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Femilift Presentation
- 3. Femilift™ is an FDA-approved pixel CO2 laser designed and invented by Alma Lasers™ to treat vulvo-vaginal dryness, vaginal laxity and mild to moderate urinary incontinence Definition
- 4. Treatment Options Vaginal Atrophy Urinary Incontinence Vaginal Laxity
- 5. Symptoms of Vaginal Atrophy Vaginal Dryness Vaginal Burning / Irritation Decreased Lubrication During Sexual Activity Painful Intercourse Vaginal Bleeding or Vulvar Fissures Vaginal Discharge Pelvic Pressure or Vaginal Bulging Urinary Tract Symptoms Frequency, Pain, Bleeding or Incontinence
- 6. Treatments of Vaginal Atrophy Hormonal Medications Estrogens Estrogen Agonist-Antagonist (Osphena) Non-Hormonal Vaginal Lubricants Vaginal Moisturizers Regular Sexual Activity NEW: Laser Vaginal Rejuvenation
- 7. Types of Urinary Incontinence Stress Urinary Incontinence Urge Incontinence Mixed Incontinence Overflow Incontinence Atypical Incontinence
- 8. Urgency Frequency Nocturia / Enuresis Dysuria Symptoms of Urinary Incontinence
- 9. Urinary Tract Infection Medications Abnormal Growths (Polyps, Stones, Cancer) Urinary Tract Abnormalities (Fistula, Diverticulum) Neuromuscular Problems Pelvic Support Problems Causes of Urinary Incontinence
- 10. Treatment of Urinary Incontinence Lifestyle Changes Bladder Training Physical Therapy Pessary Medications Bulking Agents Surgery NEW: Laser Vaginal Rejuvenation
- 11. Causes of Tissue Aging & Laxity Genetics Menopause Low Estrogen States Pregnancy & Childbirth Smoking Obesity Significant Weight Fluctuation
- 12. Treatment of Pelvic Prolapse Lifestyle Changes Bladder Training Physical Therapy Pessary Vaginal Mesh Surgery NEW: Laser Vaginal Rejuvenation
- 13. Surgical Complications Surgical Injuries (Organ Damage) Voiding Dysfunction Bladder Perforation Pelvic Visceral Injuries & Hemorrhage Mesh Erosion & Extrusion Urinary Tract Infections Groin Pain Dyspareunia
- 14. + Normal tissue is comprised of a thin top layer (the epidermis) that rests on a deeper layer (the dermis). The dermis contains a matrix of collagen (the basic building block of skin) and elastin that provides structure and support to the vaginal tissue. Dermis Epidermis Elastin Fibers Collagen Fibers + Aging and obesity degrades the vaginal tissue’s normal collagen and replaces it with abnormal tissue that does not stretch and recoil. This creates tissue laxity. Elastosis + CO2 laser removes the abnormal upper tissue layers, and stimulates new collagen growth in the dermis to effectively restructure and restore it to a state that resembles undamaged tissue. New Collagen Collagen Remodeling Process
- 15. Non-Invasive Measures External Energy Application CO2 Laser (with certain settings) Er: YAG Radiofrequency Ultrasound
- 16. Effective Mechanism Thermal Damage Superficial Shrinkage Deep Asceptic Wound Collagen Remodeling
- 17. Collagen Remodeling & Stimulation-Mechanism of Action Acute Thermal Damage Phase (48-72 hours) Edema Release of Chemical Mediators Collagen Shrinkage Proliferation Phase (30 days) Fibroblastic Recruiting New Dermal Molecular Matrix New Collagen Fibers Remodeling Phase (? months) Mature Collagen Fibers New Elastic Fibers
- 18. To achieve safe and effective collagen remodeling for vaginal tissue rejuvenation, it is important to have thermal effect and avoid ablative damage. FemiLift™ Safety
- 19. FemiLift™
- 20. Objectives Improving Vaginal Dryness & Pain Vaginal Tightening & Improving Sexual Experience Treating Mild to Moderate Stress Incontinence
- 21. Fractional Ablation X 150 demonstration Intentionally wounded tissue Healthy tissue = healing reservoir
- 22. Alma’s vaginal probe delivers 9x9 dots of laser per 1cm2 Beam splitter CO2 technology allows short, easy, efficient treatment protocol Shorter downtime & accurate treatment area control Photo courtesy of Dr. Femopase Gabriel, Argentina FE11171401Rev A Alma FemiLift™
- 23. Pre-Treatment Consultation Complete Health History Questionnaire Vaginal / Bladder Questionnaire Complete OB/GYN History, Including Pap Smear Results Pelvic Exam
- 24. Contraindications Active HPV / Herpes Abnormal Pap Smear Active Vaginal Infection GYN Cancer Undiagnosed Vaginal Bleeding Uncontrolled Diabetes Pregnancy Recent Vaginal Injury Any Active Bleeding (Including Menses)
- 25. Treatment Protocol Office Procedure No Anesthesia 2-3 Passes of Entire Vaginal Canal 3 Sessions 1 Month Interval 1 Memory Session After 1 Year May Repeat Full Course After 2 Years
- 28. Domestic & International Experience 87% of patients report significant improvement in Vaginal Rejuvenation and Tightening 78% of patients report improvement of Stress Incontinence 88% reported complete dryness afterwards 12% have less leakage afterwards 22% with insignificant or no improvement
- 29. There is no such thing as PERFECT or COMPLETE… only continuous improvement.
Editor's Notes
- Lifestyle changes (weight loss, avoid constipation, fluid restriction, limit caffeine intake, stop smoking, treat chronic coughing) Bladder Training Physical Therapy (Kegels, biofeedback) Pessary Medications Bulking Agents Surgery
- Each phase transitions in
- The Alma Pixel CO2 laser has a solid-state Coherent tube. Coherent tubes have a proven track record of reliability since the 1980’s. The FemiLift hand piece with reflective mirror and single-use sheath delivers a 9x9 pixel (1cm2) spot to the tissue. The sheath has 1cm markings for precision delivery of the laser energy for a quick, virtually painless in-office procedure with no downtime.