Vaginal Rejuvenation in Fulton, MD
When Intimate Comfort Changes, Vaginal Rejuvenation Can Help
Comfort, confidence, and intimate wellness
Through childbirth, perimenopause, and menopause, declining estrogen thins the vaginal lining, reduces lubrication, and weakens supporting collagen and elastin. This can cause dryness, burning, itching, painful intimacy (dyspareunia), laxity, and light leakage when coughing or sneezing. Recognized as genitourinary syndrome of menopause (GSM) and vulvovaginal atrophy, these symptoms are common - and treatable.
FemiLift by Alma is a fractional CO2 laser for the vaginal canal. It delivers controlled thermal energy to the mucosa, prompting new collagen, better blood flow, and improved lubrication - a non-surgical, in-office fix for laxity, dryness, and mild stress incontinence in one visit. At Pura Vida, it's offered only at our Fulton, MD location, where Dr. Apgar screens every candidate. Those with active gynecologic concerns are referred to their OB/GYN first.
What Is Vaginal Rejuvenation?
Vaginal rejuvenation at Pura Vida uses FemiLift by Alma, a fractional CO2 laser that delivers controlled energy into the vaginal canal to stimulate new collagen and restore the lining—without surgery, anesthesia, or downtime.
For patient education on related conditions, see the National Institute of Child Health and Human Development resources on menopause and the FDA page on energy-based vaginal devices.
How FemiLift Works
A rotating probe emits fractional CO2 energy that triggers collagen and elastin remodeling, so the mucosa thickens and rehydrates over the weeks following treatment.
What FemiLift Addresses
FemiLift addresses vaginal laxity, dryness, mild stress urinary incontinence, and painful intimacy, and pairs well with our hormone replacement therapy program when systemic symptoms are also present.
What FemiLift Is Not
FemiLift is not a surgical labiaplasty, vaginoplasty, or pelvic floor reconstruction. It does not replace pelvic floor physical therapy for moderate-to-severe prolapse or significant stress incontinence, and it is not a substitute for routine gynecologic care. Patients with untreated gynecologic concerns (abnormal bleeding, suspicious cervical findings, active infection, suspected malignancy) are referred to their OB/GYN before treatment is considered.
Treatment Timeline:
Treatment Time:
15-20 minutes per session
First Signs:
4-6 weeks after the first session
Full Effect:
4-12 weeks after the third session
Downtime:
None, return to most activities the same day
Benefits of Vaginal Rejuvenation
Quiet, non-surgical renewal
Non-Surgical
Laser treatment with no incisions, no anesthesia
Lubrication
Healthier vaginal mucosa with better moisture
Restored Comfort
Less burning, itching, and pain during intimacy
Tissue Tone
Improved vaginal tightness and elasticity
Hormone-Free
A non-hormonal choice without estrogen
Vaginal Rejuvenation vs Alternatives
Compare your intimate wellness options
| Treatment | Type | Surgery | Sessions | Onset | Maintenance | Best For |
|---|---|---|---|---|---|---|
| FemiLift Vaginal Rejuvenation | Fractional CO2 laser, in-office | No surgery, no anesthesia | 3 sessions, 4 weeks apart | 4-12 weeks | 1 annual session | Laxity, dryness, mild stress incontinence, GSM |
| Hormone Replacement Therapy | Systemic or local estrogen, oral or topical | No surgery | Daily or per protocol | 2-4 weeks | Ongoing prescription | Whole-body menopausal symptoms plus intimate symptoms |
| Surgical Vaginoplasty | Operative tightening of vaginal canal | Yes, general anesthesia | 1 surgical procedure | 6-12 weeks recovery | Long lasting structural change | Significant anatomical laxity, not addressed by laser |
Who Is a Good Candidate for Vaginal Rejuvenation?
FemiLift vaginal rejuvenation suits women with intimate wellness concerns from childbirth, menopause, or aging.
