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The laser essentials

The cookbook for functional gynecology and aesthetics


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Laser treatment has been safely and effectively used in many medical areas including functional gynecology and aesthetics. The second generation, non-ablative vaginal Er: YAG SMOOTH laser (VEL) and Nd:YAG laser have several therapeutic indications, particularly for Genitourinary Syndrome of Menopause (GSM), Stress Urinary Incontinence, Vaginal Prolapse among other gynecological and aesthetic applications. Currently available peer-reviewed publications unequivocally demonstrate the clinical effectiveness of VEL, associated with high tolerability and negligible rate of short-term complications. Thus, VEL can be offered as a safe and efficacious therapy, due to the high efficacy, the duration of the effects, and the intrinsic safety of repeated applications. The advanced pulse technologies allow for optimal energy delivery to enable excellent results with minor side-effects and short downtime, both for gentle ablative treatments and non-ablative thermal treatments. The same can be said for the Nd:YAG laser light, targeting deeper skin structures such as deep-lying veins and hair follicles. The Nd:YAG thermal energy of the laser can be modulated to achieve the desired effect, also stimulating the production of new collagen in the dermis. The overall result is that new skin forms, smoother and firmer. The introduction of these two complementary laser wavelengths in a single treatment can noticeably improve the outcome to accomplish superior clinical results in the clinical practice. Worldwide a wide range of Laser Specialists are performing these treatments. In the present book, laser experts disclose and share with the readers some of the procedures used in their clinical practice. The Authors explain their tips and tricks, their personal “recipes”, in a concise format. The Authors hope that these recipes, as in all good cookbooks, will support their Colleagues, as a reference for the everyday work.


Basic principles and physics of Gyno4D

Zdenko Vizintin

The Erbium/Neodymium lasers combination: a new laser protocol for the treatment of superficial dyspareunia

Marco Gambacciani, Tiziana Fidecicchi

The history of vaginal Erbium SMOOTH® laser in regenerative and functional gynecology

Adrian Gaspar

IncontiLase® treatment for stress urinary incontinence

Ivan Fistonić, Nikola Fistonić

The intralase: the urethral approach for urinary incontinence in regenerative and functional gynecology

Adrian Gaspar

Erbium-YAG laser treatment of overactive bladder and interstitial cystitis/bladder pain syndrome

Peter Nobuo Okui

Intimalase/Prolaplase: the dual laser energy approach

Jorge E. Gaviria

Vaginal laser therapy after hysterectomy and failed mid-urethral sling surgery

C. Tamer Erel, Ipek B. Ozcivit

Laser treatment of vulvar lichen sclerosus

Matilde Gómez Frieiro

Laser treatment of complications related to episiotomy scars

Aleksandra Novakov Mikić

Erbium:YAG laser for vulvar intraepithelial neoplasia (VIN)

Alessandro Ghelardi

Er-YAG laser for cervical lesions and vulvovaginal condiloma

Leon Meglič

Practical advice for laser reduction labiaplasty of the labia minora

Peter Regényi


Jorge E. Gaviria


Jorge E. Gaviria


Jorge E. Gaviria

Mons pubis fat reduction (laser lipolysis)

Adrian Gaspar

The TightSculpting

Tanja Phillips

Treatment of stretchmarks and other scars

Leonardo Marini, Susanna Marini

Fotona 4D: Non-invasive Face lifting

Adrian Gaspar


Harvey S. Shiffman

Smooth Eye

Ashraf Badaw

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