Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Vaginal Rejuvenation · Fleming Island, FL
Discreet, physician-supervised care for tissue changes after childbirth, perimenopause, or menopause. We talk honestly about what treatment can and cannot do before you decide anything.
Written by the Well Labs+ editorial team · Last updated July 2026
Category Overview
Dryness, laxity, and changes in comfort are common after childbirth, perimenopause, and menopause. At Pura Vida, vaginal rejuvenation is a private, in-office laser treatment, and your clinician explains honestly what it can and cannot do before you decide.
Your OB/GYN stays your primary provider for annual exams and any urgent concern, while our role is limited to vaginal tissue health and comfort as part of our wellness and body program. When symptoms are driven by declining hormones, our hormone optimization team can help address the root cause alongside your treatment.
What We Offer
We keep this simple. FemTouch is the laser treatment we offer, and your clinician will tell you honestly whether it fits your goals at your consultation.
A Second Option
Some patients are a better match for CO2LiftV, a treatment that supports the same tissue comfort as FemTouch. Your provider will recommend the option that fits you at your consultation.
CO2LiftV
CO2LiftV uses fractional CO2 energy to prompt the same collagen response FemTouch relies on, through a different device. Your provider may suggest it instead of or alongside FemTouch, depending on your tissue and your goals. Either option is discussed candidly with you before you decide.
In Expert, Discreet Hands
Every vaginal rejuvenation conversation at Pura Vida happens privately, in a closed room with a clinician. We listen to your symptoms, explain your options clearly, and recommend only what we believe will help, including a referral back to your OB/GYN when that is the honest answer.
That candor is part of our wellness and body program, built entirely around your comfort and your privacy.
Fleming Island · Northeast Florida
Fleming Island’s well-informed patients often arrive at this conversation privately, sometimes after a dismissive answer elsewhere. We meet that with a clinical, unhurried consultation and coordinate with the OB/GYN and primary care providers you already trust across Clay County and greater Jacksonville.
Comfort changes after childbirth or menopause are common here, where many of our patients are in their perimenopausal years, and they deserve a private, clinical answer close to home.
The practice Fleming Island trusts for private, clinician-led wellness care, from our Medical Spa on Island Lane.
Serving
Is This For You?
If a laser treatment is not the right next step for you, we will say so honestly and help you find where to go instead. Your OB/GYN stays your primary provider, and that boundary is part of how we work.
Sounds Like You?
Request an appointment for a private, clinician-led vaginal rejuvenation consultation, here in Fleming Island.
What Our Patients Are Saying
"I had my first appointment with Kara today and I have all the faith in the world that she will sort out my perimenopause issues. Look forward to the road ahead."
"Kara is incredibly patient, understanding, and knowledgeable. I never felt pressured or rushed to do or buy anything extra. Super professional and clean atmosphere. Will be back again and again."
"Can’t say enough great things about this place! Everyone is so nice!… All are so knowledgeable and really tailor treatments to the person. I’ve been seeing them for 2 years and I’ve been happy with every visit."
Prefer to Talk First?
Talk privately with our Fleming Island team before you schedule anything.
Our Process
Your first visit happens in a private consultation room, one on one with your provider. We ask about your symptoms and history, explain what treatment can realistically do, and never rush the conversation.
If a laser treatment is a good fit, we say so and explain why. If your symptoms point to something your OB/GYN or primary care provider should evaluate first, we tell you that too and help you know who to see.
Treatment is quick and takes place in the same private setting as your consultation. Most patients describe mild warmth or pressure, and return to their day the same afternoon.
Tissue changes gradually as the treatment prompts your body’s own collagen response. We schedule a follow-up to check your progress and talk through whether a maintenance visit makes sense for you.
Proven Excellence
Vaginal rejuvenation is available at our Island Lane Medical Spa, serving Orange Park, Middleburg, Green Cove Springs, and greater Jacksonville.
Meet Your Care Team
Led by Kara Wilfong, DNP, APRN, FNP-C, and backed by our nurse practitioner and physician assistant team, so your care is always clinician-led.
Scroll to meet the full team
Frequently Asked Questions
Both are non-surgical, non-hormonal ways to support vaginal tissue comfort, but they work differently. FemTouch is an in-office laser treatment delivered as a short series, using gentle heat to prompt your body’s own collagen response in the vaginal wall, while CO2LiftV is a non-laser, topical option we also offer. Depending on your symptoms, your provider may recommend one, the other, or the two together, and will tell you honestly at your consultation which fits, or whether a referral to your OB/GYN makes more sense first.
Most patients are treated as a short series spaced a few weeks apart, with periodic maintenance afterward, because the tissue changes build gradually as your collagen responds rather than after a single visit. The exact number depends on your symptoms and whether your plan uses FemTouch, CO2LiftV, or a combination of the two. Your provider maps that schedule, and any per-session pricing, at your consultation once your goals are clear.
No, the O-Shot is not a treatment we perform or offer for booking here. If you have read about it and are curious, we are glad to talk through it honestly at a consultation, including how our on-label options, FemTouch and CO2LiftV, compare and whether either is a reasonable fit for what you are experiencing.
No, and we want to be clear about that up front. Your OB/GYN stays your primary provider for annual exams, screenings, and any acute gynecologic concern, while our role is limited to vaginal tissue health and comfort. Think of FemTouch and CO2LiftV as one part of your care, coordinated alongside the provider you already see.
Completely private: consultations happen one on one in a closed room, with no waiting-room conversation about why you are here and discreet billing descriptions on your statement. There is no high-pressure sales pitch, only an honest recommendation based on your symptoms and goals, and you can ask questions candidly without worrying who might overhear.
Good candidates are typically women noticing vaginal dryness, laxity, or comfort changes after childbirth, perimenopause, or menopause, a common life stage for Fleming Island’s own patient base, where the median age of 47.7 sits squarely in the perimenopause years. Some patients are a clear fit for FemTouch; others are better served by a hormone evaluation or a referral back to their OB/GYN, and we will tell you honestly which path fits rather than defaulting to one treatment for everyone. Care here is clinician-led by Kara Wilfong, DNP, APRN, FNP-C, backed by our nurse practitioner and physician assistant team, and health content on this page is medically reviewed by our Medical Director.
Ready When You Are
Request an appointment for a private, clinician-led consultation. We’ll listen first, explain your options honestly, including FemTouch and CO2LiftV, and never push a treatment that isn’t the right fit.
Not ready to book? Send us a question instead.