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Many women experience vaginal laxity, discomfort during intercourse, urinary leakage when coughing or sneezing, or an itchy sensation caused by dryness—often triggered by childbirth or aging.

 

Recently, there has been an increase in treatment options using energy-based devices, and Empower RF, in particular, has been gaining attention as a “non-invasive procedure.”

 

That said, if it’s your first time, you’re probably wondering about the results, any pain, downtime, cost, and whether it’s right for you, aren’t you?

 

It’s true that with so many options in Tokyo and Ginza, it’s easy to get overwhelmed when trying to compare them. In this article, we’ll explain the concept behind the effects of Empower RF in simple terms, from both a medical perspective and an everyday point of view.

 

Our goal is for you to naturally realize, once you’ve finished reading, “Where should I start when seeking advice?”

 

[Doctor’s Point]

Empower RF is a multi-functional device from InMode that enables a wide range of treatments specialized for women’s healthcare—such as V-Tone, Mofius 8V, and Forma V—all in a single unit.

What Is Empower RF? How It Works and the Benefits of Empower RF

Empower RF is a multi-functional energy device designed with women’s intimate areas and pelvic floor in mind.

 

We use different modes depending on the treatment area and objective—such as using radiofrequency (RF) heating to promote collagen remodeling in the mucous membranes and subcutaneous tissue, or using a specialized handpiece to support pelvic floor muscle contraction exercises (electrical stimulation).

 

Typically, these treatments combine RF heating to tighten the vaginal walls and vulva and improve moisture retention, micro-needle RF to improve skin texture, and pelvic floor muscle contraction exercises.

 

The expected benefits of Empower RF include reducing the sensation of vaginal laxity, providing support for mild stress urinary incontinence (the type caused by coughing or sneezing), alleviating discomfort during sexual intercourse, and improving the texture and appearance of the vulvar skin.

 

However, not everyone will experience the same results; the manner in which the effects appear, how long they last, and the number of sessions required vary from person to person.

 

Whether you receive treatment in Tokyo or Ginza, it’s important to develop a plan that combines therapy and rehabilitation after assessing your lifestyle and the condition of your pelvic floor muscles.

What Happens with RF (Radio Frequency)?

RF gently warms the tissue, improves blood circulation, and stimulates the reconstruction of collagen fibers.

 

As a result, you can expect changes in the firmness and moisture levels of the vaginal walls, and some people find that the itching caused by friction subsides.

 

If you are sensitive to heat or have certain medical conditions or are using medical devices (such as a pacemaker), we may not be able to perform the treatment; therefore, a preliminary consultation is important.

Electrical stimulation of the pelvic floor muscles (e.g., VTone)

It can be difficult to get a feel for weakened pelvic floor muscles through self-guided exercises alone.

 

By making it easier to feel muscle contractions through electrical stimulation pulses, this can sometimes help you learn the correct sensation of tightening.

 

There is significant individual variation here as well, and it is only when combined with guidance on proper muscle use and home workouts that progress becomes more consistent.

What Kind of Concerns Does It Best Address? Criteria for Making Your Own Choice

Rather than being a "one-size-fits-all" solution for everyone, Empower RF is a treatment that should be considered based on the specific concerns you have and your lifestyle priorities.

• I want to gradually tighten my vagina—which has become loose due to childbirth and aging—without surgery.

• I want to improve my quality of life while managing mild stress urinary incontinence through rehabilitation.

• To alleviate discomfort and dryness during intercourse and make your time with your partner more enjoyable

• While I do care about how it looks, I want to prioritize functionality first.

