I appreciate everything you have done professionally and also your empathic concern for my welfare. It means so much in the patient-doctor relationship. You are special.
Thank you for helping me feel less stressed about how I am going to look after the surgery. It has been a very scary experience for me and you have helped to take some of the great fear out of the outcome. Thank you so much!
Grateful for your expertise. Grateful for your gift. Grateful for the start of a healthy new life. Grateful for you Dr. Timek. Thank you for everything.
We are amazed at what has been accomplished so far and I am looking forward to future recovery. It is so good to be in skillful hands.
I do not know that words can even express how special you have been to me and what a positive difference you all have made in my life.
My experience at Advanced Plastic Surgery has been wonderful. Dr. Timek has a lovely empathic extension, I felt heard, and understood.

Vaginal Rejuvenation

Vaginal health and age

Estrogen deficiency leads to a variety of physical changes of the vulva, vagina, and lower urinary tract, associated with vaginal dryness, burning, irritation, lack of lubrication, painful intercourse, as well as urinary symptoms of urgency, painful urination, and urinary tract infections. Vaginal discomfort and urinary incontinence can also occur in pre-menopause and after child birth. These symptoms are chronic in nature and may worsen with time jeopardizing sexual function and the quality of life. Local estrogen treatment may be effective to treat vaginal changes, however, the data on its safety particularly in women with personal history of estrogen-dependent tumors are lacking. Laser vaginal rejuvenation has been shown to be effective and safe in treating the troublesome vaginal and urinary conditions of menopause, increase sexual function, and improve the quality of life.

Laser vaginal treatment, how it works

The CO2 fractional laser gently and painlessly acts on the vaginal walls through a special scanner. This action creates indistinguishable micro-lesions that are required for production of new collagen which reorganizes and re-equilibrates the components of the vaginal mucosa and the urogenital structures.


A tissue regeneration process lasting numerous weeks is triggered with each laser treatment. Significant improvements can be seen even after the first treatment: the vaginal mucosa becomes more nourished and hydrated and the epithelium becomes thicker, more toned and elastic. The correct vaginal pH becomes reestablished, which helps maintain its natural protective barrier and reduces the risk of infection. Enhanced vaginal tissues at the urethral opening may improve incontinence and sexual function. However, laser vaginal rejuvenation in itself cannot guarantee a heightened sexual response, since desire, arousal, and orgasm are complex, highly personal responses.

Frequently Asked Questions

Are there any risks?
There are some minimal risks. Most women report temporary side effects, slight redness or swelling. This discomfort that usually disappears in few days.

How many treatments are recommended?
For best results, we recommend 2-3 treatments 4-6 weeks apart followed by one treatment annually.

How long do the effects of the treatment last?
The results are immediate, even after the first treatment and improve over subsequent months. The regeneration process that it triggers may fade overtime, when it may be advisable to repeat the treatment.

What do patients experience during treatment?
Patients may experience a slight pressure against vaginal wall and increased sensitivity near the vaginal opening.

How is the recovery?
Most women report slight localized discomfort following the laser treatment and during the first few days after the session. Usually, ladies are able to resume their normal routine after 1 -3 days.

When can I resume sexual activity?
Intercourse should be avoided in the first 3-4 days after the treatment.

Complementary treatments
Laser vaginal treatment can be combined with labioplasty. Labioplasty changes the size or shape of the labia, typically making them smaller or correcting an asymmetry between them.