Ideal Candidates for Vaginal Rejuvenation
- Postpartum women experiencing vaginal laxity after one or more vaginal deliveries
- Perimenopausal and post-menopausal women with vaginal dryness, burning, or painful intimacy
- Women with mild stress urinary incontinence (occasional leakage with cough, sneeze, laugh, or exercise)
- Women with symptoms of genitourinary syndrome of menopause (GSM) or vulvovaginal atrophy
Who Should Avoid Vaginal Rejuvenation
- Pregnant or actively breastfeeding patients
- Active vaginal, cervical, or urinary tract infection (treat first, then reassess)
- Untreated or undiagnosed gynecologic concerns such as abnormal bleeding, suspicious cervical findings, or known or suspected gynecologic malignancy (OB/GYN referral first)
- Recent vaginal or pelvic surgery without surgeon clearance
Talk to Us First If…
- You're pregnant or recently postpartum
- You have an active infection or a recent gynecologic procedure
- You have specific symptoms you'd like assessed first
- You have specific symptoms you'd like assessed first
During your consultation, Dr. Apgar will review your symptoms and gynecologic history carefully. If anything suggests an untreated GYN concern, we will refer you to your OB/GYN for evaluation before scheduling treatment.
Treatment Overview
What a FemiLift session looks like
Consultation and Screening
Preparation
Treatment
Completion
Follow-Up Series
Side Effects and Safety
FemiLift vaginal rejuvenation is well tolerated by most patients and has a strong safety record when performed by trained clinicians on carefully screened candidates.
Common, Expected Side Effects
Common, usually mild and short-lived effects can include a warm sensation during treatment, mild pressure, light pinkish discharge for 24 to 72 hours, brief spotting, and a temporary increase in awareness of the vaginal area. These effects typically resolve within a few days.
Less Common Reactions to Watch For
Less common effects can include transient burning, itching, or irritation.
Rare Risks and Important Safety Screening
Rare risks include infection, persistent discomfort, vaginal mucosal irritation, or, if not properly screened, exacerbation of an unrecognized gynecologic condition. The U.S. Food and Drug Administration has issued public communications encouraging careful screening and informed consent for energy-based vaginal devices, and we follow those recommendations closely. See the FDA guidance on vaginal rejuvenation medical devices for additional context. Patients who are pregnant, who have an active vaginal or urinary infection, who have abnormal vaginal bleeding, suspected gynecologic malignancy, or who are receiving active pelvic radiation should not undergo FemiLift treatment. Dr. Apgar reviews each candidate carefully and refers to OB/GYN when any concern is identified. Patients with up-to-date Pap testing and a clear gynecologic exam within the past 12 months are generally considered ready for screening.
Cost of Vaginal Rejuvenation in Fulton, MD
Transparent, personalized pricing
Vaginal rejuvenation investment is based on the standard 3-session FemiLift protocol and any annual maintenance treatments. Pricing is finalized after your private consultation with Dr. Apgar so it reflects your specific symptoms and treatment plan.
FemiLift vaginal rejuvenation is offered exclusively at our Fulton, MD location (8110 Maple Lawn Blvd, Suite 145).
Typical Pricing Ranges
- Per-session FemiLift treatment: typically $1,200-$1,800 per session
- 3-session FemiLift package: typically $3,200-$4,800 (most common protocol)
- Annual maintenance treatment: typically $1,200-$1,800 per visit
- Consultation: confirmed at the time of booking
Financing
To make premium intimate wellness care accessible, Pura Vida partners with CareCredit and Cherry for flexible monthly payment plans. Many patients spread their FemiLift package across low monthly payments.
Call (301) 604-8432 or schedule online for a private consultation at our Fulton, MD med spa.
Why Choose Pura Vida Med Spa for Vaginal Rejuvenation in Fulton, MD
Founder Dr. Leslie Apgar, MD personally screens every candidate and confirms FemiLift is right before treatment. Care is provided in a private, discreet setting at our Fulton, MD location.
Physician Founded
Candidacy and treatment overseen by Dr. Leslie Apgar, MD, board-certified physician
FemiLift by Alma
Fractional CO2 laser platform designed specifically for vaginal indications
Private and Discreet
Treated in a quiet, comfortable room at our Maple Lawn med spa
Fulton-Only Service
Vaginal rejuvenation is offered exclusively at our Fulton, MD location
No Surgery, No Downtime
FemiLift delivers meaningful improvement to laxity, dryness, and mild incontinence without incisions.
Integrated Wellness Approach
Our team can coordinate vaginal rejuvenation with hormone replacement therapy.
Related Services in Fulton and Marriottsville
Pair your vaginal rejuvenation care with these popular Pura Vida treatments.
