The Issue

Despite the passage of time, many women retain their youthful energy and enthusiasm. However, post-menopausal changes can affect a woman’s quality of life in unexpected ways. Now there is a gentle laser therapy that can help the millions of women who are silently suffering.

What is the MonaLisa Touch?

The MonaLisa Touch is laser vaginal rejuvenation therapy that delivers controlled energy to the vulvar and vaginal wall tissue. It restores vaginal health by generating new collagen, elastin, and vascularization. The MonaLisa Touch was first available outside the U.S., where thousands of patients have been treated worldwide

How does it work?

The MonaLisa Touch uses gentle laser energy that is delivered via a side-firing probe inserted into the vaginal canal. A two-part pulse targets surface (epithelial) tissue and deep (lamina propria) tissue to promote vaginal mucosal revitalization.

What clinical trials have been conducted on the MonaLisa Touch?

A multisite study was conducted by Dr. Mickey Karram, Director of Fellowship Program on Female Pelvic Medicine & Reconstructive Surgery at The Christ Hospital, Cincinnati, OH and Dr. Eric Sokol, Associate Professor of Obstetrics and Gynecology at the Stanford University Medical Center. The trial assessed the use of CO2 fractional laser therapy on 30 women with vaginal health issues due to natural or induced menopause. All of the patients in the trial were treated with the MonaLisa Touch laser therapy. Results were:

  • Overwhelmingly positive and immediate
  • Statistically significant improvement in symptoms after first treatment
  • Escalation of progress with each subsequent treatment
  • *Women in the study either experienced natural menopause or induced menopause as the result of hysterectomy or drug-induced suppression of ovarian function (chemotherapy, radiations, and anticancer drugs such as Tamoxifen).

A study was done by Dr. Stefano Salvatore*, Department of Obstetrics and Gynecology, Vita- Salute San Raffaele University to assess the feasibility of fractional CO2 laser in the treatment of 50 women suffering changes in their gynecologic health. 42 patients (84%) showed significant improvement in their physical and mental quality of life scores over baseline and were satisfied with the treatment. In addition to the multisite study, there are currently eight published studies with six ongoing studies.

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Where can I have this done?

The MonaLisa Touch is an in-office procedure performed by Dr. Stephen’s and his staff. Here at Sarasota Cosmetic Gynecology, we have successfully used this laser since March 2017 with excellent results.

Does the procedure hurt?

The procedure requires no anesthesia. Some patients may experience some discomfort the first time the probe is inserted, but the actual treatment is not painful. Many patients report that it feels like a gentle vibration. For external treatments of the vulva, a mild anesthetic cream will be applied for local anesthesia.

How long does it take?

Patients receive three treatments, spaced six weeks apart, which each take less than five minutes to perform.

When will I see results?

Most patients feel improvement after the very first treatment, although the procedure calls for three treatments that are generally spaced over an 18-week period.

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How long does it last?

Patients should expect to come back annually for a maintenance treatment.

What are my limitations after the procedure is done?

Patients should refrain from sexual activity for two t0 three days. Your doctor will determine a post-procedure regimen that is right for you.

For which patients is this treatment appropriate?

The MonaLisa Touch is appropriate for any female suffering from issues from a decline in estrogen, as well as those who are experiencing symptoms as a result of a hysterectomy or breast cancer treatments.

Is this procedure safe for women with breast cancer?

Yes, the MonaLisa Touch therapy is particularly well suited for patients who cannot, or prefer not, to receive estrogen therapy.

MonaLisa Touch vs. Its Competitors

The MonaLisa Touch works very differently from its competitors with its proprietary DEKA pulse technology which penetrates the tissue to a specified depth and spreads laterally as well. It is therefore fractionated CO2 in this manner, which means more tissue is involved in the repair process, leading to better overall results in a shorter period of time.

Are you struggling with discomfort and pain? Contact us in Sarasota to start a conversation about how we can help!