Vaginal Rejuvenation & Tightening

Dr Esh, consultant dermatologist runs the female genital health & sexual clinic at Cutis Dermatology. She has extensive experience in the field of reproductive health including intimate female dermatology. 

Your consultation & treatments will be performed in a comfortable, discrete & safe environment in our rooms & operating theatre. Our team can address your intimate concerns, with improved vaginal tone, natural lubrication & stress incontinence without pain, surgery, or downtime. 

Schedule a private consultation with Dr Esh.

Most people don’t know that dermatologists are experts in genital dermatology. We have a formal 4 years of training in sexual health, including specialist management of genital disorders. Coupled with our extensive specialist knowledge of lasers, patients can be assured they are receiving the best treatments. 

Our patients are referred by general practitioners, gynaecologists & urologists

Female genital rejuvenation can address –

• Loss of vaginal tone & improve ‘looseness’ by stimulation of collagen 
• Improves dryness & itch by promotion of lubrication
• Reverse vaginal relaxation syndrome
• Improves stress incontinence

For patients who suffer from symptoms, this treatment is life changing. It improves confidence, relationships & re-establishes intimacy. 

Lasers work by stimulation of collagen & elastin. For facial skin this results in improved skin laxity & lifting. Similarly for the vaginal mucosa, lasers increase collagen & blood vessels. This results in rejuvenation & tightening. 

The erbium wavelength used for this treatment reaches the sub-mucosal layers which results in efficient selective stimulation without damage to the surrounding tissue.

No, it is painless & does not require any injections or numbing agents. This procedure has no downtime & does not require injections or surgery. 

The total treatment time ranges from 10 to 20 minutes. It is that quick!

The treatment typically includes 2 treatments performed within a gap of 4 to 6 weeks. A third treatment may be performed depending on the severity of symptoms. Your treating dermatologists will guide you.  

VRS is common following natural childbirth. It is however part of the aging process. It occurs as a result of reduced hormone production & age-related atrophy. It presents as a loss of vaginal tone or tightness. 

Lasers work by increasing collagen & lubrication, thickening & strengthening the inner vaginal walls. Results are felt within 4 weeks, & maximal at 10 to 12 weeks. 

SUI affects 1 in 3 women. The predominant cause is childbirth. It results from reduced support of the urethra secondary to decrease collagen production. Symptoms include leakage of urine leaking during activities which increase abdominal pressure such as laughing, sneezing, exercise & lifting heavy objects.

Erbium laser treatment contracts & stimulates collagen. This increase in connective tissue provides thickening & strengthening of the vaginal mucosa, resulting in a stronger support network of the bladder

The treatment involves laser delivery through the vagina. Fractional laser delivery creates a controlled painless temperature increase in the connective tissue of the vagina. 

107 participants with urinary incontinence were enrolled in a clinical trial testing the effectiveness of the erbium laser procedure over a 1-year period.

Results after 6 months-

• Of 51 patients with moderate to severe stress urinary incontinence, 45 remained dry, only 6 patients still had moderate SUI, 10 reported mild remaining SUI but none had severe SUI.
• Of the 40 patients with moderate to very severe I only 7 reported remaining moderate or severe grade mixed urinary incontinence. 33 reported none or mild MUI.84 of 107 patients assessed the improvement of their UI after 6 months as excellent, 15 reported significant change and 8 reported mild to moderate improvement in symptoms. 
• There were no significant side effects due to laser resurfacing.

It’s far less complex than facial laser resurfacing- 

1. No sexual intercourse of 72 hours
2. No swimming for 48 hours

Yes, ablative fractional lasers including Juliet, Mono Lisa & others can help treat lichen sclerosus. They are useful as adjunctive therapy to ultrapotent topical corticosteroids such as clobetasol propionate.

Be guided by your referring dermatologist.

The Juliet is an erbium laser manufactured in Germany. It has a very small but powerful spot size. Erbium has a much faster healing time compared to CO2 lasers, & it is much more effective than radiofrequency devices. The special handpiece has been designed with vaginas in mind, and the patented instrument allows the treatment of the full vaginal wall.