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CO2 Laser Vaginal Rejuvenation

How does Laser Vaginal Rejuvenation work?

Laser Vaginal Rejuvenation uses CO2 laser technology specifically tuned to promote new tissue growth and collagen production, which can improve tissues along the vaginal wall. During treatment, the device administers gentle, controlled energy along the vaginal wall, creating microscopic controlled disruptions in the tissue without harming the surrounding area.


The controlled heat of the CO2 triggers your body’s natural healing response, prompting remodeling of the vaginal mucous epithelium layer. This effectively causes tissues to contract, gradually improving appearance and tone in the treated area.

What is the procedure like? 

The CO2  applicator is cylindrical, and it was designed with your personal comfort in mind. The applicator is inserted into the vagina, rotated in a full circle and retracted gradually to ensure the whole vaginal wall has been treated. Depending on your needs, CO2 can also be used on the external vulvar tissues.

Patients report that the procedure is very comfortable and produces only a minor heat sensation. For the first three days after treatment, you will need to avoid strenuous exercise, excess heat or hot showers, vaginal intercourse, and inserting anything into the vagina, including tampons and liquid products.

It is normal to experience some short-term discomfort, itching, discharge, or dryness in the days following treatment, so be sure to use any vaginal gels as directed. For the best, long-lasting results, most patients will need three to four treatment sessions.

What conditions does it treat?

  • Improves incontinence

  • Improves symptoms of menopause

  • Intimacy enhancements

  • Improves the external appearance

  • Restores vaginal function to help eliminate chronic vaginal infections and burning

  • Tightens the vaginal canal


How Long Does It Take?
The procedure is completed in about 20 minutes. The total time of your appointment will be about an hour. This includes time to complete and review paperwork, pre-care and post-care instructions and topical numbing.

Is One Treatment Enough?
Three treatments are recommended for maximum results. The treatments are spaced 4-8 weeks apart. For best ongoing results we recommend a yearly “touch-up” treatment (a single procedure).

When Will I "See" Results?
Within four weeks of the procedure most women begin to feel internal changes. The external area will show results in 10-15 days

How Much Downtime Will I Have?
From a daily routine perspective there is no downtime from the procedure. You can got back to work or your household activities immediately after the procedure. Nothing should be placed in the vagina for 5-7 days after the procedure (tampons, etc.). See the informed consent paperwork for more details.

How Much Does Vaginal Laser Rejuvenation Cost?

A series of an initial three treatments is typically $2,700. A single treatment annual touch-ups are recommended.

What is the Difference this procedure and Labiaplasty?
Labiaplasty is a surgical procedure to reduce the size of the labia. It can be combined with other surgical and non-surgical treatments to help patients achieve their aesthetic goals. More information can be found here: .

Does This Procedure Require Me To Be Sedated Or Under General Anesthesia?
No. The procedure is relatively pain free. A topical analgesic is applied to the external treatment area. The internal treatment does not require any numbing. We do offer Pronox nitrous oxide also known as "Laughing gas" to lessen anxiety. 

What Type of Equipment Is Used In This Procedure?

Laser Vaginal Rejuvenation is performed with a CO2 Laser.

Is Vaginal Rejuvenation FDA approved?

The laser used for Vaginal Rejuvenation has been reviewed by the FDA for the treatment of gynecological issues, particularly for the ablation of unwanted tissues using the CO2 energy. But there is NOT a clearance for for the broader term of Vaginal Rejuvenation. There are no clinical studies to support any claims of improvements in incontinence or intimacy via the laser in use by BSW. Vaginal treatments are off label uses of a device that has been reviewed for other gynecologic issues, but not vaginal rejuvenation, by the FDA.

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Vaginal Atrophy (Atrophic Vaginitis)
Vaginal atrophy is a change in the vagina that develops when there is a significant decrease in
levels of the female hormone estrogen. The condition is also called atrophic vaginitis.
Estrogen, which is produced by the ovaries, plays a vital role in keeping vaginal tissues
lubricated and healthy. When levels of estrogen are low, vaginal tissue becomes atrophic —
thin, dry and shrunken. The vagina may become more prone to inflammation in an atrophic

Common conditions with low estrogen levels that cause vaginal atrophy include:
-Menopause, when normal, age-related body changes cause the ovaries to decrease
their production of estrogen
-Surgical removal of the ovaries before the age of natural menopause, which can be done
at the same time as a hysterectomy (removal of the uterus)
-Treatment with medications used to decrease estrogen levels in women who have
conditions such as uterine fibroids or endometriosis
-Premature menopause, which occurs before age 40, a younger age than is considered
normal for the average woman

Stress Incontinence

Stress incontinence is the unintentional or uncontrollable leakage of urine. In other words, the
inability to control the urge to urinate in certain circumstances.
It is a serious and embarrassing disorder, which can lead to social isolation. Stress incontinence
typically occurs when certain kinds of physical movement (such as Laughing, sneezing,
coughing, jumping, vigorous exercise or heavy lifting) puts pressure on your bladder. This
pressure placed on the abdomen and bladder can lead to the loss of urine.

A series of (3) CO2 laser treatments (with
the Phoenix CO2) may improve vaginal
conditions such as painful intercourse,
vaginal lubrication, itching and urination.

Before and After photos

These pictures are to be viewed by individuals who are 18 years of age or older. The photos are medically explicit and are not to be viewed by minors.