process. Anyway, the most hidden biological mechanisms, which are underneath the tissutal modifications and the optimal laser parameters are not yet well understood, especially when dealing with a special environment as vaginal mucosa’. A recent study by Professor Alberto
Calligaro, together with Dr. Stefano Salvatore and Professor Nicola Zerbinati, from the Department of Dermatology, University of Insubria, Varese, Italy, researched the morphological modifications of the vaginal mucosa irradiated by a special and novel fractional CO2
laser
on women during the post-menopausal period. As stated by Professor Zerbinati:
‘Our research demonstrates an important increase of the synthesis activity of the components of the amorphous substance of the matrix and protein glycosylation. This does mean that the collagen molecules are correctly assembled in compact structures forming fibres with high mechanical and physical characteristics, so important to assure a correct support to the vagina walls. The biophysical mechanisms of these regenerative phenomena are due to the specific effect of the CO2
installed in DEKA SmartXide2 system, and
especially in the dedicated D-pulse.’ SmartXide2
to the vaginal walls, and the V2
and specific hand-pieces to deliver the fractional CO2
has a special scanner laser beam directly
LR
scanner ensures the ‘MonaLisa Touch’ thanks to the special pulse characteristics of the DEKA-pulse or D-pulse. This pulse (Pulse Shape Design — PSD®) has been designed by the DEKA R&D department in order to deliver the laser energy in a very specific and particular manner:
an
initial high peak pulse, lasting a few tens of microseconds then followed
stimulates coagulation,
“The laser
restricts blood loss, minimises scarring and
swelling of the treated tissues, reduces
postoperative discomfort, increases
firmness and elasticity of the mucosa, and stimulates the production of collagen.
”
by a more thermal and long portion of the pulse for inducing an important temperature increase, and a consequent deep tissue stimulation. The vagina is very different to the skin, especially with regard to the ratio between the superficial and the deepest layers; the laser beam cannot produce in-depth vaporisation holes, in particular in hypertrophic or atrophic vagina where the thickness is greatly reduced by the ageing- induced modifications. The improvement in vaginal wall thickness and the new trophic conditions are essential for increasing organ functionality; all women in the study reported a new outlook on their sexual life by reducing stressful situations generated by dryness and fragility of the vagina, and the resulting painful feelings during intercourse. The laser stimulates coagulation,
restricts blood loss, minimises scarring and swelling of the treated tissues, reduces postoperative discomfort, increases firmness and elasticity of the mucosa, and stimulates the production of collagen.
Conclusions
DEKA is continually improving the knowledge and possibilities to provide more therapeutic tools in every field of medicine. Menopausal and post- menopausal effects on the vagina are not considered to be part of the
Further information
DEKA is a world-class leader in the design and manufacture of lasers and light system sources for applications in the medical field. DEKA markets its devices through a network of distributors and direct branches, with office in more than 80 countries.
Excellence is the hallmark of DEKA’s experience and recognition garnered in the sphere of R&D. Quality, innovation and technological excellence place DEKA in a unique and distinguished position worldwide.
email
deka.webcontacts@deka.it website
www.dekalaser.com
prime-journal.com | April/May 2012 ❚ 61
solutions offered to patients; the usual methods are systemic and strongly related to adverse contraindications. Furthermore, other treatment modalities such as labioplasty, clitoris reshaping and vulvo-fractional reshaping are possible with the SmartXide2
of possible procedures in this field. V2
LR SmartXide2
, completing the full range , especially in the
C60 version, offers a possible alternative to that by inducing new trophic conditions, as possible in many other medical fields — a new frontier addressed by DEKA and the ‘MonaLisa Touch’.
Figures courtesy of Professor Alberto Calligaro, MD, Faculty of Medicine and Surgery, University of Pavia, Italy.
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