Aesthetics & Vaginal Health

Vaginal Health: MonaLisa Touch

Patients are calling it “Life Changing.”

MonaLisa Touch delivers gentle laser energy to the vaginal wall that stimulates a healing response, generating new collagen in the tissue. A typical course of treatment is three procedures over 18 weeks.

Have you experienced changes in your vaginal health since menopause or because of breast cancer treatment? Did you know that as many as 50% of women experience changes in their vaginal health.

It’s OK to talk about it – because now there is a new therapy at Triangle Physicians for Women that really works!

Dr. Lisa Grana talks about what MonaLisa Touch is, who would benefit from it and the results you can expect.

The MonaLisa Touch treatment is a fast and effective treatment that uses hundreds of tiny pillars of laser heat energy to stimulate the natural regeneration of the vaginal tissue. In as little as 30 days after first treatment, the regeneration of new tissue in the vaginal walls builds a naturally stronger structure and the protective mucosa recovers volume, hydration and elasticity – all without the  side effects of traditional treatments.


  • In-office procedure
  • No anesthesia, virtually painless
  • No downtime
  • Minimal side effects
  • Each treatment is less than 5 minutes
  • Thousands of women have been treated worldwide since 2012

In both European and US clinical trials, women reported symptom relief after the very first treatment and even greater improvement after treatments 2 and 3.

Frequently Asked Questions

The Issue
Event with the passage of time, many women still retain their youthful energy and enthusiasm, but post-menopausal changes can affect a woman’s quality of life in unexpected ways. Hormone replacement therapy may not be the best options for some patients. Now there is an alternative therapy that can help millions of women who are silently suffering.

What is the MonaLisa Touch?
MonaLisa Touch is a new treatment that uses laser energy to treat the symptoms you may be experiencing. MonaLisa Touch is a medical laser that delivers controlled energy to the vaginal tissue so cells make more collagen.

How does it work?
MonaLisa Touch implements CO2 laser energy that is delivered via a side-firing probe inserted into the vaginal canal. A two-part pulse targets surface tissue and deep tissue to promote vaginal mucosal revitalization.

What does the procedure feel like?
The in-office procedure is virtually painless, requires no anesthesia and typically is done under 5 minutes.

How many treatments does it take?
Patients receive three <5 minute in-office treatments that are spaced six weeks apart.

When will I see results?
Most MonaLisa Touch patients feel improvement after the very first treatment, although the procedure calls for three <5 minute treatments that are generally spaced over an 18-week period.

How long does it last?
After the third treatment, patients should expect to come back annually for a maintenance treatment.

Are there any limitations after the procedure is done?
Patients can return to normal activities after the procedure, but should refrain from sexual activity for 2-3 days. Your doctor will determine a post-procedure regimen that is right for you.

Is the MonaLisa Touch treatment right for me?
The MonaLisa Touch is appropriate for females who are experiencing a change in their gynecologic health. Speak to your physician to see if MonaLisa Touch is right for you.

Is this procedure safe for women with breast cancer?
The MonaLisa Touch treatment is a great option for women who have breast cancer or have been treated for breast cancer and now are experiencing vaginal dryness and discomfort.

Is the procedure covered by insurance?
The MonaLisa Touch is currently not covered by managed care as no processing code has been established.

Can MonaLisa Touch help with urinary incontinence?
Although not approved by the FDA for urinary incontinence, women all over the world are seeing great improvement after undergoing MonaLisa Touch treatment for incontinence. This is one of the most common feminine problems in women over 35 years of age which severely compromises their quality of life. There are various types and levels: from stress (laughing or coughing, lifting weight), urgency (involuntary loss of urine due to lack of control of the urination stimulus by the brain), mixed (incontinence from a combination of stress and urinary imperiosity) or from reflux (occurs when the bladder is so full that the internal pressure is greater than that of the urethra). Embarrassment and shame prevent one from facing the problem, which one often bears with resignation but now there are finally state-of-the-art and minimally invasive treatments that can help resolve this problem.** Urinary incontinence is a complex problem that requires careful diagnosis by your doctor before being treated.

Learn More

MonaLisa Touch Testimonials

MonaLisa Touch as seen on “The Doctors”

Call us today at 919-678-6900 to schedule an appointment to see if MonaLisa is right for you.

I have been going to TP4W since 2010/11 and could not be happier.

The staff, nurses, midwives, and doctors are all amazing. I have 2 sons, both delivered via cesarean by Dr. V. Every visit and every provider did everything in their power to give me the birth experience I wanted, and also ensure that myself and my babies were safe and healthy. Dr. V even did everything in his power to help me avoid my first c-section and VBAC with the second, but that turned out to be out of his hands and he was the absolute best surgeon. With my two pregnancies, I experienced a few scares and some unusual circumstances that would be too long and too private to write in a review, but every single hurdle was handled with grace, honesty, and professionalism. I am so thankful for the recommendation from a friend to come to this office. I can’t imagine ever going to another practice.

TP4W is amazing and I am so very thankful I found them 9 years ago!! Amazing partnership between midwives and doctors, sweet nurses and front end staff, and relaxing environment. I literally recommend them to all my friends! I look forward to my appointments and feel like I’m going to catch up with old friends.

I’ve always had wonderful experiences at TP4W. Everyone is friendly, knowledgeable, and thorough in their care. April delivered my son and I can’t say enough wonderful things about her. She is patient and compassionate. I had the best labor and delivery experience thanks to her. I do and will continue to recommend them to my friends and family!

TP4W is amazing and I am so very thankful I found them 9 years ago!! Amazing partnership between midwives and doctors, sweet nurses and front end staff, and relaxing environment. I literally recommend them to all my friends! I look forward to my appointments and feel like I’m going to catch up with old friends.

I have been seeing Dr. Grana for just about 4 years now and I must admit that she has been the very best OB I have ever had! She is so personable, friendly, and all around caring about her patients. I’ve never had any issues with the staff, the office is very clean, and if Dr. Grana is running behind, they let me know ahead of time. I highly recommend Dr. Grana and this office to anyone!

I was referred here by my family doctor. I had found out I was pregnant with my first child later last year and had the most difficult time scheduling an appointment at my last OB/GYN Doctor. I was on the verge of tears because I didn’t know what my next steps were and thank goodness I was referred to Triangle Physicians for Women. The service is amazing every appointment I’ve had and they are so organized and have made me feel so comfortable. I have to thank them for making this pregnancy so much smoother and less stressful than it would have been had I stayed with my previous doctor. I highly recommend this place!