Who should have Femilift laser treatment?

Women should consider pelvic surgery if they have

  • muscle relaxation (loose or too wide opening).
  • stress urinary incontinence (leaking urine when jumping, sneezing, coughing or running etc).
  • dryness of the genital area (or atrophic vaginitis).
  • frequent infections have excellent results with the treatment.

Is the treatment painful?

No, the treatment is not painful. You may feel discomfort on the insertion of the probe, especially if you have not been sexually active for a while. Dr Novikova uses oil over the probe to make insertion less uncomfortable. During the procedure, you may feel warmness in the pelvic area. If you feel any discomfort or pain, Dr Novikova will adjust the laser settings to keep you comfortable.

Is the treatment done with anaesthesia?

No, anaesthesia is not needed for this treatment as it is not painful.

How long does the treatment take?

The treatment takes about 15 to 30 minutes.


Where is the treatment done?

The treatment is done in Dr Novikova’s office.

Can I have the procedure on the day of consultation?

Yes, if the treatment is indicated in your case, you can have it on the day of the consultation.

Do I have to take a day off work to have the procedure?

No, you don’t have to take a day off work. You can do the treatment in your lunch break and return back to work.

Are there any situations when I should not have the procedure?

  • Any active genital infection.
  • Active genital herpes infection. If you have past history of genital herpes and do not have lesions, you may have laser treatment.
  • Certain medical disease (for example scleroderma, uncontrolled diabetes)
  • Taking medications that thin blood.
  • Genital bleeding.
  • Pregnancy.
  • Cancer.
  • Pelvic organ prolapse (Stage 2 or more).
  • Unrealistic expectations.

What does a pre-procedure assessment include?

  • Pap smear should be done within the last 3 months before the procedure.
  • General medical assessment, including breast check.
  • Pelvic examination.
  • Pelvic ultrasound.

Dr Novikova will take a detailed history, as well as do a complete medical check including breast check, pelvic examination, pelvic ultrasound and Pap smear before the Femilift laser treatment.

What precautions should be taken after the treatment?

  • You should not have sexual intercourse for 3 days.
  • You should not use tampons for 3 days.
  • Please phone your doctor or the office if you have bleeding, fever or any other concerns regarding the procedure.
  • It is very common to experience increased discharge (sometimes blood-stained) for several days after the treatment.
  • Very rarely, women develop involuntary leaking of urine for 1-2 days after the treatment. This is very uncommon.

What type of laser does Dr Novikova use?

Dr Novikova uses CO² laser called Femilift. This laser is approved by the FDA. Alma Laser has been on the market for decades and the company is a leader in the laser industry. It’s the only pelvic laser that has a disposable probe to cover the handpiece which avoids transmission of any infection.

How does the Femilift laser work?

Vaginal skin contains collagen fibers that give the skin flexibility and strength. The Femilift laser gently heats the skin. This heat contracts the existing fibers. The trauma (very minimal and superficial) caused by the heat, stimulates the growth of new collagen and healthy skin. This process improves and normalizes the blood flow in genital skin, increases lubrication, restores strength and elasticity of the vaginal wall.

When will I see the results of the surgery?

You can expect to feel the full (maximum) results 3 months after your last (3rd) procedure. Some women (especially those suffering from dryness and recurrent infections) feel significant improvement of their symptoms after the 1st treatment. Women with stress urinary incontinence may feel some improvement after 2nd session, but the full effect is felt three months after the last treatment.

Can I have more than 3 treatments?

Generally, 3 treatments are enough to achieve the desired result. If the results were not achieved you may need an alternative treatment such as the sling procedure for stress urinary incontinence or vaginoplasty for tightening of the vaginal area.
Occasionally doctors will choose to do more treatments (usually 4-6 treatments every 2 weeks) if a lower energy of laser has to be used during treatments.

What is the success rate of vaginal laser rejuvenation?

Depending on the problem, the laser treatment improves symptoms of atrophic vaginitis in the majority of women, and it works for mild to moderate stress incontinence in 4 out of 5 women. We do not know how well laser treatment works for vaginal tightening over the longer term as yet.

Will the treatment leave scars?

No, the laser treatment does not leave scars.


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