Difference Between Vaginal Rejuvenation with Laser and Without Laser?

What is the difference (besides price) between laser vaginal rejuvenation and vaginal rejuvenation done without the laser technology?

Doctor Answers 21

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.

Good luck!

Michael P Goodman MD

Vaginal Rejuvenation Laser vs Surgical?

Hello Andy2143,

The difference between vagina rejuvenation with and without laser is, without laser it is done surgically by cutting and tightening the tissue by restitching. Patients may return to work in 4-6 weeks. No intercourse for 6 weeks. 

By using a laser for vaginal rejuvenation such as Fem Touch, there is no cutting, the laser will shrink the tissue by using heat which stimulates collagen production and fibroblasts that are part of the connective tissue. This is a painless and bloodless procedure, with little down time. It is done in a series of 3-4 treatments, spaced 6-8 weeks apart.

Sohila Zarandy, MD
Ladera Ranch OB/GYN

Non-surgical vaginal rejuvenation is now possible without surgery

Good afternoon and thank you for your question. You may be a viable candidate for non-surgical vaginal rejuvenation with ThermiVa, which uses newer radio-frequency technology to gently heat the vaginal tissue in a series of 3 easy treatments that require no downtime and no anesthesia. Contact a Board Certified ThermiVa provider in your area for an individualized consultation.

Thomas McFadden, MD
Greenville Plastic Surgeon
5.0 out of 5 stars 64 reviews

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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.

Rejuvenation with Laser and Without Laser

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.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 106 reviews

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!

Laser in vaginal rejuvenation

Thank you for your question.

There are two main categories of vaginal rejuvenation- surgical and non-surgical. Laser technology can be used in several ways. It can be used in surgical vaginoplasty to make the incisions in place of a scalpel. Some surgeons prefer this method of incision to decrease blood loss, but overall it is a matter of preference and experience. There should be no difference in outcome.


In terms of non-surgical rejuvenation there are two main technologies: laser and radio frequency. Personally, I prefer the radio frequency technology as it heats the deeper tissue resulting in greater tightening and improvement in sexual function and stress urinary incontinence.


Best wishes, Dr. Meghan Nadeau, Seattle, WA

Meghan Nadeau, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 5 reviews

Differences between laser and surgical

Surgical procedures aimed at tightening and improving vaginal function do so by cutting and sewing the vaginal (and sometimes labial) tissues together.  This may be the best option for some severe cases of vaginal laxity.  The downtime is usually at least 4-6 weeks of no intercourse.

Laser treatments such as diVa, use heat energy to tighten vaginal tissue by stimulating collagen and elastin formation.  The ablative laser procedures also stimulate the growth of new healthy vaginal tissue to improve sensation and lubrication.  The downtime is almost nothing and no intercourse for 2 days.  Most of my patients who are candidates choose diVa.  Good luck to you

Guy Cappuccino, MD
Mount Airy Plastic Surgeon
5.0 out of 5 stars 84 reviews

Laser be surgical vaginal tightening

Laser can be used as a tool to cut through tissues in surgery or it can be used separately as an office based procedure to tighten tissue without surgery. 

Surgical tightening is indicated if the main concern is widening of the vaginal canal or if there are complications after episiotomy. The procedure is done under general anesthesia with a 6-12 week recovery  

Laser can be helpful with mild incontinence, mild looseness, or painful intercourse due to dry, sensitive tissue. Downtime is mild and is around 3-4 days, but the procedure often needs to be done 2-3 times for the desired result. 

Dana Goldberg, MD
Jupiter Plastic Surgeon
5.0 out of 5 stars 33 reviews

Vaginal rejuvenation

There is surgical rejuvenation where the procedure is done with a "laser" or radio frequency device to create the incision and to sculpt vs the "traditional " scalpel and there is non-surgical rejuvenation using "lasers" and radio frequency devices to rejuvenate the vagina. 

The most important thing is the person performing the procedure, but laser and RF devices can help  the surgeon be more precise and  cause less tissue trauma if used as a tool for the surgical procedures.  There are more non-surgical devices in the market now , depending on what your needs are. 


Cheri Ong, MD, FACS
Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 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.