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Non-Surgical
Intimate
Rejuvenation
Transformative results without surgery. At IWish, our non-surgical treatments use the most advanced energy-based, regenerative, and biologic technologies available — physician-directed, evidence-based, and tailored to your tissue and goals.
01
MonaLisa Touch
The MonaLisa Touch is a fractional CO₂ laser that delivers controlled micro-ablative energy to vaginal and vulvar tissue — triggering a regenerative response that restores collagen, elastin, and mucosal health. It is used to treat GSM, vaginal atrophy, dryness, and tissue laxity.
Reverses GSM — dryness, thinning, laxity, and painful intercourse
Stimulates collagen and elastin production in vaginal wall tissue
3-treatment protocol, each session under 10 minutes, no anesthesia
Results typically felt after first treatment; peak at 3–6 months
Annual maintenance treatments preserve results long-term
MonaLisa Touch FAQ ——— Click here to view
What is MonaLisa Touch?
MonaLisa Touch vaginal rejuvenation is a gentle, fractional CO2 laser treatment designed to restore health and function to the vaginal and vulvar tissue. It works by stimulating the body's own healing to create new collagen, nerves and blood vessel production, helping revitalize tissue that's changed due to age, hormones, or childbirth.
How does it work?
The laser delivers gentle energy to the vaginal and vulvar tissue in a series of micro-treatments, triggering a natural healing response that stimulates new collagen, elastin, and blood vessel formation (neovascularization). Over time, this helps restore tissue thickness, elasticity, and moisture.
What is genitourinary syndrome of menopause (GSM), and how does this help?
GSM is the medical term for the collection of vaginal and urinary changes — dryness, thinning tissue, irritation, and bladder symptoms — that happen as estrogen declines. MonaLisa Touch is designed to address the tissue changes at the root of GSM by restoring collagen, new nerve growth, improved tissue health and blood flow to the area.
Can this help with vaginal dryness?
Yes — by improving blood flow to the vaginal tissue and “G-spot” in turn improves vaginal moisture and lubrication and many patients experience a meaningful improvement in natural lubrication and day-to-day comfort.
Can this help with painful intercourse?
Many patients report significant improvement in comfort during intercourse as tissue elasticity, moisture, and thickness improve. Every patient's anatomy and history are different, so we'll talk through realistic expectations for you specifically.
Does this help with urinary incontinence?
MonaLisa Touch can help support the tissue around the bladder neck and urethra, and many patients notice improvement in mild stress incontinence and urinary urgency as bladder tissue health and support improve. It isn't a replacement for a full urogynecologic evaluation if you're having significant bladder symptoms — we'll help determine if additional treatment is needed alongside laser therapy.
Will this affect sensation or orgasm?
Many patients report improved sensitivity and satisfaction as blood flow and tissue health improve, since healthier, better-vascularized tissue tends to be more responsive. Results vary by individual, and we'll discuss what's realistic for your situation.
Does MonaLisa Touch affect the clitoris?
Treatment covers the vulvar and clitoral hood area for patients experiencing dryness, irritation, or sensitivity changes there as well, in addition to the vaginal canal.
Can this help with lichen sclerosus?
MonaLisa Touch is a great complementary treatment for lichen sclerosus, helping improve tissue elasticity and comfort alongside standard medical management.
What does this do for collagen and tissue health long-term?
The laser's core mechanism is stimulating fresh collagen and elastin production, which is what gives tissue its thickness, elasticity, and resilience. Because tissue naturally loses collagen with age and hormonal changes, ongoing treatment helps maintain that youthful tissue quality over time rather than just addressing symptoms once.
Who is a good candidate for MonaLisa Touch?
This treatment is a great option for women from their 30s onward who are noticing changes from childbirth, hormonal shifts (including perimenopause and menopause), or bladder, vulvar, or vaginal concerns. If you're experiencing dryness, discomfort, laxity, mild incontinence, or just don't feel like yourself down there anymore, it's worth a conversation. It is also a great treatment for women with Lichen Sclerosis.