Suitable for

• People who want to minimize downtime due to work or childcare

• People who are open to gradual changes and can make several visits to the clinic

• People who are proactive about self-care and incorporate pelvic floor muscle exercises into their routine

People who want to consider this carefully

• Individuals with suspected moderate-to-severe organ prolapse (such as uterine prolapse or cystocele) (who first need an explanation of their treatment options, including surgery)

• People with active infectious diseases; certain stages of pregnancy or breastfeeding

• People with implanted devices such as pacemakers (please confirm whether this treatment is appropriate for you)

• People who want a guaranteed dramatic change after just one session (results may vary)

What You Should Know About Choosing a Doctor Before Getting Treatment in Ginza, Tokyo

Precisely because it’s such a sensitive area, it’s easy to feel overwhelmed by the large number of clinics in Tokyo and Ginza.

 

We recommend obstetricians and gynecologists or female urologists who understand the anatomy of the pelvic floor and the vagina and can appropriately tailor treatment, rehabilitation, and—when necessary—surgery to each individual case.

 

I used to work in obstetrics and gynecology, but I’ve since switched to cosmetic surgery. Even now, I see doctors who present themselves as if they were still obstetricians and gynecologists, as well as cases where doctors promote themselves as specialists in women’s health even though they have no experience working in obstetrics and gynecology or female urology.

 

Even among urologists, those who have had little experience treating female urological conditions may not be fully familiar with detailed assessments of the pelvic floor or the functional aspects of the vagina and vulva.

 

When evaluating a doctor’s credentials, don’t just look at their title; make sure to verify whether they actually perform physical examinations and assessments of the pelvic floor muscles, vagina, and vulva, and whether they conduct functional evaluations using ultrasound and medical questionnaires.

 

Also, if you’re recommended a treatment you don’t need, there’s a chance it could be an upsell.

 

Not only in Ginza, Tokyo, but in general, there’s often a reason behind prices that are significantly higher or lower than the market average, so please carefully compare the details, number of sessions, and post-operative follow-up care.

Basics of the Pelvic Floor Muscles: Anatomy and Function

The pelvic floor is a "hammock"-like structure composed of muscles that extend from the pubic bone to the tailbone (e.g., the pubococcygeus, iliococcygeus, and puborectalis muscles) and an overlay of ligaments, fascia, and connective tissue.

 

It supports the bladder, urethra, uterus, vagina, and rectum from below, and also plays a role in helping you control urination and bowel movements, as well as supporting sexual function.

 

It is also linked to posture, breathing, and abdominal pressure (the pressure applied to the abdomen), and is active during everyday activities such as sneezing, carrying heavy loads, and playing sports.

What happens if the functionality is compromised? Including MPPS

The pelvic floor can become weak or, conversely, overly tense due to childbirth, aging, muscle weakness, poor posture, a history of surgery, or hormonal changes.

 

When “Myofascial Pelvic Pain Syndrome (MPPS)” develops due to underlying muscle and fascia hypertonicity, it can cause pain, discomfort, or a tingling sensation in the vagina, vulva, and perianal area, as well as discomfort during urination, frequent urination, a sensation of incomplete bladder emptying, constipation or difficulty passing stool, and pain during sexual intercourse.

 

If you experience an itchy sensation similar to that caused by a Candida infection but no yeast is detected in a test, vaginal dryness, irritation of the mucous membranes, or excessive tension in the pelvic floor muscles may be contributing factors.

 

These symptoms affect daily life and sexual satisfaction, and they also impact one’s sense of well-being. Assessment and treatment approaches vary from person to person, and a combination of rehabilitation and self-care is essential.

Empower RF and pelvic floor muscle rehabilitation go hand in hand

While Empower RF helps create an optimal environment for your body, it is your own muscles that learn and support your movements.

 

Rather than relying solely on the treatment itself, combining it with pelvic floor muscle rehabilitation and training makes it easier to experience tangible functional improvements.

 

When considering treatment in Tokyo or Ginza, be sure to check whether the facility offers specialized instruction and collaborates with physical therapists.

Tips for Pelvic Floor Exercises You Can Do at Home

• Finding the Right Thread: Focus on the sensation of “gently holding back” flatulence or urine for just a moment, consciously pulling inward from the anus toward the vaginal opening and urethra. We do not recommend routinely holding in urine to check for leaks.

