cosmetic MD


cosmetic MD, we have a painless, walk-in, walk-out non-surgical set of laser procedures that can address the problems of vaginal relaxation (Intimilase) and vaginal atrophy (Renovalase).

As women age, they can notice some changes - a loss of tightness (vaginal relaxation) and dryness of the vaginal lining (vaginal atrophy). Although these are normal features of ageing, until recently, there were limited treatment options apart from hormone replacement and surgery.

Laser treatments are much less invasive than traditional surgical methods for the treatment of vaginal relaxation. There are virtually no complications and is well tolerated by patients. The recovery time is very short. In 2 to 3 days the patient may resume normal sexual activity, and the treatment produces good results in a large percentage of treated patients which may last for a few years.

Utilising cosmetic MD’s long experience with Platelet Rich Plasma, these laser vaginal treatments may be combined with a PRP treatment or the O-Shot to improve the results.

What is Vaginal Relaxation?

Vaginal relaxation is essentially the loss of the “tightness” of the vagina. This process is due to normal changes in the vaginal lining, laxity of the vaginal muscles and the surrounding support tissues. It is generally associated with natural ageing and is specially affected by childbirth, whether vaginal or not. Multiple pregnancies further increase the alteration of these structures.

During the vaginal relaxation process, the vaginal muscles become relaxed with decreased tone, strength, control and support. The vaginal diameter increases with significant stretching of the vaginal wall and less frictional forces generated during intercourse. This has a detrimental effect on sexual gratification and leads to decreased sexual pleasure.

What is Vaginal Atrophy (atrophic vaginitis)?

With ageing and the loss of hormonal support, the vaginal lining also thins and becomes much drier. This is vaginal atrophy and can cause painful intercourse and bleeding, leading to many women avoiding intercourse altogether.

Until now, effective results for vaginal relaxation could only be achieved through invasive surgical treatments such as anterior and posterior vaginal surgery. There are post-operative complications associated with these procedures and a degree of dissatisfaction with the results. The treatment options for atrophy due to menopause generally involves hormone replacement therapy.

How does the laser work?

The laser works by means of gentle laser induced heating of the vaginal and surrounding pelvic tissue. With a special laser device and specific laser protocols, the laser can painlessly heat the vagina, causing collagen restructuring and regrowth and consequently shrinkage of vaginal and pelvic floor tissue. The vaginal lining thickens and tightens to improve atrophy.

In cases of vaginal atrophy, we can offer a preliminary course of vaginal
PRP to rejuvenate the vaginal lining in preparation for the laser treatment. The PRP treatment is similar to PRP in skin rejuvenation. The considerations about using PRP such as intercurrent medications and contraindications and the actual preparation are exactly the same.

Before laser tightening

Stacks Image 821

After laser tightening

Is there any preparation involved before the procedure?

Prior to performing any vaginal treatments, you will have a comprehensive consultation with our physician.

The following conditions should be met before any treatment is undertaken.

  • Normal PAP smear within the last year (you should have this at your GP or gynaecologist before coming to see us)
  • No bladder /urine infection
  • Not pregnant
  • Not a heavy smoker
  • No chronic cough
  • Not a lifestyle with daily heavy lifting
  • Not obese, the best is a body-mass index (BMI) < 30
  • No menstrual bleeding at time of procedure
  • If diabetic, this should be under good control

What can I expect?

The procedure takes about 60 minutes which includes the consultation, consent and the actual treatment.

Depending on your circumstances, we may need to refer you for other investigations prior to the actual treatment.

A second follow up treatment is required 4 to 6 weeks after the first treatment.

Note that having the treatment has no effect on subsequent pregnancy and delivery.

What are the possible side effects?

It is generally painless. Some patients may experience mild pain, burning or itching sensation during treatment at the entrance to the vagina and /or vestibular area, however it is generally well tolerated and usually does not persist beyond 24 hours. No continuing or lasting post-treatment pain has been reported.

There will be mild swelling and erythema of the treated area which should settle within 24 hours.

Is there any special after care advice?

No special after care or medication or special accessories is required.

The following activities should be avoided:

  • Take care to prevent trauma to the treated area
  • Abstain from sexual intercourse for two (2) to three (3) days after treatment
  • Avoid heavy lifting and activities that increase pressure on the area for one month but otherwise resume usual activities
  • Refrain from inserting tampons into the vagina for two (2) weeks
  • Avoid activities that increase pressure on bladder and treatment area for one month such as heavy lifting
  • Maintain voiding diary for two (2) weeks after treatment or as long as directed
  • Prolonged periods of sustained exercise are not recommended for two (2) weeks 


To find out more about these procedures, go to our Contact page to send cosmetic MD an email or call us to organise a consultation.



Intimilase by Fotona

Renovalase by Fotona

Research by clinical specialists available at the
LAHA website


Vaginal rejuvenation, Netdoctor, 30 March 2017

Vaginal rejuvenation, Plastic Surgery Practice, 29 October 2015