New Minimally Invasive Procedure with No Pain or Downtime… From Dr. Michael Goodman, Caring For Women Wellness Center
- Laser Vaginal Tightening for Improved Sexual Pleasure and Relief from Minimal Urinary Incontinence
- Laser Vaginal Therapy for reversing Vaginal Atrophy (Good also for Breast Cancer Survivors with Vaginal Atrophy)
What is FemiLift?
A non-surgical, painless 15-minute office procedure utilizing reliable third-generation CO2 fractional Laser Pixel technology delivered into the vagina via a vaginal-shaped probe. The procedure consists of 3 treatments over 12 weeks, with a “touchup” one year later. The results are a noticeable tightening of the entire vaginal barrel for increased friction and pleasure during sexual intimacy. If utilized in a different power mode, FemiLift is also quite effective in reversing the atrophic effects of aging in the vagina.
What does FemiLift accomplish (for vaginal tightening)?
FemiLift works via pulses of laser energy into the collagen layer of the vaginal mucosa, where concentrated thermal heating leads to collagen and elastin “shrinkage” and secondary regeneration, producing a tightening of the vaginal tissues. The initial shrinkage and secondary regeneration produce improved pressure on the “G-Spot” and increase the stretch of the internal bulbs and crurae of the internal portion of the clitoris. Tightening also occurs along the base of the overlying bladder, with evidence shows that it also improves the pesky problem of minor urinary incontinence.
The outcome of this procedure is the complete remodeling of the vaginal mucosa, in addition to the re-establishment of robust “younger-seeming” vaginal tissue embedded with thick and long collagen fibers.
What does FemiLift accomplish (for vaginal atrophic changes)?
By altering and rearranging collagen fibers, enabling the formation of elastin and better collagen formation, FemiLift can provide long-term reversal of the atrophic effects of aging on the vaginal walls.
How does FemiLift work?
A laser generator produces safe pulses of patterned pixel-screen laser energy delivered via a tube-shaped intra-vaginal device. These pulses generate laser beams in a grid less than ½ mm apart and 0.6 mm deep via a microscopic laser-produced opening at intervals of several millimeters into the collagen under the dermis (the layer just underneath the vaginal skin). This causes a 360° symmetrical micro-contracture of the entire vaginal barrel, leading to overall tightening in the case of laxity, including tightening of the upper vagina, producing added support for the base of the bladder. In a different power mode, FemiLIft may be utilized solely to stimulate collagen and elastin formation to enable better “stretchability” of the vaginal tissues.
Who is a good candidate for this procedure? Who is not?
Candidates: Women with minimal to moderate vaginal looseness or laxity not severe enough to need a complete surgical repair (“Vaginoplasty”), but bothersome enough (less “grip,” too much “droop”) to diminish sexual pleasure and sometimes lead to modest urinary incontinence. Perfect candidates are:
- Women who have not yet had a child but either feel themselves “wide” inside or have a partner with a smaller-sized penis.
- Women with laxity after childbirth who plan on another child/children and need “temporary” tightening until their final childbirth, after which they may undergo a permanent surgical tightening procedure if the problem persists.
- Women who will undergo a Vaginoplasty (surgical tightening procedure) of the outer (lower) half of the vagina/vaginal floor, but also have noticeable widening in the far inner (upper) vagina (where a surgical pelvic floor tightening procedure traditionally cannot reach), which frequently occurs with a coexisting problem of occasional involuntary loss of urine, and who wish to avoid an in-hospital general anesthesia, which is sometimes risky for upper-vaginal repair.
- Women with mild urinary incontinence.
- Women with only modest vaginal laxity and decent musculature, who wish to avoid a surgical procedure.
- Post-menopausal women with dry, atrophic vaginal tissues.
- Women with a significant pelvic floor vaginal laxity involving significant widening and muscular separation; these women need a surgical repair and will be disappointed with a solely laser procedure.
- Women with significant urinary incontinence and/or prolapse; these women need a surgical repair/“sling” or “tape” procedure.
- Women with very tightened, atrophic vaginas; these women will first need to undergo re-estrogenization and mild mechanical dilation in order to physically accommodate the treatment probe.
