Vaginal Rejuvenation

At Comprehensive OB-GYN of the Palm Beaches we use the latest vaginal rejuvenation technology that treats a full range of feminine concerns, safely and effectively. To best determine which procedure is right for you, please call our office and speak with Dr. David Adler or Dr. Aliese Smith.

MonaLisa Touch

The MonaLisa Touch is a treatment program that is designed to address a variety of different gynecologic health concerns. This minimally invasive laser treatment is done in-office at our clinic in Palm Beach and does not require anesthesia. Over a short series of sessions, the laser will target problems like vaginal dryness, vaginal itching, vaginal burning, and painful intercourse, and even vaginal laxity. Women who want to manage symptoms caused by estrogen depletion, or who want to prevent issues connected to estrogen decrease, are often excellent candidates for MonaLisa Touch laser treatment at Comprehensive OBGYN of the Palm Beaches.

Patients often seek this treatment after starting menopause, having a child or following cancer treatment. Any woman who is seeking a minimally invasive solution for issues like vaginal dryness and painful intercourse may find that the MonaLisa Touch laser treatment is a good fit for them. During the treatment at our premises at Palm Beach County, the MonaLisa Touch laser applies a fractional amount of carbon dioxide to the vaginal wall tissues. This prompts the cells within the vaginal tissue to produce brand-new collagen, which in turn allows for the alleviation of the gynecologic symptoms.

What does it feel like?
MonaLisa Touch treatments are not considered painful, but an anesthetic can be applied before treatment to help reduce discomfort.

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 long does the treatment last?
The MonaLisa Touch treatment program at our clinic in Palm Beach is very quick, with sessions generally taking less than five minutes each. There is typically a total of three sessions required, with each treatment between 40 and 60 days apart.

Vaginal Tightening & Urinary Incontinence

At Comprehensive OB-GYN of the Palm Beaches we use Votiva, the latest vaginal rejuvenation technology that treats a full range of feminine concerns, safely and effectively. Votiva employs uniform radiofrequency heating to improve elastin and collagen, through different handheld devices. Both FormaV and Aviva, tools used with Votiva Technology, deliver state of the art results. To best determine which procedure is right for you, please call our office and speak with one of our Specialists, Dr. David Adler, Dr. Aliese Smith or someone else from the team.

FormaV helps patients receive improvements in blood circulation, muscle pain relief, and muscle relaxation. FormaV is a therapeutic device for the treatment of sexual dysfunction or as an adjunct to Kegel exercises (tightening of the muscles of the pelvic floor). The result is noticeably softer, smoother skin, and more confidence when wearing swimsuits and other tight-fitting clothing. Plus, FormaV is an effective treatment for incontinence due to the thermal energy that the device uses to tighten and reshape tissues both inside and outside the vagina to promote stronger tissues, supporting your bladder control and pelvic floor muscles.

When will results show?
Most patients notice immediate results with continued improvement over several weeks.

How long does the treatment last?
This depends on the patient but the session time generally takes around 10 minutes with the recommended number of sessions being 3.

What does the recovery process look like?
Patients can return to work and normal daily activities after the procedure at Comprehensive OBGYN of the Palm Beaches. Some patients may feel slight discomfort after the treatment, but this should subside quickly.

Labia Reduction

At Comprehensive OB-GYN of the Palm Beaches we use Votiva, which uses a small handpiece that emits radio frequency energy into the labia and around the vagina to stimulate collagen, promote healing and shrinking of tissue. This innovative procedure can be done under local anesthesia, in an office setting, in less than 60 minutes, without excising excess skin. Aviva has many amazing benefits for women’s vaginal health with some being:

  • Tightening of the labia minora, labia majora, clitoral hood, and mons pubis
  • Tightening of the vaginal opening for improved sexual function
  • Improves clitoral stimulation

When will results show?
Results are almost instant with the greatest results noticeable after a few weeks. As Votiva™ is a non-invasive treatment, it means a faster service with faster results.

How long does the treatment last?
This depends on the patient and treatment but with Aviva, the session time can range from 30-60 minutes with the recommended number of sessions being 2-3.

What does the recovery process look like?
There is little to no downtime but patients may have slight discomfort during and after treatment.


“This practice, Dr Adler, and entire staff is not only professional, but incredibly humane and compassionate. They reach out to the individual to offer genuine help to all the Baby Boomers, who want to look their personal best! I have coined Dr Adler and his team, the best at making “our world a much prettier place!” Thank you Staff of Dr Adler and Dr David Adler! Kudos”

Patricia M.
“I had the Sonata procedure done by Comprehensive OBGYN of the Palm Beaches’ Dr. David Adler and his team. They did an amazing job with making me feel calm before the procedure. Very professional group. After it was over they made sure I was ok to go home. Any ladies having issues with uterine fibroids I highly recommend you to go to his office and seek treatment. Staff is very friendly.”
Rebecca I.
“Hands down the best OB-GYN was office ever. Dr. Adler was professional and helpful when I told him what I was trying to accomplish. The staff was professional and it was nice to see a friendly face from the moment I walked in up until the moment I left.”
Nathalie Z.

“Dr. Adler and his staff are friendly and efficient! I am a returning patient of Dr.Adler and am extremely happy with his professional demeanor. He is understanding and listens to what you have to say. He explains procedures to you and answered any questions that you have. I’m so glad to be returning to his practice!”

Deborah K.

“I’ve been going to Dr. Adler for over a year now and I’m so happy I found his office. Everyone is super nice and helpful. I can’t say enough nice things.”

Thalia R.

“Very caring personnel. Would highly recommend visiting the office. Everyone is so helpful. Explains all procedures and concerned with your most utmost comfort.”

Terry W.

“I always enjoy visiting Dr. Adler’s office. Everyone is friendly and professional. He is very thorough in his assessment.”

Fabien D.

“From the moment I walked in I was pleased , nice clean office and such pleasant staff I was just blown away to say the least . The dr David Adler is so kind and takes the time to listen as well as very detailed when telling me what I need to know !! More than satisfied I found a good gynecologist that I can put my trust in !!”

Mireya L.

“Apt was in time. Staff was very friendly and helpful. Dr took time with me, answering all my questions. Explained everything in advance
I would recommend to anyone.“

B. Russo

“I had a great experience from the start to the end. Staff was great and no long wait times. They are alway courteous in calling to remind me of appointments. I was provided all the details as to what my journey would look like. My first pregnancy I had a C section and wanted to do a Vbac this time and was successful despite everyone close to me telling me to have another C section. I would recommend Comprehensive OB-GYN to everyone”

Joel S.

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