The topic of vaginal health and rejuvenation has, in recent years, received far greater attention than ever before. More and more women are now openly seeking treatments, not only for cosmetic reasons, but also for functional concerns that affect their day-to-day comfort, confidence, and quality of life.

As women approach perimenopause and menopause, you may start noticing some changes down there. It may not feel as tight or as well-lubricated as it used to be, and these changes are often more connected than they seem.

With age, the vaginal tissue gradually loses its elasticity, which can lead to a feeling of looseness. This often means less friction during intimacy, and as a result, reduced sensation and satisfaction. This process happens naturally as we age due to declining collagen levels. However, pregnancy and childbirth can also play a significant role by stretching the vaginal tissue and weakening the pelvic floor, making these changes more noticeable.

At the same time, hormonal changes can reduce natural lubrication, leaving the vaginal area feeling dry and more prone to irritation, chafing, and discomfort during intercourse.

While surgery was once considered the standard solution, today’s innovation in medical aesthetics can now offer non-invasive vaginal treatments that are effective and require little to no downtime. Among the most popular options are Exilis and Emsella treatment, both designed to support vaginal tightening and overall intimate wellness, but how do they do it?

How Exilis Works?

Exilis Ultra 360, developed by BTL Aesthetics, is a radiofrequency (RF) device known for its versatility. It is widely used for skin tightening and fat reduction on areas such as the face, neck, abdomen, and thighs. Within a single platform, it features multiple applicators designed to target different parts of the body, including a specialised handpiece for intimate treatments.

This specific treatment is often referred to as Exilis Ultra Femme 360. It uses RF energy to target the deeper layers of vaginal tissue and by gently heating the tissue to around 40°C, it stimulates the production of collagen and elastin which are the key building blocks responsible for firmness and elasticity. While this process helps tighten the vaginal canal and improve its function, it also addresses the external labial tissues enhancing tone and appearance for a more youthful, rejuvenated look.

Over a series of sessions each lasting about 8 minutes, this can then lead to gradual tightening and improved tissue quality. But beyond tightening, Exilis also plays an important role in improving vaginal lubrication. The increase in blood circulation and tissue regeneration helps restore hydration within the vaginal lining, which can reduce dryness, irritation, and discomfort.

Patients often describe the treatment as warm and comfortable, with no downtime required. It is particularly beneficial for women experiencing vaginal laxity after childbirth or due to age-related changes.

What is Emsella and how does it work?

Emsella is also developed by BTL Aesthetics, and it is a chair-based treatment that uses high-intensity focused electromagnetic (HIFEM) energy. Unlike Exilis, Emsella is primarily designed to treat urinary incontinence by strengthening the pelvic floor muscles, rather than targeting tissue itself.

During a single session, Emsella stimulates thousands of supramaximal pelvic floor contractions which is far beyond what can be achieved through exercises like Kegels alone. These contractions help rebuild muscle strength and improve support for the bladder, vaginal walls, and pelvic organs.

As a result, many patients notice improvements not just in muscle tone, but also in symptoms such as urinary incontinence. At the same time, stronger pelvic muscles can enhance the sensation of vaginal tightness and contribute to improved sexual satisfaction.

Emsella is known for its convenience. The patients just need to sit fully-clothed on the Emsella chair for around 28-30 minutes, making it a quick and easy addition to a busy routine.

So How Do They Treat Vaginal Laxity?

Both Exilis and Emsella can help address vaginal laxity, but they do so in different ways.

Exilis works on the tissue level, improving elasticity, firmness, and hydration. This not only helps with tightening but also addresses dryness and overall vaginal health.

Emsella, on the other hand, works on the muscular level, strengthening the pelvic floor to provide better support and creating a feeling of increased tightness.

In simple terms, Exilis improves the quality of the tissue, while Emsella strengthens the underlying pelvic muscles for better support and tightness.