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Core Intima Fractional CO2 Procedure in Toronto


CO2RE Intima treatment is a non-surgical laser treatment to relieve the vaginal symptoms women may be experiencing related to childbirth and aging (menopause).

Length of Procedure:
15-20 Minutes
One treatment Starts at $1,000
SpaMedica, Yorkville, Toronto, ON
Dr. Sasha Syvstonyuk

Are You A Candidate?  

Would you like to alleviate the signs of childbirth and aging, restore vaginal tone, flexibility and shape and/or treat dryness, itching and pain? If you answered Yes to any of the above options, then CO2RE Intima laser treatment from SpaMedica is for you.

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CO2RE Intima Procedure Details

What is the CO2RE Intima?

The CO2RE Intima is a unique fractional carbon dioxide technology manufactured by Syneron Candela.  Like the Mona Lisa Touch, the Syneron CO2RE Intima is a fractional carbon dioxide device with specific parameters and features that allow for a comfortable, yet deepened therapeutic fractional rejuvenation of the lining and deeper depths of the vaginal mucosa.  The CO2RE Intima fractional CO2 is used by the SpaMedica gynaecology team in combination with the Mona Lisa Touch and the fractional radiofrequency ablative device called the Fractora V over a series of treatments to provide the best possible improvement in your signs and symptoms of genitourinary symptoms of menopause, Vulvo-vaginal atrophy, Vaginal Relaxation Syndrome and Vaginal Laxity.

The CO2RE Intima has a number of unique features, such as an angulated swivel arm, which allows and facilitates complete treatment of 360 degrees of the vaginal walls, ceiling and floor along the entire canal.  External resurfacing hand pieces allow rejuvenation of the Labia Majora and Minora if needed.  Like the Mona Lisa Touch, the CO2RE Intima has external Vulvo-Vaginal resurfacing features and capabilities that create decreased atrophy, wrinkling and descent of Labia following treatment with fractional CO2 of the Labia Minora and Majora for rejuvenation of the external genitalia, as well as improvements in the vaginal mucosal lining and sub-mucosal muscular layer.

Figure 1.  The CO2RE Intima Fractional CO2 for Vaginal Rejuvenation and Vaginal Tightening

How is the procedure performed?

The one-time use of a disposable hand piece is attached to the CO2RE Intima fractional CO2 system.  Following a speculum examination by your SpaMedica gynaecologist, of the vaginal canal and cervix ruling out any pathology, the CO2RE Intima fractional CO2 probe is gently inserted.  The CO2RE Intima hand piece is then withdrawn slowly.

The CO2RE Intima hand piece is then withdrawn slowly while the CO2 fractional laser beam is emitted. With the 360-degree swivel arm, both side walls, ceiling and floor of the vaginal canal are treated and the fractional CO2 probe is gradually withdrawn facilitating treatment of the entire vaginal lining and vault.

Figure 2.  The Internal Co2 or RF probe is gently inserted into the vaginal canal.  The Hand piece is slowly withdrawn and the 360 swivel arm allows fractional ablation to be performed on the floor, walls and ceiling of the vaginal canal. Over 6 weeks, there is a remodeling, thickening, tightening, moistening and rejuvenation of the vaginal.

How does the CO2RE Intima improve my symptoms?

Patients suffering from Genitourinary Symptoms of Menopause, also known as Vulvo-vaginal atrophy can experience dryness, pain, lack of secretions, painful urination or even stress incontinence, as well as suffering from vaginal laxity or Vaginal Relaxation Syndrome. All these symptoms can be improved with Laser Vaginal Rejuvenation using the CO2RE Intima.  It creates thousands of coagulated ablations of the vaginal mucosa and sub-mucosal tissue.  The fractional CO2 beam penetrates approximately 700 to 800 microns through the vaginal lining into the deeper lining structures.  These ablative lesions are then remodeled by the adjacent untreated tissue, improving the muscular tone, mucinous composition of the sub-mucosal tissue and healthier, new vaginal epithelium and mucosal surfaces.  Increased mucus secretion decreases the symptoms of dryness and pain.  Tightening of the vaginal canal improves signs and symptoms of stress incontinence and dysuria, as well as significant improvements in patient’s perception of pleasurable sexual intimacy.  The vaginal canal itself is at its less laxity and firmer consistency, which leads to more pleasurable intimacy during coitus and intercourse.

