Vaginal Health Specialist

Pali Women's Health Center and Pali MediSpa

OBGYNs located in Kailua, HI & Kapolei, HI

A very common outcome of childbirth and the natural aging process is vaginal relaxation. The all-female medical team at Pali Women's Health Center and MediSpa understands how vaginal relaxation affects the quality of life and relationships. They help patients in Kailua, Hawaii, through the MonaLisa Touch® vaginal rejuvenation procedure.

Vaginal Health Q & A

Introducing MonaLisa Touch®, a Novel Laser for Gynecologic Health

We're excited to introduce MonaLisa Touch®, a non-hormonal, chemical-free option that addresses common gynecologic health concerns. Millions of women experience changes to their gynecologic health. Many suffer silently and those who seek treatment may find their options limited. Now there’s a solution! MonaLisa Touch® is a simple, proven laser to help you feel like yourself again. Laser sessions are less than 5 minutes each and are conveniently performed right here in our office during a routine outpatient appointment. 

MonaLisa Touch uses fractional laser technology to ablate small micro-columns of tissue. This leaves an ecosystem of healthy unaffected tissue to support rapid healing.

  • Thousands of women have chosen MonaLisa Touch since 2012
  • Fast: <5 minute in-office procedure
  • Non-hormonal, chemical-free
  • Virtually no downtime


If you would like to learn more about MonaLisa Touch, we invite you to contact our office to schedule a free, personal consultation. You may reach us at (808)261-6644 or request your free consultation at


Susan H. Chapman, M.D.

Frequently Asked Questions

Who is MonaLisa Touch for?

Women with gynecologic health concerns.

The SmartXide Touch Laser (MonaLisa Touch) is indicated for incision, excision, ablation, vaporization and coagulation of body soft tissues in medical specialties including aesthetic (dermatology and plastic surgery), podiatry, otolaryngology (ENT), gynecology, neurosurgery, orthopedics, general and thoracic surgery (including open and endoscopic), dental and oral surgery and genitourinary surgery. Use with the scanning unit is indicated for ablative skin resurfacing.

Like all medical procedures, not all patients are suitable. Your medical provider will review the risks and benefits of MonaLisa Touch.


What can I expect with the procedure?

This is a well-tolerated in-office procedure that typically does not require anesthesia and only lasts about 5 minutes.

Please click here to learn more about side-effects.



What can I expect after the procedure?

Patients can return to normal activities but should refrain from sexual activity for 2-3 days. Your doctor will determine a post-procedure regimen that is right for you.


How much will the procedure cost?

Patients should contact their MonaLisa Touch provider for additional information.


Will the procedure be covered by insurance?

No procedural codes have been established, this is a cash pay procedure paid directly to your provider.


How does it work?

MonaLisa Touch uses fractional laser technology to ablate small micro-columns of tissue. This leaves an ecosystem of healthy unaffected tissue to support rapid healing.


Where can I have this done?

Laser sessions are conveniently performed right here in our office during a routine outpatient appointment.


How long will it last?

Everyone is unique and our skin ages pre and post-procedure. You and your physician should discuss your needs and expectations.


What does vaginal rejuvenation mean?

The term vaginal rejuvenation refers to a procedure called labiaplasty that reduces the length of the labia minora. It is the most commonly performed vaginal rejuvenation procedure and it can relieve symptoms women experience from twisting and tugging of the labia. Women opt for surgery for a variety of reasons, including pain from twisting and tugging of the labia when riding a bike or during intercourse, itching, irritation and self-consciousness. The goal of the procedure is to reduce the labia minora so that they don't hang below the hair-bearing labia majora. A labiaplasty may be performed to reduceasymmetry when one is longer than the other, or, more commonly, to reduce the length of both labia so that the labia no longer twist, tug or fall out of a bathing suit. 


How many treatments are required?

Patients are happy with the results after just 1 treatment.


What is MonaLisa Touch?

MonaLisa Touch, an innovative vaginal reconstruction method, uses a CO2 laser to stimulate collagen production in the vagina. This new collagen allows the reformation process to begin in a natural way, allowing the body to heal and restore itself. MonaLisa Touch is non-invasive.


What symptoms can be alleviated by the procedure?

The procedure alleviates symptoms caused by vaginal relaxation or vaginal atrophy, including:

  • Decreased sexual stimulation and satisfaction due to decrease in friction
  • Lack of muscle tone in vaginal muscles
  • An appearance of a “gaping” vaginal opening
  • Popping or gas noises coming from the vagina
  • Tissue that is visible outside the labia
  • Problems moving bowels out of the body
  • Difficulty keeping tampons in

Many women report improved quality of life and improved sex life following their vaginal reconstruction.


How long does the procedure take?

The MonaLisa Touch procedure takes a few minutes to perform. Other procedures will vary depending on the exact nature of the procedure.


Who can perform the procedure?

Vaginal surgery is best performed by gynecologists who specialize in pelvic surgery.


Will insurance cover vaginal health?

Generally speaking, no. Vaginal health is considered an elective cosmetic procedure much like a breast augmentation. Some patients pay cash for the procedure, but most patients finance the procedure through a credit card or personal loan.