Is this a good option for breast cancer patients or survivors?
Yes — because MonaLisa Touch is hormone-free, it's often an excellent option for women who can't use vaginal estrogen due to a hormone-sensitive cancer history. Many of our patients going through or past breast cancer treatment find real relief from GSM symptoms without the hormonal concerns of other treatments.
Is the treatment painful?
Most patients describe the treatment as quick and well tolerated, with mild warmth or pressure rather than significant pain, and no anesthesia is required.
Is there downtime?
There's little to no downtime — most patients return to normal activities the same day, with a short period of pelvic rest (typically a few days) recommended after each session.
How many treatments will I need?
We typically recommend an initial series of three treatments, spaced about six weeks apart, to build up collagen and see full results. After that, an annual maintenance treatment helps sustain your results long-term.
How is this scheduled?
To make things simple, we like to schedule maintenance treatments alongside your annual exam or hormone follow-up whenever possible, so you're not adding extra visits to your calendar. We'll help coordinate timing so your care stays streamlined.
When will I notice results?
Many patients notice improvement after the first treatment, with results building progressively through the initial series and continuing to improve over the following months.
Does insurance cover MonaLisa Touch?
MonaLisa Touch is generally considered elective and isn't typically covered by insurance. Our team can walk you through pricing and any package or financing options for your initial series and maintenance visits.
How do I get started?
Reach out to schedule a consultation. We'll talk through your symptoms and history, examine the area, and build a personalized treatment plan — whether that's MonaLisa Touch alone or combined with other options.
This content is for general educational purposes and isn't a substitute for a personalized medical consultation. Individual results vary.
02
PRP & PRF
Therapy
Platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) are concentrated biologics derived from your own blood. When injected into intimate tissue, they release growth factors that stimulate nerve regeneration, improve vascular response, increase natural lubrication, and enhance orgasmic sensitivity. Often called the "O-Shot" — at IWish, this is a physician-directed, precision procedure.
Enhances orgasmic response and clitoral sensitivity
Improves natural lubrication and arousal
Stimulates tissue regeneration and nerve repair
PRF offers slower-release, longer-lasting results vs. PRP
Combinable with laser therapy for synergistic outcomes
Sweet Spot Shot FAQ ——— Click here to view
What is the Sweet Spot Shot?
The Sweet Spot Shot is our platelet-rich plasma (PRP) treatment designed to enhance sexual wellness, sensation, and function using your body's own healing factors. It's our take on the well-known "O-Shot" concept, tailored to how we approach care at CSRH.
How does it work?
How does it work? We draw a small sample of your own blood and spin it down to concentrate the platelets, which are rich in growth factors that stimulate tissue repair, collagen production, and new blood vessel formation. That concentrated PRP is then precisely injected into targeted areas of the vulva and vagina to help revitalize the tissue.
What can the Sweet Spot Shot help with?
Patients seek this treatment for a range of concerns, including decreased sensation or difficulty reaching orgasm, mild urinary incontinence, vaginal dryness, and an overall desire to enhance arousal and sexual satisfaction. We'll talk through your specific goals so we can tailor the treatment to you.
Is this the same as the O-Shot?
It's built on the same PRP concept that made the O-Shot popular, though our technique, placement, and protocol reflect our own approach and experience at CSRH. We're happy to walk you through exactly what we do differently during your consultation.
Am I a good candidate?
Most healthy adult women are good candidates, whether you're dealing with changes from childbirth, hormonal shifts, or simply want to enhance sensation and function. A private consultation is the best way to confirm it's the right fit for you.
Is the treatment painful?
We use topical numbing cream beforehand to keep the injection as comfortable as possible, and most patients describe only mild discomfort or pressure during the treatment itself.
Is there any downtime?
There's little to no downtime — most patients return to normal daily activities right away, though we recommend avoiding intercourse and strenuous exercise for a couple of days afterward.
When will I see results?
