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2026.11.10
Who Is Empower RF Right For? An Explanation by Concern, Such as Vaginal Laxity and Urinary Incontinence
After engaging in general obstetrics and gynecology practice, including infertility treatment, perinatal care, and other insured treatments, I decided to shift my career to free practice and gynecological aesthetics, with the hope of “supporting women to enjoy their life as a woman” after my own experience fighting against illness. Today, while still being involved in insured medical care as an obstetrician/gynecologist, I am facing women's health issues based on medical evidence through "real femtec" such as gynecologic plastic surgery, Vaginal Growth® injections, and vaginal hyaluronic acid injections, based on my deep anatomical knowledge and skills. We are a leading provider of gynecological services in Japan.
She is also committed to social activities related to the dissemination of sex education, HPV vaccine awareness, and the improvement of women's quality of life. He is also actively involved in educating the public about medical knowledge, such as writing Chapter 7, "Vaginal Hyaluronic Acid Injection," in his specialty book, "The Basics of Cosmetic Surgery," which is the first book he reads when he becomes a cosmetic surgeon.
Empower RF is a treatment option for those concerned about vaginal laxity, loss of firmness, or urinary incontinence caused by weakened pelvic floor muscles. Depending on the condition of the vaginal walls and muscles, the most appropriate method is selected from among three options.
"I leak urine when I sneeze," "I leak fluid after taking a bath," "I feel like my vagina is loose."
Did you know that even when it comes to the same concerns regarding the intimate area, the causes can vary from person to person?
"Empower RF" addresses these changes specific to women through three functions.
In this article, BIANCA CLINIC will discuss who Empower RF is best suited for, its applications based on specific concerns, and how to choose the right treatment.
Who is Empower RF best suited for?
Empower RF is a treatment option for those who wish to improve the firmness and tone of their vaginal walls or support the function of their pelvic floor muscles.
At Bianca Clinic, we use the following three functions depending on the purpose.
| treatment | Key Approaches |
|---|---|
| Mofius 8V | Using fine needles and radiofrequency (RF), thermal stimulation is applied to the tissue within the vaginal wall. |
| Form V | It uses radiofrequency (RF) to heat the inside of the vagina and the vulva without using needles. |
| V-Tone | Promotes contraction of the pelvic floor muscles through electrical muscle stimulation (EMS) |
For example, even if the concern is the same—"I feel like my vagina is loose"—the recommended treatment will vary depending on whether the issue stems from weakened pelvic floor muscles or changes in the vaginal wall itself.
For this reason, I place great importance on assessing the actual condition of the tissues and muscles, rather than selecting a treatment based solely on the name of the symptom.
For details on how each feature works, see the related article “What is Empower RF?"We provide more details in [...].
Empower RF Applications by Skin Concern
Empower RF offers multiple functions, allowing you to choose the best approach based on your specific concerns. However, even if you have the same concern, there may be more than one underlying cause.
For those concerned about vaginal laxity or changes after childbirth
It is not uncommon for women to notice changes in the tightness and firmness of their vaginas after childbirth or as they age.
If you're concerned about the firmness and elasticity of your vaginal walls, the Forma V or Mofius 8V—which use RF (radiofrequency) thermal stimulation to tighten the tissue—are good options.
On the other hand, if the pelvic floor muscles have lost their ability to contract effectively, we consider using V-Tone to target those muscles.
In some cases—such as when the supporting tissues have undergone significant changes due to childbirth—it may be difficult to achieve the desired results with Empower RF alone. That is why identifying the underlying cause is of the utmost importance.
For those concerned about urinary leakage when sneezing or exercising
"Stress urinary incontinence"—in which urine leaks when coughing, sneezing, or jumping—may be related to the function of the pelvic floor muscles.
For those who have difficulty contracting their pelvic floor muscles effectively, V-Tone—which uses EMS to stimulate the muscles—is an option.
Some of you may be strengthening your pelvic floor muscles through self-care.
We sometimes hear comments such as, “I haven’t seen much change,” or “I don’t know how to engage my pelvic floor muscles.”
V-Tone is a treatment that can also be used as an aid to help you get a feel for the movements when you have difficulty moving your muscles on your own.
Furthermore, if changes in the tissues supporting the urethra are contributing to urinary incontinence, Mofius 8V may also be a treatment option.
For those experiencing vaginal dryness or discomfort during intercourse
Vaginal dryness and discomfort during intercourse are related to changes in female hormones and the condition of the vaginal mucosa.
With Empower RF, thermal stimulation from the Forma V and Mofius 8V can help improve the firmness and overall condition of the vaginal walls.
However, the causes of dryness and discomfort during intercourse vary, so this treatment may not be suitable for everyone.
