Laser Vaginal Rejuvenation: Comprehensive Guide

Why do People Get Vaginal Rejuvenation?

Source: journals.lww.com

Women seek vaginal rejuvenation for a variety of reasons. The most common include:

• Postpartum recovery: After childbirth, the vaginal area may lose some of its elasticity and tone. Laser vaginal rejuvenation can help restore these qualities.
• Menopausal changes: Hormonal shifts during menopause can lead to vaginal dryness, discomfort, and laxity. Vaginal rejuvenation can alleviate these symptoms.
• Sexual discomfort: Some women experience pain during sex due to vaginal laxity or dryness. Laser rejuvenation can help improve vaginal elasticity, leading to more comfortable and enjoyable intimacy.
• Urinary incontinence: Vaginal laxity can contribute to bladder control issues. Laser vaginal rejuvenation can strengthen the vaginal walls and pelvic floor, reducing incontinence symptoms.

Who is Not a Suitable Candidate?

Source: plasticsurgery.org

Criteria	Suitable for Laser Vaginal Rejuvenation?
Postpartum Recovery	Yes
Menopausal Vaginal Dryness	Yes
Mild to Moderate Vaginal Laxity	Yes
Severe Pelvic Organ Prolapse	No (requires surgery)
Active Infections	No (must be treated first)
Pregnancy	No (wait until after childbirth)

While laser vaginal rejuvenation is generally safe and effective for most women, there are certain conditions where the procedure might not be recommended:

• Active Infections: If you have an active vaginal or urinary tract infection, it is essential to address and treat these issues before undergoing any procedure.
• Pregnancy: Laser vaginal rejuvenation is not recommended for pregnant women. If you are planning to become pregnant, it’s best to wait until after childbirth before undergoing the procedure.
• Severe Pelvic Organ Prolapse: Women with severe pelvic organ prolapse (where the pelvic organs, such as the bladder or uterus, descend into the vaginal canal) may not benefit from laser vaginal rejuvenation alone and may need more comprehensive surgical treatments.
• Severe Vaginal Atrophy: In cases of advanced vaginal atrophy, where the vaginal walls are fragile and dry, other treatments, such as hormone replacement therapy (HRT), may be recommended before laser therapy.

Diagnosis Before Laser Vaginal Tightening

Before undergoing laser vaginal tightening (also known as laser vaginal rejuvenation), a thorough diagnosis and consultation with a qualified healthcare provider are essential. The diagnosis aims to assess whether you are a suitable candidate for the procedure and to address any underlying conditions that could affect its success or safety. 

Proper evaluation ensures that the procedure meets your needs and that you are well-informed about potential risks and benefits.

Key Steps in the Diagnosis Process Before Laser Vaginal Tightening

• Health Conditions: The provider will review your general health history, including any existing conditions like diabetes, autoimmune disorders, or hormonal imbalances, as these can affect your body’s healing response and the procedure’s outcome.
• Previous Gynecological History: A thorough review of your gynecological history is crucial. This includes any past pregnancies, surgeries (such as a hysterectomy), or conditions like pelvic organ prolapse, which may impact the success of laser vaginal rejuvenation.
• Medications: Some medications, especially blood thinners or hormone-related treatments, can interfere with healing. Your provider must know about your medications to ensure no contraindications.

Physical and Pelvic Exam

• Vaginal Health Assessment: A pelvic exam will be performed to assess the condition of your vaginal walls, muscle tone, and the overall health of the vaginal tissue. This allows the provider to check for abnormalities like infections, tissue damage, or other conditions needing treatment before laser therapy.
• Pelvic Floor Muscle Strength: The provider may evaluate the strength and function of your pelvic floor muscles. Weakness in the pelvic muscles could indicate a need for a different form of treatment, such as physical therapy, before proceeding with laser vaginal rejuvenation.
• Signs of Incontinence: If you’re experiencing urinary incontinence, your healthcare provider may perform additional tests to determine the type and severity. Laser vaginal tightening can help with stress incontinence, but the underlying causes must be addressed first.

Assessment of Vaginal Laxity

• Degree of Vaginal Laxity: Vaginal laxity, often caused by childbirth or aging, is a common reason women seek laser vaginal rejuvenation. The provider will assess the severity of the laxity to determine if laser treatment can achieve the desired results. For more severe cases, options like vaginoplasty may be recommended. Studies show that about 63% of women are satisfied with the outcomes of vaginoplasty. 
• Symptoms of Vaginal Laxity: In addition to physical assessments, the provider will ask about symptoms such as discomfort during sex, reduced sensation, or feelings of looseness. This helps to determine whether the procedure will effectively address your concerns.

