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— SPECIALISED TREATMENTS · Barcelona
Dr. Bermejo Pérez · Reg. no. 63226
Vaginal rejuvenation with high-intensity focused ultrasound. Tightening of the vaginal canal, improvement of laxity and recovery of sensation — without surgery, general anaesthetic or downtime. For the effects of childbirth, menopause and time that people rarely talk about.
In short
Vaginal HIFU uses focused ultrasound to improve laxity and the quality of intimate tissue, without surgery. A 30–45 minute session with no downtime and an effect lasting 12–18 months; price set at the consultation. It is performed by Dr. Rubén Bermejo Pérez, a registered aesthetic physician (COMB no. 63226), at Clínica Sagrada Família, Barcelona.
Dr. Bermejo explains what vaginal HIFU is for: laxity after childbirth, menopausal changes and mild incontinence.
Medical view
“Vaginal laxity after childbirth or menopause has a real medical solution. You don't need surgery — and you don't need to keep quiet about it.”Dr. Rubén Bermejo Pérez
How it works · Vaginal HIFU
New collagen, without surgery.
Energy delivered to the deep connective tissue.
Improves firmness and laxity.
It's done in the clinic and you can get on with your day.
What it's for
Vaginal birth — especially assisted deliveries or large babies — stretches the vaginal tissue, which doesn't always fully recover. The resulting laxity can affect sensation, sexual satisfaction and self-esteem. Vaginal HIFU stimulates collagen in the vaginal wall and tightens the tissue from within — without surgery, stitches or weeks of recovery.
The fall in oestrogen at menopause causes atrophy of the vaginal lining — the vaginal wall thins and loses moisture and elasticity. The result is dryness, discomfort during sex and greater susceptibility to infections. HIFU stimulates collagen and local blood supply, improving tissue quality and significantly reducing the symptoms of atrophy.
Mild to moderate stress urinary incontinence — leaks when coughing, sneezing, laughing or exercising — can improve significantly with vaginal HIFU. Tightening the tissue of the anterior vaginal wall improves support for the urethra and reduces leaks when abdominal pressure rises. It is a non-invasive alternative to urethral slings in selected cases.
The gradual loss of vaginal tone and elasticity over time — regardless of childbirth or menopause — affects sensation and sexual satisfaction. Vaginal HIFU as a preventive maintenance treatment keeps the vaginal tissue in good condition and slows the progression of laxity. It is recommended from the age of 40 even without marked symptoms.
The practical side
Everything you need to know before the consultation. No small print.
With annual maintenance sessions the result is sustained and builds up. The preventive maintenance protocol is especially recommended during menopause.
No special preparation or fasting needed. The usual protocol is 1–3 sessions 4–6 weeks apart depending on the indication.
Possible mild discomfort or a feeling of warmth for the first few hours. No sex for 48 h. Completely normal life from the very start.
It depends on the session protocol and the specific indication. It is set at the prior consultation.
Candidates
Not sure if it's for you? That is exactly what the consultation is for: I'll tell you honestly what I see.
Free first visit · no commitment
At the consultation we study your case, talk about what you're looking for and set the goals together. If no treatment is needed, I'll tell you that too.
Frequently asked questions
Straight answers about vaginal HIFU. If your question isn't here, write to me.
There is no single price. It depends on the session protocol and the specific indication, and is set at the prior consultation. The first consultation is free. You can see all fees on the prices page.
Usually 12–18 months. With annual maintenance sessions the result is sustained and builds up. The preventive maintenance protocol is especially recommended during menopause.
At Clínica Sagrada Família, C/ Torras i Pujalt 1 (3rd floor), Barcelona. It is performed personally by Dr. Rubén Bermejo Pérez, registered physician no. 63226.
HIFU emits focused ultrasound that generates heat at a precise point in the vaginal wall — in the layer of connective and muscle tissue where the collagen fibres are. That localised heat immediately contracts the existing fibres and stimulates new collagen production for weeks. The result is firmer, better-hydrated and more elastic tissue — without affecting the surface of the lining.
The vaginal lining has a different sensitivity from the outer skin. Most patients tolerate it well — it feels like warmth or pressure during the ultrasound pulses. In some cases we apply topical anaesthetic beforehand for extra comfort. It never requires general anaesthetic or sedation.
The result starts to show 4 to 6 weeks after the session — when the new collagen begins to organise. The improvement is gradual and peaks at 2 to 3 months. In some cases there is a slight immediate improvement from the contraction of existing fibres, noticeable from the first few days.
The protocol varies with the indication. For moderate laxity after childbirth 1–2 sessions are usually enough. For menopausal atrophy or stress incontinence, 2–3 sessions 4–6 weeks apart are recommended. After that, one annual maintenance session to sustain the result.
We recommend avoiding sex for the first 48 hours so the tissue can recover from the heat generated by the ultrasound. After that you can resume sex as normal. Many patients report improved sensation that starts to be noticeable in the first few weeks.
In mild to moderate stress incontinence — leaks when coughing, sneezing or exercising — vaginal HIFU can significantly improve symptoms. Tightening the anterior vaginal wall improves support for the urethra and reduces leaks. It isn't the solution for every case of incontinence — in the most severe cases surgery remains the first-line option. We assess it at the consultation.
No. Vaginoplasty is a surgical procedure that changes the structure of the vaginal canal by removing and stitching tissue — with general anaesthetic and weeks of recovery. HIFU stimulates collagen from within without cutting or stitching. The HIFU result is more moderate and gradual — but without any of the risks or recovery of surgery. They are tools for different cases.
Free consultation
First visit with no commitment. There is always an assessment first; if the treatment is right for you, it can be done the same day.
In Sant Gervasi, next to Ronda del General Mitre. It is not in the area around the Sagrada Família basilica.