Which health care professionals should be doing the procedure? Which should not?
Laser vaginal tightening should ideally be performed only by a surgeon who also is trained and skilled in the performance of surgical Vaginoplasty and, hopefully, savvy in pelvic floor muscle physical therapy. A Board-Certified Gynecologist who is additionally skilled and certified in cosmetic and plastic vaginal pelvic floor work and savvy in the usage of lasers for vaginal tightening is ideal, as he/she is uniquely able to choose the right procedure for the right patient for the right reasons and is less inclined to (mis)use the laser in women who truly need only pelvic floor PT or in women who truly need surgery.
Laser treatment for vaginal atrophic changes should be performed only by a Board-Certified Gynecologist who is well-versed in the issues associated with, and the alternative treatment modalities for, menopause
What is the science behind this procedure?
The FemiLift laser utilizes pixel CO2 fractional pulsed light wave technology as a cutting, tightening or resurfacing tool. In this instance, non-ablative laser waves exiting the tube 360° at closely spaced intervals “drill” microscopic, closely spaced micro-punctures 0.6 mm (600 microns) into the dermis, producing a mini-defect in the collagen that contracts, producing shrinkage (in proper power settings) and stimulating the collagen and elastin to grow, thus bulking and “rejuvenating” this layer. This technology has been utilized in Europe and Asia for more than 5 years, and a wealth of data has accumulated verifying its effects and success.
How long does FemiLift last?
Present data suggest that, with 3 treatments over a 12-week time period and especially with a “touchup” after one year, the tightening and continence effects are experienced for at least 2-3 years or more, while the atrophic elasticity effects are ongoing with no need for further treatments in properly managed patients.
Other nifty uses of this technology
Co2 Pixelated Laser technology may also be used to:
- Re-surface stretch marks and surgical scars.
- “Bleach” darkened peri-vaginal and peri-anal skin.
How much does it cost? Are there any discounts available?
The full price is $3,000-$3,300 for the series of 3 treatments, plus $1,000 for the touch-up. As an introductory offer during 2015, Dr. Goodman will discount these fees by almost 30% to $2,800 total, including the touchup in one year. For patients undergoing a surgical vaginal tightening, the addition of laser tightening for the upper vagina (series of 3 + touch-up) is discounted over 50% to $1,800 total.
This is new technology. Although it has been cleared by the FDA, FDA approval of “medical devices,” unlike medications, is a short and not necessarily exhaustive process. While it appears, from a limited number of studies, that both laser tightening and relief from vaginal atrophy accomplishes what it promises with little risk of harm, there really are no well-controlled long-term (over 2-3 years) studies like there are for surgical procedures. Surgery remains the “gold standard” for vaginal tightening, but laser treatment may offer benefits in certain situations (see above.) Vaginal estrogen therapy remains the “gold standard” for vaginal health rehabilitation, but there are situations where laser treatment may offer advantages.
“Novel Minimally Invasive VSP Er:YAG Laser Treatments in Gynecology.” Vizintin, Rivera, Fistonic, Sercaglu, Guimares, et al. Journal of the Laser and Health Academy, 2012.
“A 12-Week Treatment with Fractional CO2 Laser for Vulvovaginal Atrophy: A Pilot Study.” Salcatore, Nappi, Zerbinati, Calligaro, Ferrero, et al. Climateric, 2014
“Histological Study on the Effects of Microablative Fractional CO2 Laser on Atrophic Vaginal Tissue: An Ex Vivo Study.” Salvatore, Maggiore, Athanasiou, Origoni, Candiani, et al. Menopause, 2015
“Treatment of Vaginal Relaxation Syndrome with an Erbium:YAG Laser Using 90° and 360° Scanning Scopes: A Pilot Study & Short-term Results.” Lee. Laser Therapy, 2014
“Vulvo-Vaginal Atrophy: A New Treatment Modality Using Thermo-Abative Factional CO2 Lser.” Perino, Calligaro, Forlani, Tiberio, Cucinella, et al. Maturitas, 2015.