Evaluation of Vaginal Dryness and Hormonal Imbalances

• Hormonal Levels: Laser vaginal rejuvenation can help with vaginal dryness, often caused by hormonal imbalances, especially during menopause. Your provider may test for low estrogen levels or other hormonal issues that could contribute to vaginal dryness or discomfort.
• Genital Atrophy: If you are experiencing symptoms like vaginal dryness, itching, or discomfort, it could be a sign of genital atrophy (thinning and drying of the vaginal walls due to hormonal changes). A diagnosis of genital atrophy may indicate that laser treatment could help, but hormone replacement therapy (HRT) or other treatments may also be recommended.

Exclusion of Other Conditions

• Infections or Inflammation: Any existing vaginal or urinary tract infections (UTIs) must be treated before undergoing laser vaginal rejuvenation. If there is any sign of infection or inflammation, the procedure will likely be postponed until these issues are resolved.
• Allergic Reactions or Sensitivities: Some individuals may have sensitivities to certain materials used during the laser treatment, such as the numbing creams. A proper diagnosis will identify potential allergic reactions that could interfere with the procedure.
• Pre-existing Conditions: Conditions like pelvic organ prolapse, severe uterine prolapse, or chronic vaginal atrophy may need to be addressed with other treatments before considering laser vaginal rejuvenation.

Discussion of Goals and Expectations

• During the consultation, your provider will discuss your expectations for the procedure. Whether your goal is to improve sexual satisfaction, relieve urinary incontinence, or simply address cosmetic concerns, having clear and realistic expectations is vital to achieving the best possible outcome.
• The provider will also explain the procedure’s potential benefits and limitations, including the number of sessions required and the expected duration of results.

Procedure Details of Laser Vaginal Rejuvenation

The procedure is generally quick, minimally invasive, and offers long-lasting results for women experiencing vaginal laxity, dryness, and urinary incontinence. Here’s a detailed breakdown of the steps involved in the laser vaginal rejuvenation procedure:

Positioning and Preparation

• Comfortable Positioning: The procedure typically occurs in a private, comfortable treatment room. The patient is asked to lie on an examination table, similar to a standard gynecological exam. A pelvic exam may be performed beforehand to assess the condition of the vaginal walls and ensure the procedure is appropriate.
• Topical Numbing: A topical numbing cream is often applied to the vaginal area to minimize any discomfort during the procedure. This numbing cream typically takes effect within 10–15 minutes, ensuring the patient remains comfortable throughout the treatment.

Insertion of the Laser Device

• Laser Wand Insertion: The physician will gently insert a specialized laser wand or probe into the vaginal canal. The wand is a slender, tube-like device for easy insertion and precise control.
• Laser Energy Delivery: The device is equipped with a fractional CO2 laser OF 4-6cm that emits controlled laser energy into the vaginal walls. The laser creates microchannels in the tissue, which stimulates the body’s natural healing process, encouraging collagen production and improving vaginal tissue elasticity.

Laser Treatment Process

• Treatment of Vaginal Tissue: The laser energy is applied in a grid-like pattern across the vaginal walls. This helps stimulate collagen and elastin, strengthening the tissue and improving its tone. The procedure enhances blood circulation to the treated areas, improving tissue health and moisture production.
• Duration: The laser treatment lasts approximately 20-30 minutes, depending on the treatment area. The physician will move the laser wand in a circular motion along the vaginal walls to ensure even coverage. The procedure is relatively quick and should cause minimal discomfort.

Thermal Stimulation

• Collagen Remodeling: As the laser penetrates the vaginal walls, it heats the tissue, which triggers the formation of new collagen fibers. Collagen is essential for maintaining skin strength and elasticity, so this thermal stimulation leads to tighter, firmer vaginal walls over time.
• Enhanced Moisture Production: The procedure also helps promote natural lubrication in the vaginal area by stimulating the glands responsible for moisture production. This can provide relief from vaginal dryness and restore comfort, especially for women experiencing menopausal symptoms.

Post-Procedure Cooling

Cooling the Area: After the laser treatment, the provider may use a cooling gel or device to soothe the treated area and minimize residual heat. This helps alleviate any minor discomfort or sensation of warmth that may linger after the procedure.

Completion of Treatment

• Final Assessment: Once the treatment is finished, the provider will remove the laser wand and assess the area to ensure everything is in order. There is no need for stitches or cuts, as the procedure is non-invasive. Most women can resume normal activities almost immediately following the treatment.

Laser vaginal rejuvenation has helped many women improve their vaginal health and comfort. Consulting with a trusted provider is essential if you’re curious about how this treatment could benefit you. Laser Forefront is a great place to start, as our team is experienced in providing personalized care tailored to your needs. Understanding your unique situation can ensure the treatment is both safe and effective.

