Vaginal tightening without surgery with radiofrequency
from woman to woman

Many women notice changes in their intimate area over the years, but rarely talk about them openly. Pregnancies, hormonal changes and the natural ageing process can lead to a change in not only the Tissue in the outer pubic area changes and loses firmness and volume, but also feels less firm inside the vagina or loses moisture, resulting in Vaginal dryness comes. This can not only affect your physical well-being, but also your self-confidence and intimate experience.
With modern, gentle methods such as treatment with BTL Femme 360, tightening and regeneration of the vaginal tissue can now be achieved without surgery. The procedure is based on the targeted application of radio frequency energy, which gently heats the tissue and stimulates natural collagen formation.
But how exactly does this treatment work? Is it painful? And what advantages does it offer over other methods?
Here we answer the most important questions about vaginal tightening with radiofrequency and the use of the BTL Femme 360.
Brief overview BTL:
Duration of treatment:
10 - 15 minutes
Treatment cycle
2-3 treatments at intervals of 4 weeks
Anaesthesia:
2-3 treatments at intervals of 4 weeks
Follow-up treatment:
Special skin care if necessary
Downtime:
You can immediately resume your everyday activities
Associated terms:
Vaginal tightening, vaginal tightening, vaginal rejuvenation, radiofrequency treatment, vaginal laxity, vaginal laxity, treatment of stress incontinence
How does vaginal tightening with BTL Femme 360 work?
What is done?
During the treatment, the probe is inserted into the vagina and slowly rotated. It heats the tissue to a therapeutic temperature of around 40 to 45 degrees Celsius. This heat triggers the tightening process by activating and forming new collagen in the tissue. The treatment affects both the existing collagen and the production of new fibres.

Is treatment with radiofrequency for vaginal tightening painful?
Patients generally find the treatment pleasantly warm and pain-free. As no incisions are made and the tissue is only heated, the method is minimally invasive and well tolerated. In some cases, a slight feeling of warmth or short-term reddening may occur.
How long does the treatment take?
A single treatment session with the BTL Femme 360 takes around 10 to 15 minutes. The treatment is therefore very short and can be carried out on an outpatient basis without any problems.
Does the radiofrequency treatment for vaginal tightening have to be repeated?
Several sessions are usually recommended for optimum results. As a rule, two to three treatments at intervals of a few weeks are recommended. An annual refresher treatment can be useful to maintain the result in the long term.
How long do the results of a radiofrequency treatment for vaginal tightening last?
The results of a vaginal tightening with BTL Femme 360 usually last around 12 to 18 months. The exact duration depends on factors such as age, tissue quality, lifestyle and hormonal situation. To stabilise the result in the long term, we recommend a refresher treatment once a year.
As the method stimulates the body's own collagen production, the tightening effect gradually diminishes - but usually much more slowly than the natural ageing process without treatment.
What are the risks of intravaginal treatment with radiofrequency?
The treatment is considered very safe when performed by experienced professionals. Risks are rare, but may include overheating, temporary redness or slight irritation in the treated area. No serious side effects have been reported to date with the use of BTL Femme 360.
What are the advantages of tightening the vaginal fornix with radiofrequency?
The treatment offers several advantages: it is pain-free, minimally invasive, requires no downtime and improves the firmness and elasticity of the vaginal walls. Many women also report an improved moisture balance, increased sensitivity and an overall greater sense of well-being in the intimate area.
Can I combine the treatment with other treatments?
of the outer vaginal area (the labia) can be desired RF Mesoneedling (DoubleTite) or Hyaluronic acid or autologous fat injections can be used. To tighten the pelvic floor muscles and thus counteract urinary leakage and increase sexual sensation, BTL Femme 360 can also be used with BTL EMSELLA combine.
What is the difference between vaginal rejuvenation and vaginal tightening?
| Vaginal rejuvenation | Vaginal tightening | |
|---|---|---|
| Goal | Improvement of the mucous membrane Moisture Promoting blood circulation Collagen and elastin synthesis | Narrowing and tightening of the vaginal canal using radiofrequency energy (intravaginal and non-invasive) |
| Typical indication | Vaginal dryness Mild incontinence Tissue ageing | Feeling of distance after births Reduced sexual sensation |
| Methods | Radio frequency RF Mesoneedling Hyaluronic acid Hormone-free therapies | Radio frequency |
| Type of intervention | Non-invasive or minimally invasive | non-invasive |
| Effect on the treated area | Labia: Regeneration and tightening of the tissue | vaginal: regeneration and revitalisation of the mucous membrane, tightening and narrowing of the vaginal cavity through collagen and elastin synthesis |
| Pain / downtime | Hardly any pain No downtime | Hardly any pain No downtime |
| Risks | Minor (irritation, rarely infection) | Minor (irritation, rarely infections) |
| Duration of the effect | several months to 1 year Refresher possible | Months to years (refresher possible) |
Surgical vaginal tightening / vaginal rejuvenation
Associated terms:
Vaginal tightening, vaginal tightening, vaginal rejuvenation
Due to the natural ageing process or after childbirth, tissue slackening and hormonal changes can cause the vagina to widen, which can affect sexual sensation. This can be remedied by a vaginal tightening. A muscular tightening of the vagina is usually necessary (e.g. after multiple births).
Another problem is scarring in the area of the vaginal entrance after childbirth or perineal incisions, which can also lead to impaired sexual intercourse. In this case, the scarred tissue is excised during correction and the vaginal entrance is restored.
Both procedures are performed under general anaesthetic. We recommend an inpatient stay at our clinic. You should also refrain from sexual intercourse and tampon use for approximately 6 weeks.
Brief overview OP:
Operation duration:
1-2 hours
Anaesthesia:
Anaesthesia or twilight sleep, combined with a local anaesthetic
Follow-up treatment:
Sitz baths, ointments
Load restrictions:
4-6 weeks
What should you look out for when choosing a doctor / clinic?
When choosing a specialist, make sure that you use the term Specialist in Plastic and Aesthetic Surgery. Other designations such as beauty doctor, cosmetic surgeon, etc. are unprotected and not a sign of qualification (more on "What should you consider when choosing a specialist?„.
Make sure that you receive a comprehensive preliminary examination and information about the course of treatment, possible risks and the healing process.
Why should you come to us?
Extensive experience, maximum hygiene and infection protection, continuous further training and maximum care are the basis of our practice. This is also reflected in the large number of positive patient reviews, our seals and awards.
Benefit from our many years of experience. Dr Michaela Montanari has been a member of the board of the German Society for Aesthetic Plastic Surgery (DGÄPC) since 2021.