Some patients notice changes within the first couple of weeks, but full results typically build over 4 to 6 weeks as new tissue and blood vessel growth develop.
How long do results last?
Results commonly last several months to over a year, and many patients choose to repeat treatment periodically to maintain their results.
Is this treatment safe?
Because we use your own blood's platelets, there's no risk of allergic reaction or rejection, and the safety profile is excellent when performed by an experienced provider. As with any injection, mild soreness, bruising, or swelling at the injection site is possible.
Will this affect my sensation permanently?
Most patients experience gradual improvement in sensitivity and arousal as the tissue regenerates, though individual results vary and we'll set realistic expectations based on your history and goals.
Can this be combined with other treatments?
Yes — many patients pair the Sweet Spot Shot with treatments like MonaLisa Touch for a more comprehensive approach to sexual wellness and vaginal health.
Does insurance cover this treatment?
The Sweet Spot Shot is considered an elective wellness treatment and is typically not covered by insurance. Our team can walk you through pricing and any package options.
How do I get started?
Reach out to schedule a private, judgment-free consultation. We'll listen to your goals and concerns and help you decide whether the Sweet Spot Shot — alone or combined with other treatments — is the right fit for you.
This content is for general educational purposes and isn't a substitute for a personalized medical consultation. Individual results vary.
03
Exosome
Therapy
Exosomes are extracellular vesicles that carry regenerative signals between cells — among the most advanced biologic agents available in regenerative medicine. At IWish, exosome therapy is offered for patients seeking deep tissue regeneration beyond what PRP alone can achieve, including severe GSM, post-treatment atrophy, and complex restorative cases.
Advanced cellular signaling — stimulates deep tissue repair
Indicated for severe atrophy, post-treatment changes, complex cases
Used in combination with laser or surgical restorative protocols
At the frontier of non-surgical intimate rejuvenation science
04
RF Energy-Based
Therapies
Radiofrequency energy delivers controlled thermal stimulation to submucosal and dermal tissue — triggering collagen remodeling and tissue tightening without ablation. Particularly effective for external vulvar laxity, labia majora volume loss, and mild-to-moderate GSM in patients who prefer non-laser approaches.
Non-ablative, minimal downtime, no anesthesia required
Treats external vulvar laxity and mild tissue changes
Combinable with PRP for enhanced tissue response
Series of treatments for progressive collagen remodeling
At a Glance
Comparing Non-Surgical
Treatment Options
| Treatment | Best For | Sessions | Downtime | Combinable |
|---|---|---|---|---|
| MonaLisa Touch (CO₂) | GSM, vaginal atrophy, dryness, laxity, painful intercourse | 3 initial + annual | Minimal (1–2 days) | ✦ PRP, exosomes |
| YAG Fractionated Laser | GSM, mild atrophy, patients preferring non-ablative | 4–6 sessions | None | ✦ PRP, RF |
| PRP Therapy | Orgasmic dysfunction, sensation loss, lubrication | 1–3 sessions | None | ✦ Laser, exosomes |
| PRF Therapy | Deeper tissue regeneration, longer-lasting than PRP | 1–2 sessions | None | ✦ All modalities |
| Exosomes | Severe atrophy, post-treatment changes, complex cases | 1–2 sessions | None | ✦ Laser, surgical |
| RF Energy Therapy | External laxity, labia majora, mild GSM | 3–6 sessions | None | ✦ PRP, laser |
"The goal is not to look different. It's to feel like yourself again — comfortable, confident, and fully alive in your own body."
Dr. Daniel Bahnmiller, DO · IWish at CSRH
Not Sure Which
Treatment Is Right?
Dr. Bahnmiller will evaluate your tissue, symptoms, and goals — and recommend the optimal protocol. No upselling, no menus. Just a physician's clinical recommendation.
Institute for Women's Intimate Surgery & Health
Expertise in Intimate Wellness & Surgical Precision.
Dr. Daniel Bahnmiller, DO
Women's Intimate Health & Cosmetic
Gynecologic Surgeon
Founder, IWish at CSRH
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