Complications Associated with Vaginal Rejuvenation

Image by Nadzeya Haroshka

While laser vaginal rejuvenation is generally considered safe and minimally invasive, like any medical procedure, it does carry a small risk of complications. These are rare and can be minimized with proper technique, patient selection, and aftercare. Some potential complications include:

Infection

Risk: As with any procedure involving the vaginal area, there is a slight risk of infection. This can occur if bacteria enter the vaginal canal during the treatment or post-treatment if hygiene is not maintained.

Prevention: Using sterile equipment and following proper post-procedure hygiene instructions can significantly reduce this risk.

Swelling or Redness

• Risk: It is typical for the vaginal area to become slightly swollen or red following the treatment. This is generally a mild reaction to the laser’s thermal effect on the tissue.
• Prevention: Swelling and redness typically subside within a few days. If the swelling persists or worsens, contact your healthcare provider.

Burning Sensation or Heat

• Risk: Some women may experience a lingering burning sensation or warmth in the treated area after the procedure. This is usually temporary and caused by the laser’s heating effect on the vaginal tissue.
• Prevention: Cooling agents or gels applied immediately after the procedure can help alleviate this sensation. If it persists, consult the provider.

Tissue Damage

• Risk: While rare, improper use of the laser or too high a setting can potentially cause damage to the vaginal tissue. This could result in scarring or other long-term issues.
• Prevention: To avoid tissue damage, it is crucial to choose a qualified and experienced provider who understands laser technology and is skilled in performing the procedure.

Discomfort During Intercourse

• Risk: In rare cases, some women might experience discomfort or sensitivity during sex immediately after the treatment, especially if post-treatment care instructions are not followed carefully.
• Prevention: Follow aftercare instructions, including avoiding sexual activity for a recommended period after the treatment, typically  3-5 days, to allow the tissues to heal.

Increased Vaginal Sensitivity

• Risk: Increased sensitivity or dryness in the vaginal area might occur, mainly if the procedure is not performed correctly or if the patient has underlying hormonal imbalances.
• Prevention: Women with hormonal imbalances should consult with their provider before the procedure. If sensitivity increases post-treatment, appropriate follow-up treatments may be necessary.

Precautions to Take after Laser Vaginal Tightening Treatment

After undergoing laser vaginal tightening, taking certain precautions is essential to ensure the best possible results and minimize any risk of complications. These precautions include:

• Avoid Sexual Activity: Refrain from vaginal intercourse for 3-5 days post-treatment, as the vaginal tissues may be sensitive and require time to heal. Engaging in sex too soon could cause discomfort or potential damage to the treated area.
• Avoid Tampons: Avoid using tampons for about 72 hours after the treatment. This helps reduce the risk of infection and allows the tissues to heal without additional irritation from inserting objects.
• No Douching: Refrain from douching or using any vaginal cleansers for at least 1-2 weeks post-treatment. The vaginal area needs to remain in its natural state to support healing and prevent disruption to the flora that protects against infections.
• Avoid Heavy Exercise: Avoid heavy exercise, strenuous activities, or anything that may cause increased pressure on the vaginal area for the first 48-72 hours. This includes lifting heavy weights or high-impact sports that can strain pelvic muscles.
• Use Mild Hygiene Products: After the procedure, use only mild, unscented soaps or wipes to clean the vaginal area. Avoid any products with harsh chemicals, fragrances, or dyes that could irritate the sensitive tissue.

If you’re ready to take the next step in improving your vaginal health, reaching out to a trusted provider is vital. Laser Forefront is here to answer your questions and help you decide if laser vaginal rejuvenation is the right option for you. Your well-being is our top priority, and a consultation can provide you with the information and support you need to make an informed decision.

How Long Does Vaginal Rejuvenation Last?

The results of vaginal rejuvenation can last anywhere from 1 to 2 years, depending on factors like the individual’s age, hormonal changes, and lifestyle. The procedure stimulates collagen production and strengthens vaginal tissue, but over time, these effects may gradually diminish. Periodic maintenance treatments can help extend the results and maintain optimal vaginal health. Your provider can recommend a personalized plan based on your goals and needs.

Does My Insurance Cover Vaginal Rejuvenation?

In most cases, insurance does not cover vaginal rejuvenation procedures, as they are typically considered elective and cosmetic. Insurance companies may only cover treatments related to medical conditions, such as childbirth injuries, urinary incontinence, or vaginal prolapse if they are deemed medically necessary. It’s advisable to check with your insurance provider for specific coverage details. Still, most patients pay for vaginal rejuvenation out-of-pocket or through financing options provided by the treatment clinic.

How Much Does Vaginal Rejuvenation Cost?

The cost of vaginal rejuvenation can vary significantly based on factors such as location, the clinic or practitioner performing the procedure, and the type of laser technology used—the average cost ranges from $1,500 to $3,500 per session. Multiple sessions (usually 3–4) may be recommended for optimal results, which can increase the total cost of treatment.