Microneedling with radiofrequency procedure for female intimate wellness

It is normal for vaginal structures to develop laxity due to aging, weight loss and pregnancy. With loss of natural estrogen during menopause, the lining of the vagina and the strength of the labial tissues are negatively affected and atrophy, dryness, laxity, urinary incontinence and pain during intimacy may develop. Fractora V is gentle type of vaginal microneedling (less heat than with MORPHEUS8 V) that can improve all of these findings in all ages of women. Fractora V can: 

  • Improve vaginal laxity by tightening tissue and rejuvenating the vaginal area
  • Improve signs of vaginal aging by improving skin tone and texture
  • Increase sexual satisfaction by enhancing sensation and restoring lubrication
  • Has very little downtime and is almost pain-free
  • Has no known side effects or risks

Frequently Asked Questions

EmpowerRF by InMode is the most advanced multi-functional platform delivering excellent women’s wellness therapies. This versatile in-office system provides neuromuscular re-education for weak pelvic floor muscles and relief from stress, urge and mixed urinary incontinence and pain. It improves blood circulation, targets subdermal adipose tissue and strengthens abdominal and pelvic floor muscles. Empower RF includes the therapeutic options of Fractora V, Votiva Forma V, VTone, Morpheus8 Face, Morpheus8 Body, Exion Fractional RF, Morpheus8 V, Tone and Aviva.

Many of these InMode device treatments can be combined together in the same treatment session.  Dr. Samuels and her nurse providers will be happy to suggest complimentary and adjunctive treatments that will ensure the most thorough result based on your symptoms, and all combination packages will be discounted.

Fractora V is a comfortable in-office microneedling device with radiofrequency that employs needles that are slightly thinner and shorter (therefore gentler) than that of MORPHEUS8 V. Fractora V can therefore be a better choice for younger patients experiencing stress urinary incontinence that is early in onset and not yet severely limiting quality of life. 

The small pins in the hand piece are gently inserted in the lining of the vaginal wall and a pain-free radiofrequency current is delivered through each pin, creating a localized thermal injury that heals with new, more youthful tissue. The new tissue that forms contains new collagen, elastin, ground substances and support tissues to produce the enhanced tightening for the lax vagina, as well as enhanced tone. New mucinous secreting cells also form to provide more natural lubrication, which is characteristic of more youthful vaginal tissue, decreasing dryness, irritation and pain during intimacy. The Fractora V is performed in a 360-degree fashion, withdrawing gradually until the entire vaginal side walls, floor and ceiling have been treated. 

Patients require little preparation prior to a Fractora V treatment, however it is advisable to stop aspirin or ibuprofen-type drugs three days prior to a treatment and to avoid having the treatment performed during your menstrual cycle. Topical numbing cream is applied, and Pro Nox (nitrous oxide) is also available. We usually advise that Aquaphor be applied for 5-7 days after a treatment and that sex and tampon use be avoided for the same period of time. You may experience a mild degree of vaginal discharge over several days, but this dissipates quickly.

Following a series of three treatments, patients are recommended to begin a non-ablative maintenance treatment (FORMA V) once every 3 – 4 months to achieve the best results. Some women will notice immediate results following a Fractora V treatment session. However, because the treatment is designed to gradually build up collagen and elastin production, it can take several weeks or a full three treatments for final results to be realized. Since there is no significant recovery period other than a mild sensitivity associated with a Fractora V treatment, patients can return to normal daily activities immediately. 

Many of our vaginal rejuvenation patients undergo other “adjunctive” vaginal rejuvenation procedures at the same time as Fractora V.  Common adjunctive procedures include:

Surgical labiaplasty is an outpatient procedure done under local anesthesia that can take between 45 minutes to 2 hours. The most common forms of vaginal rejuvenation surgery are labia minora reduction, labia majora reduction, clitoral hood reduction, labia majora augmentation and vaginal tightening or reconstruction.
inmode tone applicator We can place inMode Tone, a tone applicator, on each side of your belly button to tone your abs while you are receiving your Votiva Fractora V treatment. Tone works by emitting electrical muscle stimulation to simulate involuntary muscle contractions on body areas. Tone’s hands-free applicators target specific muscle groups to restore the strength of the muscle.
vtone device VTone is a gentle technology designed to provide intravaginal electrical muscle stimulation and neuromuscular reeducation to rehabilitate weak pelvic floor muscles and address stress, urge, and urinary incontinence..
Forma V is a comfortable device that provides uniform volumetric deep heating for tissue treatment with real-time temperature control.
aviva handpiece Aviva is the latest in the Radiofrequency Assisted Lipocoagulation (RFAL) family of technologies. It is specifically designed for treating delicate external tissues.
accutite AccuTite is an advanced, minimally invasive technology for the precise treatment of delicate areas through soft tissue coagulation. It delivers unparalleled clinical results in a single treatment.


The O-Shot® is a nonsurgical procedure that uses a woman’s own platelet-rich plasma (PRP) from a simple blood draw to rejuvenate vaginal tissues and enhance sexual pleasure.
InMode-Morpheus8 Morpheus8 Face and Body is a minimally invasive device for fractional coagulation of subcutaneous tissue. Morpheus8 provides an interchangeable portfolio of microneedling tips to deliver customizable fractional treatments.

Before & After Results

Talk about your options during a private consultation

Nearly 50% of post-menopausal women suffer from symptoms of atrophic vaginitis, and most are uncomfortable talking about it. Dr. Samuels and her staff will make you feel completely at ease as soon as you enter the office. During your initial consultation, Dr. Samuels will listen to your concerns and questions and recommend the best solution for you.

For more information about Fractora V or to see if you’re a good candidate for this procedure, schedule a consultation with Dr. Samuels at 502-897-9411.

Our practice serves Louisville, KY and the surrounding areas.