues such as the eyelid and the labia. Thus in labiaplasty, the laser has a definite advantage.
I only perform laser labiaplasty-I would not use a scalpel and clamp on these delicate tisssues.
Are lasers worth it?
A laser is an elegant and expensive cutting/scroling tool. It is a fine tool. So is a radiofrequency needle (similar to laser, but different wavelength.) So is a specialized plastic surgery scissors or a scalpel.
It is more the hand holding the tool than the tool itself.
That said (surgeon most important) laser and radiofrequency (RF) are elegant upgrades and help a good surgeon be even better...
Vaginal Rejuvenation" is an akward term that means different things to different persons. If you click the "web reference" attached to this answer you will land on a blog I wrote on "perineoplasty" (plastic repair of the opening plus suture elevation of the perineal body and vulvar vestibule.) Add a vaginoplasty to this and you have so-called "vaginal rrejuvenation." BUT-- some docs consider the difference between vaginoplasty and Vag rejuv to be the addition of a labiaplasty. This nomenclature is a mess.
Michael P Goodman MD
Vaginal Rejuvenation with Laser and Without Laser.
The answer to your question is nothing. There are no clinical differences in healing time, bleeding, complication rates or anything else that have been shown in the literature. Using the laser is a tool that some surgeons like to utilize to cut tissue however, a number of other tools work just as well in achieving the desired outcome. My suggestion to you is to find an experienced surgeon that you are comfortable with and let them guide you in your decision making.
Updated - Vaginal Rejuvenation with and without Lasers
The answer to this question has changed drastically over the past few years. The invention, testing and FDA approval of vaginal laser therapy since 2013 have provided women with an entirely new category of treatments to optimize vaginal health.
The difference between non-laser and laser vaginal rejuvenation is that non-laser vaginal rejuvenation is an elective surgical procedure using a radio frequency (Ellman) device or an electric scalpel (Bovie). Some physicians also use a diode 980 laser to make their incisions. This is the best option for women experiencing significant vaginal relaxation and/or pelvic organ prolapse.
Since 2015 the updated definition for laser vaginal rejuvenation involves the use of CO2 (carbon dioxide) or radio frequency vaginal lasers. These lasers are best utilized by women with mild vaginal relaxation without pelvic organ prolapse. These lasers can also address vaginal atrophy, dryness, painful intercourse, sexual dysfunction and urge incontinence.
Hope this helps - Cheers!
Difference Between Vaginal Rejuvenation with Laser and Without Laser?
The answer is, actually, EVERYTHING! Vaginal rejuvenation with the CO2 laser (FemiLift) causes vaginal lining re-growth and has been shown to improve the micro-architecture of the vaginal lining on tissue biopsy studies. Surgical vaginal rejuvenation is a whole different type of procedure. It is major surgery general anesthesia, with 4-6 weeks of recovery, time off work, and SURGICAL pain post-op. FemiLift laser is a series of 3 5-10 minute laser treatments that are virtually painless, require NO DOWNTIME, and mandate only 3 days abstinence from sexual intercourse or tampon use. This laser is used for vastly more than just making an incision. It is used to resurface the entire vaginal lining, resulting in an enyouthening effect that changes womens lives by correcting post-menopausal vaginal atrophy with dyspareunia, stress urinary incontinence, and improving both vaginal tone and lubrication.
Understanding your options for vaginal rejuvenation
With surgical tightening, an incision is made in the vaginal
wall and sutures are used to tighten the vagina. Non-surgical vaginal
tightening is not performed with traditional lasers, however, radiofrequency or
heat energy can be used for vaginal tightening as well as to improve the appearance
of the external genitalia. This procedure known as “Thermi-Va” uses warm heat
energy or radiofrequency energy to stimulate collagen and cause tissue
tightening. The amount of energy and the temperature of the treated area is
continuously monitored to insure patient comfort while delivering an adequate
amount of energy or warmth to cause the collagen fibers to retract and remodel
and therefore tighten skin. The treatment is safe and effective and is
performed in the privacy of the office of the trusted board-certified physican
you choose for your procedure.
Vaginal rejuvenation: tightening with laser vs Surgery
Vaginal looseness or laxity is very common after childbirth. Traditional treatment requires surgery to repair the stretched out pelvic floor muscles. This is a painful procedure requiring anesthesia and has a 4-6 week recovery. New non invasive laser treatments are now available to tighten the vagina, increase lubricatiion and improve sexual satisfaction. Several laser and RF modalities exist such as FemLift, ThermiVa and Mona Lisa. Each involves the application of heat inside and around the vaginal opening to tighten skin and mucosa (moist intra vaginal skin). The treatments are PAINLESS and can be done in the office by your doctor. 3-5 sessions are usually necessary for best results.
Labiaplasty or reduction of the labia majora may be performed with laser or RF depending on the patient's anatomy and degree of labial exces. There is no benefit that I have seen between the two types of approaches.
Laser vs no laser vaginal rejuvenation
There is just a difference in the technique used to cut and cauterize the tissues- one with laser, one without. I personally do not use a laser device during this procedure and feel that my patients get nice results with the wedge excision technique. The important thing to do is pick the procedure based upon the right & qualified surgeon to do the job not necessarily the device or marketing tactic used to sell it. Good luck!
"Laser" or "non-laser" vaginal rejuvenation?
Lasers are preferred by some physicians for making incisions for several reasons. Most notably, they cite less bleeding and more precise incisions compared to a standard surgical scalpel or scissors. Another technology used for making precise incisions with minimal to no bleeding is radiofrequency (RF) energy. Regardless of what technique a surgeon chooses, excellent results can be obtained (however, sub-optimal results can happen with any of them too). I personally prefer using RF energy, although I have had experience with both the scalpel and laser methods. Radiofrequency energy has been shown to produce less heat injury to the tissue than lasers and shares the benefit of decreased blood loss compared to the scalpel, without the added cost of the laser, since an RF device is a fraction of the cost of a laser device. Regardless of what technique is used, make sure you are comfortable with the skill and experience of your surgeon. A good surgeon will give you good results no matter what device you put in his or her hands, because you are really only considering the incision when you evaluate these technologies. Where those incisions are placed and how they are closed are far more important factors in determining the long-term cosmetic result of the procedure.
Laser = Gimmick most often.
Except in very specialized circumstances the use of a laser in surgery is more often than not a gimmick. Using a laser to cut the tissue in Labiaplasty offers very little to improve the outcome in my opinion. I have been performing Labiaplasty for nearly ten years and haven't found the need to use a laser yet.
John Di Saia MD