In some cases, other approaches—such as moisturizing treatments or medication—may be more appropriate. In particular, if a woman experiences pain during intercourse, it is necessary to assess not only the condition of the mucous membranes but also factors such as muscle tension.
For those concerned about the firmness and elasticity of their vulva
Empower RF can be used not only inside the vagina but also around the labia majora and labia minora.
If you are concerned about the firmness of the skin in the vulvar area, consider RF tightening.
However, sagging skin and a loss of volume in fat and tissue are separate issues.
If you wish to restore lost volume, other procedures—such as hyaluronic acid injections into the labia majora—may be appropriate.
Cases Where Empower RF May Not Be Suitable
Empower RF cannot address all concerns related to the intimate area. Depending on your symptoms and health condition, other procedures or treatments may be prioritized.
When the pelvic floor muscles are excessively tense
The pelvic floor muscles are not the kind of muscles where "the tighter, the better." For people who experience pain during intercourse or pain in the pelvic area, the issue may not be weak muscles, but rather that the muscles are excessively tense.
In such cases, rather than using V-Tone to stimulate contraction, you may need to focus on relaxing the muscles. It’s important for the pelvic floor muscles to tighten when necessary and relax properly.
In cases of infectious diseases, inflammation, or pelvic organ prolapse, etc.
Severe itching, odor, or a stinging sensation in the intimate area may be caused by an infection or inflammation.
In addition, if a patient has pelvic organ prolapse—such as a prolapse of the uterus or bladder—we will prioritize a specialized examination depending on the severity of the condition.
Other
If you are pregnant or have an implanted medical device, such as a pacemaker, you may not be able to receive this treatment.
Precautions vary depending on the equipment used, so please be sure to let us know in advance.
Bianca Clinic’s Approach to Determining Suitability
When considering whether Empower RF is appropriate for a patient, I place great importance on comparing the symptoms the patient is experiencing with the actual condition of the vaginal wall and pelvic floor muscles.
For example, even women who feel that their “vagina is loose” may still have good pelvic floor muscle tone.
Conversely, there are also cases where the problem stems from an inability to move the muscles properly, even if there are no major issues with the condition of the mucous membranes.
At Bianca Clinic, in addition to medical examinations and counseling, we assess your condition using methods such as vaginal pressure measurement. Specifically, we carefully inquire about the condition of your vaginal mucosa, the contractile strength of your pelvic floor muscles, situations in which you experience urinary incontinence, your childbirth history, and your menopausal status.
We place equal importance on not only the measured values but also the changes our patients hope to achieve, so please feel free to consult with us first.
Frequently Asked Questions About Who Is a Good Candidate for Empower RF
We’ll answer common questions you may have when considering treatment, such as those related to age, childbirth history, and combinations of symptoms.
Q1. Is Empower RF suitable for women in their 40s and 50s?
Age alone does not determine eligibility.
We make a diagnosis based on the causes of your symptoms—such as hormonal changes and the function of your pelvic floor muscles—as well as your current condition.
Q2. When can I start treatment for vaginal laxity after childbirth?
It depends on how well you recover after giving birth.
We will assess the condition of the perineal wound, vaginal mucosa, and pelvic floor muscles before determining the appropriate timing for treatment.
Q3. Is this product also suitable for situations where you're concerned about water leaks after taking a bath?
This is an option when the pelvic floor muscles or the shape of the vagina are factors.
However, since the causes of hot water leaks and urine leaks differ, we will evaluate the situation accordingly.
Q4. If I have both urinary incontinence and vaginal dryness, will I need multiple treatments?
Multiple treatments are not always necessary.
We’ll identify the causes of each symptom and develop a treatment plan based on the concerns you’d like addressed first.
Q5. If I want to avoid surgery, is Empower RF an option?
This procedure is worth considering for those who wish to access the vaginal wall or pelvic floor muscles without requiring a large incision.
However, this does not necessarily produce the same results as surgery, and depending on the symptoms, a different approach may be more appropriate.
With Empower RF, it's important to choose the treatment based on the cause of your concern.
Empower RF features two distinct approaches: RF, which targets the vaginal walls, and EMS, which stimulates the pelvic floor muscles.
Even if the symptom is the same—a “feeling of vaginal laxity”—is the solution tissue care or muscle training? Figuring that out is the first step in choosing a treatment.
At BIANCA CLINIC, our team of female doctors and staff—led by Akiko Miyamoto—discuss your concerns and personal circumstances with you to determine the most appropriate course of treatment.
Even if you have symptoms you find difficult to discuss with others, you don’t have to decide on a treatment right away. If you have any concerns, please feel free to talk to us.
