Aspen, Colo. – At the most recent edition of The Cosmetic Bootcamp (CBC), Suneel Chilukuri, M.D., discussed treatments for vaginal tightening and feminine rejuvenation.
Regardless of manufacturer, he said, many devices used for feminine rejuvenation incorporate a fractional ablative laser. During the procedure, “It’s firing, just like we do on the face, and you can change the density and other parameters. It’s basically a scanning device. You can use CO2 or erbium:YAG” to ablate microscopic columns through the vaginal wall.
Other devices designed for feminine rejuvenation use radiofrequency technology. “Just figure out which technology works best for you.” When asked how the devices work, he said, “Biopsy shows there’s something happening with the vaginal intimal wall. Histology shows thickening of the vaginal mucosa and increased vascularity. We are assuming this is the result of neovascularization and subsequent neocollagenesis.”
The American College of Obstetrics and Gynecology does not recommend feminine rejuvenation devices, saying that they lack safety and efficacy data. A recent study conducted by Sugar Land, Texas-based gynecologist Shelena Lalji, M.D., included 27 women, 89% of whom achieved a 2-grade improvement in stress urinary incontinence, Dr. Chilukuri said.
“Papers and publications are catching up with the technology.” Dr. Chilukuri is a Houston-based cosmetic and Mohs surgeon.
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