• Breathing and Posture: Don't hold your breath; gently contract your muscles as you exhale. Don't arch your back too much, and keep your pelvis upright.

• Frequency and Quality: Perform several contractions, each lasting 3 to 5 seconds, during spare moments throughout your day. If you tend to be tense, start with “relaxation exercises.”

• Incorporate into Your Daily Life: Link it to specific actions, such as lightly tightening your muscles just before sneezing or preparing yourself before lifting something heavy.

Collaboration with Physical Therapy and Rehabilitation Specialists

If you choose a facility with physical therapists who specialize in women’s healthcare or one that offers outpatient pelvic floor rehabilitation, it will be easier to address not only muscle weakness but also muscle tension and postural habits.

 

A system in which obstetricians and gynecologists and female urologists work together as a team is gradually gaining ground even in Ginza, Tokyo.

Treatment Process and Downtime (A Typical Example in Ginza, Tokyo)

Generally, the condition of the vagina and pelvic floor is assessed through a medical interview, pelvic examination, and ultrasound, and the patient is asked about her lifestyle (such as how many months have passed since childbirth, exercise habits, and when she plans to return to work).

 

The procedure itself is performed on an outpatient basis and may be accompanied by a sensation of warmth or mild discomfort, but most patients report that it causes little severe pain.

 

After the procedure, temporary redness or a stinging sensation may occur. Although you can generally go about your daily routine as usual, you are typically advised to refrain from strenuous exercise, bathing, sexual activity, and using tampons for 24 to 48 hours.

 

You’ll often begin to notice changes gradually over the course of a few days to a few weeks, so you may be recommended to have several sessions (the number of sessions and the intervals between them vary from person to person).

 

Even at facilities in Tokyo and Ginza, reservation intervals may vary depending on the season and how crowded they are, so it’s best to plan ahead to be on the safe side.

Pain, Anesthesia, Frequency

The sensation is primarily one of warmth or a gentle heat, and we adjust the output to avoid causing severe pain.

 

Anesthesia is generally not required, but an anesthetic cream may be used for certain treatments, such as needle RF for the vulva.

 

The general guideline is to have treatment a few times every few weeks, but the schedule is tailored to each individual based on their symptoms and daily routine.

Risks and Side Effects

Redness, swelling, a mild burning sensation, changes in discharge, and a temporary stinging sensation may occur. In rare cases, there is a risk of burns, blisters, changes in skin pigmentation, or infection. If you have a history of herpes, you may be advised on how to prevent a recurrence. While some people may experience a temporary increase in urinary urgency or frequency, others may find that these symptoms subside. Since individual responses vary, please contact us or schedule an appointment as soon as possible if you have any concerning symptoms.

Comparison of Empower RF and Other Treatments (Based on "Which Is Best Suited for Your Concerns," Not Which Is Superior)

• Laser Treatments (CO2, Er:YAG, etc.): Choose this option when aiming to address dryness or tighten the skin's surface. The warming sensation is similar to that of RF, but the characteristics differ between the skin-type and intravaginal types.

• HIFEM Series (Electromagnetic Stimulation Chair): A device for practicing pelvic floor muscle contractions while fully clothed. The sensation varies depending on posture and individual differences.

• PRP injections, etc.: While this treatment targets the texture and sensitivity of the mucous membranes, its effectiveness varies greatly from person to person, so careful evaluation and appropriate application are crucial.

• Surgery (such as sling surgery): An option for moderate-to-severe stress urinary incontinence and organ prolapse. Use in combination with rehabilitation to help prevent recurrence.

Rather than choosing the "most effective" option, you should select the one based on the cause of your symptoms and your lifestyle priorities.

 

In areas with many options, such as Ginza in Tokyo, the more thorough a doctor’s evaluation is, the better the match will be.

How to Think About Costs and What to Watch Out for When Prices Are “Too Low” or “Too High” (Ginza, Tokyo)

The cost varies significantly depending on the type and scope of treatment, the number of sessions, follow-up care, and whether follow-up visits or rehabilitation guidance are provided.

