Comprehensive vaginal rejuvenation in Puebla

What is comprehensive vaginal rejuvenation?

Comprehensive vaginal rejuvenation is a set of medical-laser treatments that improve the quality of the vaginal lining and wall without surgery: they address laxity after childbirth, the dryness and burning of menopause (genitourinary syndrome) and certain stress-related urine leaks. It is done in the office, on an outpatient and discreet basis.

It is called comprehensive because it is not a single machine or a single protocol: depending on what each patient needs, different laser applications are combined —and, when it helps, a pelvic-floor strengthening phase—. The laser works by photothermolysis: it heats the collagen of the vaginal wall in a controlled way to stimulate new collagen, improve the trophism and hydration of the lining and restore firmness to the tissue.

Two things are worth separating from the start. This is not intimate surgery: it does not change the shape of the labia —that is labiaplasty, a different consultation— nor does it correct a prolapse. And not every symptom is simply treated with a laser: incontinence is diagnosed before it is treated, and that diagnosis belongs to urology or urogynaecology, not to a device.

Techniques used by Dr. Arístides Arellano

There is no single laser for intimate rejuvenation: the right technique depends on the symptom —laxity, dryness or urine leakage—, on the phototype and on the state of the lining. That is why it is chosen at the consultation, and several are often combined:

• FemTouch — a gynaecological fractional CO₂ laser protocol (Lumenis AcuPulse DUO): it stimulates the vaginal lining to improve trophism, hydration and elasticity. It is the typical indication for vulvovaginal atrophy after menopause.
• IntimaLase — an Er:YAG laser (Fotona) aimed at tightening the vaginal wall: it is the answer to the laxity many women notice after one or more vaginal births.
• RenovaLase — an Er:YAG laser (Fotona) for the genitourinary syndrome of menopause: dryness, burning, irritation and discomfort during intercourse, especially in those who cannot or do not wish to use hormone therapy.
• IncontiLase — an Er:YAG laser (Fotona) for mild-to-moderate stress urinary incontinence (the leak on coughing, laughing, sneezing or lifting). Its use depends on a prior urological diagnosis: not every incontinence responds, and saying so beforehand spares you sessions that were never going to work.
• As a non-laser complement, when the goal includes the pelvic floor, the magnetic stimulation of the StarFormer IntimaWave chair —applied seated and clothed— can be added. It is a separate phase of the plan, not part of the laser.

How is it performed?

The treatment is carried out in the office, in a few minutes per session, with no operating theatre and no general anaesthesia. A handpiece or probe that emits the laser is introduced over the vaginal wall —and, depending on the protocol, over the vulvar area—. Most patients describe a tolerable sensation of heat; some protocols use a topical anaesthetic, but rarely is more needed.

It is not a single session. Collagen takes weeks to reorganise, so the work is done in a series of spaced sessions —the number is set at the consultation according to the symptom and starting point— and an annual maintenance is usually scheduled afterwards. Improvement is felt progressively, not immediately, and results may vary from one person to another.

Here we repeat what sets this apart from a machine centre. If the reason is incontinence, the correct order is diagnosis first: a urological or urogynaecological assessment. The laser (IncontiLase) helps in mild-to-moderate stress incontinence; in urge incontinence, or with a significant prolapse, no laser resolves the underlying problem, and in those cases you are told so even if the session was already booked. Before treating, it is also wise to have an up-to-date Pap smear and to rule out active infection or pregnancy.

All surgery carries risk and requires a prior medical assessment. Results may vary according to each patient, their anatomy and their individual healing process.

Who is a good candidate?

• Women with vaginal laxity, usually after one or more births, who want to improve tone without undergoing surgery.
• Patients with menopausal symptoms (dryness, burning, irritation, discomfort during intercourse), especially if they cannot or do not wish to use hormone therapy.
• Women with mild-to-moderate stress urinary incontinence who have already been assessed by urology or urogynaecology and for whom the laser is a reasonable option.
• People in good general health with realistic expectations, not pregnant, without active genital infection and with an up-to-date Pap smear.
• It is not the right route for a significant prolapse, urge incontinence or reshaping of the labia: those cases need another solution, defined at the consultation.

Recommended post-treatment care

After each intimate-laser session recovery is usually straightforward: there may be mild discomfort or a light discharge for a day or two, and as a general rule tampons, intercourse, swimming pools and high-impact exercise are avoided for the days you are told, to let the lining heal. If the plan includes a pelvic-floor or maintenance phase, it is scheduled separately. You are reassessed at the end of the series to decide whether reinforcement is needed. See the full guide: Post-surgical recovery and care.

Before and after

Most patients want to see before-and-after photographs before deciding. Out of respect for each person’s privacy, Dr. Arístides Arellano shows real cases —always with documented consent— during your in-person consultation, where you can review results from patients with a starting point similar to yours. Results may vary from patient to patient.

Approximate price

A session starts at $8,000 MXN and the course of 5 sessions at $24,000 MXN, approximate figures depending on the area treated and how many sessions your response calls for. Approximate price — the definitive cost is set at your private consultation with Dr. Arístides Arellano.

About Dr. Arístides Arellano

Dr. Arístides Arellano is a plastic surgeon holding a specialty licence: he practises under a Mexican medical licence (D.G.P. 1125959) and a specialty licence in Plastic & Reconstructive Surgery (0002008), both issued by the Directorate General of Professions (DGP), which reissued his certificate of professional standing in 2025. His career began before Mexico’s present-day specialty-board system existed: he belongs to the founding generation of plastic surgery in Puebla, the second generation of a surgical tradition started in 1971 by Dr. Francisco Arellano Ocampo. Trust is verified, not promised: both licences are public and anyone can look them up in the DGP’s National Registry of Professionals.

Related patient guide

This is a consultation many patients postpone for years, and choosing whom to trust with it matters as much as the technology. To know what to verify before deciding, read How to choose a plastic surgeon in Puebla, with criteria that apply to an intimate treatment too.

Trust is verified, not promised. All 210 scanned documents —degree, licences, diplomas, publications and certificates, from 1977 to 2025— are open in Dr. Arístides Arellano’s credential archive, alongside an explanation of the difference between a specialty licence and a board certification.

Recovery · step by step

• Before — the assessmentIf the reason is incontinence, diagnosis first: a urological or urogynaecological assessment. Your Pap smear is checked as current and infection or pregnancy is ruled out.
• Day of the sessionAn outpatient procedure of a few minutes, without general anaesthesia. Normal activity can resume the same day; a tolerable sensation of heat.
• Days 1–3Possible mild discomfort or light discharge. Avoid tampons, intercourse, swimming pools and high-impact exercise for the days indicated.
• Following weeksImprovement is progressive as new collagen forms. The work is done in a series; the number of sessions is set at the consultation.
• MaintenanceAn annual reinforcement session is usually scheduled. Results may vary from patient to patient.

Frequently asked questions

Every figure published on this site is approximate and is not a quote. Any procedure or treatment first requires a private assessment consultation with Dr. Arístides Arellano —$800 MXN, charged separately— and it is at that consultation that the definitive cost of your case is determined.

Educational content; it does not replace a medical consultation. Results may vary from person to person.