(ThermiVA, MonaLisa, FemiLift, Vaginal Rejuvenation, Vaginal Tightening, Aesthetic Gynaecology, Cosmetic Gynaecology, Female Genital Cosmetic Surgery, Virgin tightening surgery)

This a question you and our specialist gynaecologist will sit down and answer, as only a gynaecological examination will reveal the nature of the issues you are experiencing.

As you can well understand there is a limit to how much tightening can be achieved non-surgically and there will be situations where you will be advised that a surgical intervention is a better option in your case.

At our clinic our gynaecologist will provide the procedure. After the first consultation you will be told if the degree of vaginal looseness needs 2 treatments or 3 – 4 treatments. Each treatment is done about 4 – 6 weeks apart, generally with a maintenance treatment once a year.

The procedure is very quick and relatively painless and in most instances, there is very little or no downtime.

You should not wear a tampon or have sexual intercourse for 5 – 7 days after the treatment to allow the tissues to settle down and heal, after which you can get back to your normal routine.

You should have an up to date PAP smear result within 1 year of the treatment, before we start the treatment. We advise our patients to wait at least 3 – 6 months after a vaginal delivery to have any tightening treatments. They should also not have the treatment while breast feeding. We plan your treatments when you are not having your menstrual cycle.

Other than some discomfort during and for a short while after the procedure these non-surgical techniques have very few adverse effects in most patients.

Most patients with mild laxity will notice the benefits as early as days to weeks following the treatment. While one treatment will not provide the final result, once achieved (through a series of treatments) the results are stable and long lasting.

Yes, there is evidence to suggest that there is an improvement in the degree of stress incontinence following a series of these treatments.

Broadly speaking there are two classes of devices that are used the Laser Vaginal Rejuvenation systems like FemiLift (CO2 laser, Alma Lasers), IntimaLaser (2940nm Er:YAG laser, Fotona), LadyLift (1470nm Diode Laser, Eufoton), MonaLisa (10600nm, Fractional CO2 Laser, DEKA), CO2RE Intima (10600 CO2 laser, Syneron), The second class of devices use non-ablative Radiofrequency energy ThermiVA (Unipolar RF, no cooling probe, Thermi Aesthetics), Viveve device (Single Session, Cryogen-Cooled, Monopolar Radiofrequency, Viveve), ReVive (Bipolar RF, no cooling probe, Viora), FemiWand (High Intensity Focussed Ultrasound).

You can discuss the pros and cons of choosing the device with our gynaecologist.

No, it is not offered on the NHS