Intimalase — Laser Vaginal Rejuvenation

Vaginal laxity and mucosal atrophy are among the most commonly underreported gynaecological aesthetic and functional concerns, affecting an estimated 40–50% of postpartum women and the majority of peri- and post-menopausal women. Conventional treatment options have historically been limited to surgical colporrhaphy (vaginal tightening surgery) or topical oestrogen therapy — neither of which is suitable or acceptable for all patients.

Intimalase (Fotona) offers a non-surgical laser alternative using the clinic's Fotona SP Dynamis platform. The procedure uses an Er:YAG laser wavelength delivered via the G-Runner — an automated rotating intra-vaginal applicator that delivers controlled laser pulses to the entire vaginal mucosa circumferentially, ensuring even treatment without operator-dependent variability.

The physical mechanism: Er:YAG laser energy at 2940 nm is absorbed by water in the vaginal mucosal tissue, producing thermal stimulation of fibroblasts in the lamina propria. This stimulates collagen type I and III synthesis and collagen fibre remodelling — increasing tissue density and restoring mechanical competence to the vaginal walls. The mucosal surface temperature is maintained within a safe therapeutic window by the automated pulse delivery system.