The invasive carbon dioxide (CO₂) laser technology by Alma, utilizing fractional methodology (PIXEL), is used not only for surgical excision but also for skin resurfacing, wrinkles, acne scars, stretch marks, skin tightening, and more. In recent years, the application of this technology in aesthetic gynecology has been steadily increasing, focusing particularly on vaginal tightening, stress urinary incontinence (S.U.I), and functional issues related to the Genitourinary Syndrome of Menopause.