Figure 3.  The fractional CO2 ablative beam creates thousands of tiny thermal injuries in the mucosa of the vaginal lining. Over several weeks, these will be repaired and remodeled with new cells and collagen and support tissues which will result in new, youthful vaginal lining and a thickening and firming of the muscle layer and wall with enhanced lubrication and tightening of the vaginal canal

Can it rejuvenate the external Labia Majora and Labia Minora as well?

External Labial Majora and Minora rejuvenation can be performed, at the same time as Vaginal Tightening by using CO2RE Intima fractional CO2 resurfacing. It can perform fractional CO2 laser resurfacing of the external labial skin, much like fractional CO2 skin resurfacing for facial lines and wrinkles. This external Labial fractional resurfacing can tighten and rejuvenate the wrinkled and deflated skin of the Labia Minora and Labia Majora. In addition to the CO2RE Intima, rejuvenation techniques such as Labial Majora augmentation or reduction and Labial Minora augmentation or reduction techniques can be performed to improve the aesthetic appearance of the aging vagina and Introitus.

Figure 4 CO2RE Intima Fractional CO2 Resurfacing of the Labia Majora and Labia Minora can smooth, firm and tighten wrinkles and laxity of the external vulvar anatomy. This fractional CO2 external vaginal resurfacing can produce more youthful, smoother and firm Labia.

How long does the CO2RE Intima fractional CO2 procedure take?

Both the CO2RE Intima and the Mona Lisa Touch laser fractional vaginal rejuvenation and vaginal tightening procedures are relatively quick procedures, taking 15 to 20 minutes.  Patients can return to normal activities immediately.

Is the fractional CO2 procedure painful?

Most patients undergoing the CO2RE Intima or Mona Lisa Touch fractional CO2 laser vaginal rejuvenation describe the pain as ranging from none to very mild.

When can I return to normal sexual intimacy?

Patients who undergo the CO2RE intima fractional CO2 laser vaginal rejuvenation who may be suffering from painful dry vaginal lining characteristic of Vaginal atrophy or Symptoms of Vaginal Relaxation Syndrome can return to normal intimacy and intercourse within six weeks.  Studies reported using the CO2RE Intima and the Mona Lisa Touch, show well over 75% of patients report significant improvements in all aspects of sexual satisfaction and intimacy, as well as 60% to 70% reduction in the painful signs of Vulvo-vaginal atrophy and Genitourinary Symptoms of Menopause.


How long with the result last and is there any maintenance required following my treatment?


The SpaMedica Female Health and Vaginal Wellness team recommends a series of three CO2RE Intima treatments with fractional vaginal rejuvenation.  After these three treatments (once a month for three months), a simple maintenance program of a single treatment once every three to four months to maintain the enhancement, is recommended.  Generally, fractional ablation is not required for these maintenance treatments, but rather, non-ablative radiofrequency heating and tightening treatments using popular products such as the FORMA VThermiRF and VA and the Fractora V can all protect and maintain the vaginal enhancement and rejuvenation that is achieved.


The CO2RE Intima procedure is a safe, quick and easy in office procedure.

It is an incisionless procedure so there is little to no downtime or post treatment discomfort.

Mild to no discomfort during the actual procedure

How do I schedule a consultation for the CO2RE Intima at SpaMedica in Toronto?

To schedule a consultation and treatment at our Toronto clinic, simply call 877-712-8367, or fill out a request for consult form and a customer service representative at SpaMedica will be with you promptly.We look forward to seeing you soon and help restore female health and vaginal wellness.

CO2RE Intima Cost

How much does the fractional CO2 CO2RE Intima procedure cost?

A series of three CO2RE Intima treatments is usually recommended.  Often the SpaMedica gynecology team will recommend combining the CO2RE Intima with the Mona Lisa Touch and the Fractora V to get the best possible rejuvenation of the vaginal mucosa and tightening of the vaginal canal.  The best possible improvement in vaginal laxity, laser vaginal rejuvenation and laser vaginal tightening is a series of three treatments once a month for three months.  Each treatment starts at approximately $1,000, but a package of three treatments purchased up front can lead to a nice savings in pricing.

About Us

Who will see me during my CO2RE Intima laser vaginal tightening and rejuvenation consultation and who will perform the CO2RE Intima fractional laser vaginal rejuvenation?

The director of the SpaMedica Female Health and Vaginal Wellness program is Dr. Sasha Svystonyuk, a well known Canadian gynecologist, who specializes in minimally invasive gynecologic surgery.  Dr. Sasha sees all SpaMedica Vaginal Tightening and rejuvenation patients in our Toronto clinic. An examination is done first to determine if you are a CO2RE Intima laser vaginal tightening and rejuvenation candidate.