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Juliet – The Feminine Laser

Juliet, the fast, painless and discreet treatment for intimate women’s health. Juliet represents a fast, painless and minimally invasive treatment for women’s intimate concerns. Unpleasant symptoms such as genital itching, irritation, poor vaginal lubrication, vaginal dryness and even pain during intercourse (dyspareunia) can today be improved thanks to cutting-edge technologies such as the Juliet laser treatment by Asclepion.

What is the Juliet treatment?
Juliet is a minimally invasive vaginal rejuvenation treatment, the goal of which is to restore the original metabolism of connective tissue and improve the state of the mucosa, by stimulating a process of neocollagenesis. This leads to a restoration and a return to the natural PH of the mucosal structure, increasing its flexibility.

What does vaginal rejuvenation mean?
Vaginal rejuvenation is not intended to be just an aesthetic treatment. A Juliet laser treatment leads not only to a tightening of the internal vaginal walls (often referred to as “rejuvenation”), but it also involves specific functional changes, for example the regaining of functionality when treating for stress urinary incontinence and also the restoration of tissue metabolism in the case of vaginal atrophy.

How does the Juliet treatment work?
The wall of the vagina is composed of four different layers:

  • Mucosa – Internal lining of epithelial tissue made up of squamous epithelial cells • Sub-mucosa – Connective tissue that supports the mucosa and connects it to the muscularis
  • Muscularis – Muscle tissue
  • Adventitia – Connective tissue interlaced with elastic fibers, connects the vagina to surrounding organs.

The vaginal walls are usually collapsed so that they touch each other. The walls have many folds, which allow the vagina to enlarge during sexual intercourse and childbirth. Glands near the opening of the vagina secrete mucus to keep the mucosa moist. The objective of the laser treatment is to reach the sub-mucosa, which is elastic and rich in collagen and can be stimulated “selectively”, meaning without damaging the surrounding tissue. Thanks to the special characteristics of its wavelength, the Erbium:YAG laser is able to reach this goal in a very fast and effective way, avoiding unwanted side effects on the surrounding tissue.

What does the treatment involve?
The procedure is performed by our gynecologist or nurse practitioner in a medical practice. No anesthesia is required (since neither incisions nor sutures are performed), however, a topical anesthetic may be applied if needed. Using the special V-Spot handpiece, our medical staff is able to perform the treatment in just a few minutes. The whole procedure takes less than 15 minutes and is fast, painless and discreet.

What should I expect from the treatment?
The Juliet laser treatment leads to a restoration of the metabolism of connective tissue and to an improvement in the condition of the mucosa. This translates into an attenuation of the symptoms which can be observed immediately after the first treatment. The inner mucosa regain elasticity and lubrication, gaining thickness and softness. Itching, irritation and pain during intercourse disappear and the symptoms of stress urinary incontinence are also significantly reduced as a result of the stimulating action of the laser on the mucosa. This action continues its beneficial effect even after the treatment is finished and, for this reason, many women report further improvements during the first month post-treatment.

Is the treatment painful?
No, the treatment is not painful at all. Usually, it is very well tolerated without anesthesia. If needed, a mild topical anesthetic may be applied.

How many sessions are necessary?
In most cases, satisfactory results can be obtained after the first session, with no need for further treatments. Depending on the severity of the symptoms however, a second treatment may be recommended after few months.

Which women can undergo a Juliet laser treatment?
In general, any women experiencing these symptoms and looking for a fast, non-surgical and discreet procedure can undergo a Juliet treatment. Before performing the treatment, your doctor will firstly rule out the presence of local or systemic diseases.

Are there any undesirable side effects?
No medical treatment is completely risk-free. Normally, this laser treatment has minimal complications. Potential side-effects can include an increase in temperature and febrile response in the first day following treatment and/or odorless vaginal secretions. These effects are temporary and usually disappear within one or two days.

How long is the recovery time?
The healing times are very short, normally no longer than three days. During this time, some secretion may be noticed (pink colored for the first day, then white colored). This is a normal reaction and will disappear in a few days.

What are the post-treatment instructions to be followed?
It is recommended for the first three days after the treatment to refrain from sexual intercourse, heavy physical exercise and sport activities such as swimming or sauna. Should a low grade fever arise, anti-inflammation is recommended (the symptom will in any case disappear after few days).