Hormone Replacement Therapy
Bioidentical HRT and Hormone Pellets for Women and Men
- Women in perimenopause or menopause with hot flashes, night sweats, sleep changes, or vaginal dryness
- Women with low libido, mood changes, or brain fog confirmed by hormone testing
- Men with symptoms of low testosterone (fatigue, low libido, mood, body composition changes) plus lab confirmation
IV Therapy
Customized IV Drips for Hydration, Energy and Immune Support
- Generally healthy adults seeking hydration and wellness support
- Patients recovering from travel, jet lag, intense workouts, or social events
- Individuals with mild seasonal fatigue or low energy who have been medically cleared
MiraDry
Permanent Treatment for Long-Lasting Freedom from Excessive Sweating
- Adults bothered by excessive underarm sweating, regardless of severity
- Patients who soak through shirts, change clothing during the day, or avoid certain fabrics
- Those frustrated with clinical-strength antiperspirants or aluminum-based products
Vaginal Rejuvenation Questions
Answers from our medical team
01 What is FemiLift vaginal rejuvenation?
FemiLift by Alma is a fractional CO2 laser platform designed for the vaginal canal. It uses controlled thermal energy to trigger collagen remodeling, improved blood flow, and restored mucosal thickness, addressing vaginal laxity, dryness, painful intimacy, and mild stress urinary incontinence without surgery.
02 Does FemiLift hurt?
Most patients describe FemiLift as comfortable, similar in sensation to a routine pelvic exam with mild warmth or pressure. The treatment is well tolerated and does not require anesthesia.
03 How many FemiLift sessions do I need?
The standard protocol at Pura Vida is 3 sessions spaced 4 weeks apart, followed by an optional annual maintenance treatment to extend results. Dr. Apgar will personalize the plan based on your symptoms and goals.
04 When will I see results from vaginal rejuvenation?
Most patients begin to notice improvements in dryness, comfort, and tissue tone between 4 and 6 weeks after their first treatment, with continued improvement after each session. Full benefits typically arrive between 4 and 12 weeks after the third session.
05 Is there any downtime after FemiLift?
There is no formal downtime. Most patients return to daily activities the same day. We ask you to avoid intercourse, tampons, and vigorous exercise for 3 to 5 days to let the tissue settle.
06 Is vaginal rejuvenation offered at both Pura Vida locations?
No. FemiLift vaginal rejuvenation is offered exclusively at our Fulton, MD location in Maple Lawn (8110 Maple Lawn Blvd, Suite 145).
07 Who should not have FemiLift treatment?
FemiLift is not appropriate during pregnancy or breastfeeding, with an active vaginal or urinary infection, abnormal vaginal bleeding, suspected or known gynecologic malignancy, recent pelvic surgery without clearance, or during active pelvic radiation therapy. Dr. Apgar screens every candidate carefully and refers to OB/GYN whenever a concern is identified.
08 Can I combine FemiLift with hormone replacement therapy?
Yes. Many patients pair FemiLift with bioidentical hormone replacement therapy when systemic menopausal symptoms are also present. Dr. Apgar reviews your full picture and recommends the combination that best fits your goals.
Schedule Your Vaginal Rejuvenation Consultation
References
- Salvatore S, Nappi RE, Zerbinati N, et al. A 12-week treatment with fractional CO2 laser for vulvovaginal atrophy: a pilot study. Climacteric 2014. PubMed (PMID: 24605832).
- Salvatore S, Leone Roberti Maggiore U, Athanasiou S, et al. Histological study on the effects of microablative fractional CO2 laser on atrophic vaginal tissue: an ex vivo study. Menopause 2015. PubMed (PMID: 25608269).
- Pieralli A, Fallani MG, Becorpi A, et al. Fractional CO2 laser for vulvovaginal atrophy (VVA) dyspareunia relief in breast cancer survivors. Arch Gynecol Obstet 2016. PubMed (PMID: 27514877).
- Sokol ER, Karram MM. An assessment of the safety and efficacy of a fractional CO2 laser system for the treatment of vulvovaginal atrophy. Menopause 2016. PubMed (PMID: 27243574).
- Perino A, Calligaro A, Forlani F, et al. Vulvo-vaginal atrophy: a new treatment with microablative fractional carbon dioxide laser. Maturitas 2015. PubMed (PMID: 25554580).
- Athanasiou S, Pitsouni E, Grigoriadis T, et al. Microablative fractional CO2 laser for the genitourinary syndrome of menopause: up to 12-month results. Menopause 2019. PubMed (PMID: 30562318).
- Cruz VL, Steiner ML, Pompei LM, et al. Randomized, double-blind, placebo-controlled clinical trial for evaluating the efficacy of fractional CO2 laser compared with topical estriol in the treatment of vaginal atrophy in postmenopausal women. Menopause 2018. PubMed (PMID: 29178973).