 

In Tokyo and Ginza, prices vary widely; if a price is too low, it may be because the treatment time is short or because evaluations and follow-up visits are skipped; if a price is too high, it may be due to excessive bundled sales or hidden upsells.

 

When reviewing quotes, be sure to check the “treatment area, power level, duration, number of sessions, follow-up visits, procedures in case of burns, and cancellation policy,” and compare them carefully.

Frequently Asked Questions (FAQ)

When can I start thinking about this after giving birth?

Whether you had a vaginal delivery or a cesarean section, the first step is to have your recovery assessed during a postpartum checkup. Generally, the timing is determined in consultation with your doctor, taking into account your postpartum recovery and breastfeeding status. Once you receive your doctor’s approval, you can begin pelvic floor muscle rehabilitation, starting with gentle exercises.

Is this possible even if I'm menstruating or have an IUD (intrauterine device)?

Many facilities avoid performing the procedure during menstruation. Whether an IUD can be used depends on its type and position, so a decision is made after confirming these factors via ultrasound or a pelvic exam.

When can I start having sex?

In most cases, you should refrain from certain activities for about 24 to 48 hours; however, since this may vary depending on the treatment you received and individual differences, please follow the facility’s instructions.

How long does it last?

There is significant individual variation, and this is influenced by lifestyle habits, hormonal changes, muscle strength, and childbirth history. Regular maintenance and ongoing rehabilitation make it easier to maintain your physical condition.

Places to Seek Counseling in Ginza, Tokyo, and Tips for Seeing a Doctor

When looking for a clinic in Tokyo or Ginza, you should prioritize facilities that have obstetricians and gynecologists or female urologists on staff who can directly examine your vagina, vulva, and pelvic floor muscles.

 

Since some doctors who lack sufficient training in women’s urology may still market themselves as “specialists in women’s health,” it’s best to verify the actual scope of their practice (including the appropriate use of evaluation, rehabilitation, and surgery) to ensure you’re in good hands.

 

During your consultation, don't just focus on the "before and after"—ask your therapist to help you develop a treatment and rehabilitation plan by reviewing your symptom scores, daily challenges, and the condition of your pelvic floor muscles together.

 

While the convenience of traveling to Ginza, Tokyo, is a major advantage, considering both the frequency of visits and the consistency of home care will help you make a choice you’re less likely to regret.

Empower RF: Small Tips for Maximizing Results

• Hydration and Moisturizing: Maintain a healthy mucosal environment through adequate fluid intake and proper vulvar care as directed

• Activities of Daily Living: Mastering "The Knack"—Pre-Contraction for Sneezing, Coughing, and Lifting

• Posture and Breathing: How to align your pelvis and open your rib cage while working at a desk

• Sleep and Stress Management: This is particularly important for MPPS of the hyperarousal type

Summary

Empower RF is a treatment option that aims to achieve gradual improvements—without surgery—for symptoms such as vaginal laxity, mild urinary incontinence, dryness, and discomfort during intercourse.

 

However, results, duration, the number of sessions required, and individual experiences may vary, and combining an assessment of the pelvic floor’s condition with rehabilitation is crucial for developing a greater awareness of your body.

 

If you are considering treatment in Tokyo or Ginza, please choose a medical facility that has obstetricians/gynecologists and female urologists on staff—one that thoroughly examines your pelvic floor muscles and vagina and tailors treatment to each individual case, utilizing procedures, exercises, and, if necessary, surgery.

 

You should be cautious if the price is too high or too low compared to the market rate, and be sure to check whether there are any upsells and what the follow-up support is like.

Advice

If you’re wondering whether this is right for you, feel free to start with a consultation. The most important first step is to find a doctor you feel comfortable talking to at a location near where you live—including the Ginza area in Tokyo—that’s easy for you to get to. Let’s work together to figure out a plan that aims to make your life a little easier, without getting too caught up in “Before & After” photos or just the numbers.

 

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