Intimalase — Laser Vaginal Rejuvenation

Intimalase at Eva Clinic is a non-surgical vaginal rejuvenation treatment using the Fotona SP Dynamis laser with its G-Runner automated vaginal applicator. The Er:YAG laser energy is delivered in a controlled 360° automated rotation to all segments of the vaginal wall, stimulating collagen remodelling and tissue tightening from within. The treatment addresses post-pregnancy vaginal laxity, vaginal dryness (particularly in peri- and post-menopausal women), recurrent infections from altered mucosal health, and reduced sexual function. The procedure is completely painless — clients experience only mild warmth — requires no anaesthesia, and has a recovery restriction of only one week of sexual abstinence.

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. At Eva Clinic, the Intimalase session begins with positioning on the examination table; no anaesthesia or sedation is required. The G-Runner applicator is inserted, and the 20–25 minute automated laser delivery covers the full vaginal length. A supplementary treatment of the vaginal entrance (vestibule) is then performed with a surface applicator — this addresses the external mucosal tissue around the introitus, which can contribute to discomfort and dryness. Clients report only mild warmth during the procedure. There is no bleeding, no discharge, and no recovery products are required. Sexual abstinence for one week post-treatment allows the mucosal tissue to complete initial collagen remodelling undisturbed; public pools and baths are also avoided for one week to reduce infection risk. Results include improved vaginal firmness and tone, increased natural lubrication, reduced recurrent bacterial and yeast infections (attributed to normalisation of mucosal pH), and improved sexual function reported by both patients and partners. The effect develops fully over 3 months as collagen remodelling completes. Most patients are satisfied after 1–2 sessions; a maintenance treatment every 1–2 years sustains the result. Contraindications include acute gynaecological infections, active HPV lesions or cervical dysplasia, intrauterine devices in certain positions, pregnancy, and systemic autoimmune connective tissue disorders.