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The Plus 90 (Votiva)

What is the Plus 90 Treatment?

Plus 90, or Votiva  as it is called in the USA, is a technology developed by InMode (the company that makes the Morpheus8) to improve feminine health. It is a comfortable and safe treatment that can rejuvenate the external and internal genital and vaginal tissues without the need for surgery. The Plus 90 treatment delivers radio-frequency energy to these tissues in exactly the right amounts to stimulate and rejuvenate their health and appearance.

Plus 90 is a very simple treatment that has helped many women around the world. Childbirth, aging and weight loss can all be the cause of poorly supported vaginal structures which can result in sagging and laxity of the genital tissues and discomfort during sexual relations or urinary incontinence. Childbirth and aging will often cause widening of the vaginal canal which can result in decreased sensation and stimulation during sex. Atrophy or thinning of the vaginal lining can cause hypersensitivity, dryness and pain. 

Previously, women did not have many options to improve these genital and urinary issues. Now, with this new technology, women have more options to address their feminine health concerns of pain, poor blood circulation and muscle problems in the vaginal region, often caused by Genitourinary Syndrome of Menopause (GSM) which affects 50% of post-menopausal women. There are now choices that are effective, easy and painless, including the Plus 90 in our Montreal clinic.

  • Length of treatment: 15 minutes
  • Indications :
    • Laxity and wrinkled appearance of the labia minora and vulva
    • Reduced blood flow and sensitivity of the vaginal tissues
    • Pain sensation caused by atrophy of the vaginal lining
    • Decreased level of sexual interest and self-esteem
    • Weakening of the vaginal muscles
    • Loosened vaginal canal (especially after child birth)
    • Urinary stress incontinence (involuntary dripping of urine with cough, laugh etc.)
    • Dryness or lack of lubrication during sexual relations
  • Anesthesia: none
  • In/Outpatient: outpatient
  • Side Effects: Usually none. A mild heating sensation is felt during the treatment and, in a small percentage of patients, there may be mild discomfort for a short time after the treatment
  • Risks: Rarely – burns, scarring
  • Recovery: Immediate
  • Return to work: Immediate
  • Light exercise: Immediate

How does the Plus 90 Treatment Work?

Plus 90 can help solve problems of feminine health caused by childbirth, aging or menopause. The treatment uses a probe that delivers safe and controlled doses of radio-frequency energy that generates heats and targets the internal and external genital tissues with almost immediate results. This gentle controlled volumetric heating of vaginal tissue improves blood circulation, thickens the tissue and stimulates the muscles. These effects reduce the laxity of the vaginal canal, create a healthier and thicker vaginal lining with better lubrication and improve urinary function. The result is a better quality of life!

Plus 90 Before and After

The Plus 90 Consultation

During the consultation, Dr. Benchetrit, his nurses or medical estheticians will evaluate you to determine if you are a Plus 90 candidate and describe the treatment in greater detail. We will examine the area of concern (only externally) and inquire about your general health, medical history and lifestyle. In particular we will want to know if you have had a recent gynecological or urological evaluation. We will also ask you to identify the aspects of your genital and urinary functions that bother you — such as loose skin, wrinkles or loss of definition of your external genitalia, lack of lubrication, burning sensations or irritation, loss of enjoyment during sexual relations due to pain or lack of sensitivity caused by enlargement of the vaginal canal, urinary symptoms such as urgency, incontinence etc. We can then determine whether Plus 90 will produce the best results for your needs.

Dr. Benchetrit or his staff will also use this time to explain what you can expect from a Plus 90 treatment. We will give you instructions on preparing for treatment and recovering from it. We will also educate you on the rare risk of complications.

Why Choose Dr. Benchetrit and His Cosmedica Staff for Your Plus 90 Treatment?

Dr. Benchetrit and his staff at Cosmedica have over 25 years of experience with lasers, radiofrequency devices and other energy treatments of all types. They have treated thousands of patients with these devices and have one of the busiest surgical and non surgical aesthetic practices in all of Canada. Because they own over a dozen different lasers and energy devices they can custom-design the best treatment approach for your specific needs.

Dr. Benchetrit is often consulted by the companies that make lasers and energy devices and has tested many of these. In fact, he and his staff tested the five leading feminine health devices in their clinic before opting for the one they feel is the best of the bunch, the Plus 90. Dr. Benchetrit has given scientific talks all over the world on lasers and energy technologies and has co-authored published articles. He is also often called upon by other aesthetic doctors who are learning how to use energy devices for his advice and training. If there are any new advances in this domain you can be sure that Dr. Benchetrit and his staff will be amongst the first to know and use them to help you obtain the best results.

How to Schedule a Plus 90 Consultation

If you’re interested in a non-surgical improvement of the genital and vaginal region then the Plus 90 may be right for you. Contact our Montreal clinic today at 514-700-5233 to schedule a free consultation for the Plus 90. We recommend that you have had a gynecological and/or urinary examination in the past year. If you do not have a gynecologist, we can refer you for a private evaluation before you start your treatments.



Plus 90 will work well for women who have undergone menopause or experiencing symptoms similar to postmenopausal women such as vaginal dryness and pain during sexual relations. It will also help women who have undergone childbirth and now have a looser vaginal canal with loss of sensation. Plus 90 can also be used to shrink and firm external genital tisues such as the labia minora for patients who don’t want to undergo surgery such as a labiaplasty. Finally, Plus 90 can also help women with urinary symptoms such as urgency and incontinence.


Patients can expect to feel a heating sensation during treatment. The procedure lasts about 15 minutes, including the treatment of the external genitalia and the internal vaginal tissues. There is no anesthesia or medication necessary. Results can be felt and seen immediately, with improved results over the following weeks or after multiple treatments.


Depending on the intensity of the treatment, there is little to no downtime. Most patients may have only a slight discomfort during and immediately after treatment. Some patients will experience no discomfort at all.


Your consultant will determine the best treatment plan for you. The majority of patients have 2-3 sessions, however, most notice a difference after even one treatment. The number of sessions depends on your treatment concerns, your personal goals, and if you plan to use a combination treatment or a single treatment approach.