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VAGINA TIGHTENING WITH LASER

What is vaginal laser?

Vaginal enlargement is a problem experienced by many women as a result of tears occurring during childbirth and inadequate tissue healing. While this situation causes serious sexual problems and loss of self-confidence, it also causes problems such as discomfort, constant humidity and odor during intercourse. Women care about the aesthetic and functional condition of the genital area and are looking for solutions to cope with these problems. This is where laser vaginal tightening method comes into play. With this modern treatment method, we aim to reshape the vaginal tissues, narrow the enlarged areas, and provide both aesthetic and functional recovery.

What is a fractional CO2 laser?

Since the first use of the CO2 laser for the treatment of cervical erosions in 1973, laser technology has been used extensively in gynecology. Although laser became extremely popular in the late 1980s, the focus on cheaper technologies in the early nineties due to efforts to reduce health care costs decreased the interest and use of laser energy. However, today, laser has made serious technological progress, has become popular again and has begun to find its deserved place in many fields of medicine.

The CO2 laser is at a wavelength of 10600 nm. It is extremely safe due to its penetration depth of 0.1–0.5 mm and adjacent thermal damage width of 0.5 mm. This safety allows its use in sensitive areas where electrocautery would not be safe, such as the bladder, ureter and intestinal serosa. In addition to vaporization, CO2 laser can also be used for excision and incision by increasing power density.

Fractional CO2 laser therapy is not a new method, contrary to popular belief. It was developed in 2004 and there are many studies in the medical literature showing that it is reliable and it is used safely in most surgical branches. Fractional treatment is done by dividing the laser beam into numerous micro beams. As a result of this division, it creates a destruction area focused only on the lesion and normal tissue is not affected, thus having fewer side effects compared to non-fractional treatment.

Fractional CO2 lasers can also be used for other purposes using different set ups and applicators. These are genital area whitening, genital wart treatment, cervical wound treatment, vaginal dryness and pain treatment during sexual intercourse, menopause-related vulvo vaginal atrophy (skin thinning) treatments and urinary incontinence treatment, facial rejuvenation, freckle treatment, blemish treatment, removal of skin tags and reducing surgical scars.

How to Perform Vaginal Tightening with Laser?

The patient is put on the gynecological table. The inside of the vagina is made visible with the vaginal speculum that we use for examination. To increase the effect of the laser, the inside of the vagina is dried with gauze. Then, the device you see in the picture is applied into the vagina and many micron laser pulses are fired at the walls of the vagina. Since these laser shots also increase the production of collagen around the urinary tract, we observe that urinary incontinence improves even in the first session in patients with urinary incontinence.

You do not need to be hungry or thirsty for the procedure. Anesthesia is not required because the inside of the vagina does not feel the pain of laser shots. The surgery takes 10-15 minutes. After the procedure, the patient can return to work and does not need to be distracted from daily activities. It is natural for there to be a dark colored discharge while the vaginal tissue is healing, and intercourse is not recommended for 7 days to give this healing opportunity. After 7 days, you can have sexual intercourse.

Generally, we recommend 2 applications, 1 month apart. In some cases, up to 3-4 applications may be required. Laser treatment can be repeated once a year to ensure the effect is continuous.

The effect of the procedure begins to be felt in both men and women after 3 weeks. Optimum effect is achieved 3-4 weeks after the 2nd session.

Effect of laser therapy on the vagina

Traces of laser shots are seen on the mucosa in this way.

Now, let’s look at how an enlarged vagina with erased rugae can be seen with a microscope.

The dark blue part on top is the vaginal mucosa. As you can see, it has become thin and has lost its function. Now let’s apply laser to this vagina and examine it again with the microscope.

As you can see, there was some deterioration in the tissue due to the effect of the laser. Let’s look at the vagina again 30 days after the laser and what we will see.

We see how the upper layer is renewed and the mucosa becomes thicker. When we put the two pictures side by side, we will see more clearly what the change is.

Now let's observe the change with our eyes, not through a microscope.

Traces of laser shots are seen on the mucosa in this way.

Traces of laser shots are seen on the mucosa in this way.

Change in TWO Sessions:

Another example

Generally, we recommend 2 applications, 1 month apart. In some cases, up to 3-4 applications can be used. Laser treatment can be repeated once a year to ensure the effect is continuous. The effect of the procedure begins to be felt in both men and women after 3 weeks. Optimum effect is achieved 3-4 weeks after the 2nd session.