Urinary stress incontinence

• Weak bladder or urinary urgency

• Pain with sex

• Genitourinary Syndrome

• Vaginal dryness

• Vaginal laxity

• Post childbirth pelvic floor issues

• Decreased sensation or ability to orgasm

• Prolapse of the cervix and/or vaginal walls

• Lichen sclerosis


Skin Inspiration and Dr Sonya Jessup (BHB, MBChB, MReprodMed) now provide, non-surgical treatment options for women, in particular those with urinary incontinence, menopause and post-pregnancy issues. 

Dr Jessup treats women with a carefully considered selection of some of the newest devices and technologies available worldwide to assist women to achieve the same quality of life they enjoyed prior to carrying and delivering their children.An initial consultation with a Gynaecologist is mandatory. This includes a thorough history, examination, ultrasound scan, infection screening, blood and urine tests. Based on the results of the initial workup, clients are advised whether their individual situation would be best treated medically, surgically or whether they would be well suited to treatment with one of the newer women’s health options.




For many women bladder control is a constant daily concern with multiple visits to the bathroom at night, urgent dashes to attempt to reach a bathroom in time and frequent embarrassing leakage of urine.

There are two main events in life that trigger changes in our bladder function. The first is having babies. The second is going through menopause. For 1 in 5 women their bladder function never returns to normal after having a child and they are left with incontinence issues for the rest of their lives.

Women can experience stress urinary incontinence; that is a leakage of urine with a cough, sneeze, running or heavy lifting or they may experience urge incontinence which is a sudden and strong need to urinate.

​​​There are many options available to help rectify incontinence ranging from physiotherapist led pelvic floor exercises to surgery. After seeing many issues first hand from pelvic mesh and slings for pelvic reconstructive surgeries, Gynaecologist Dr Sonya Jessup set out to find a safe and effective non-surgical option for patients. 

This led her to the Emsella chair and Viveve. Both are non-invasive, non-surgical treatments producing excellent results for women with incontinence. The first step is to come in for a bulk billed incontinence assessment by our specialist Gynaecologist so that any baseline problems are identified and the best individual treatment options presented to you.



BTL Emsella is a non-surgical, non-invasive treatment for stress urinary incontinence and urge incontinence. The machine is designed to strengthen the pelvic floor muscles.


The treatment is delivered by comfortably sitting in an ergonomic chair fully clothed for thirty minutes and uses advanced electromagnetic energy to engage all the muscles of the pelvis and produce thousands of pelvic floor muscle contractions simultaneously. The action is similar to Kegel exercises, however, with far more intensity. A 30 minute session is equivalent to the intensity of 11,200 pelvic floor exercises.


  • Performed in the comfort of our clinic

  • 6 treatment cycles of 30 minutes, over 3 weeks

  • No downtime, you can go back to your normal activities following the procedure

Its aim is to restore neuromuscular control in the pelvic region, particularly pelvic floor muscles and the bladder. By doing so, the pelvic floor muscles are strengthened and improved dramatically, the vaginal walls are tightened and urinary and urge incontinence is decreased.

The results are both instantaneous and ongoing. With as few as six treatment cycles in three weeks, patients strongly agree their incidence of stress urinary incontinence was improved by 95%!

Viveve is a non-surgical vaginal treatment that tightens and tones the vaginal canal. The radio frequency energy combined with cryogen cooling penetrates through the mucosal tissues to act directly on the collagen layer to stimulate cellular collagen growth. Over a 12 week period, the collagen remodels and strengthens to support not only the vaginal tissues but also creates an improved collagen hammock under the urethra that acts a bit like a “natural” sling to decrease stress incontinence.

  • Performed in the comfort of our clinic

  • Typically takes 40 minutes

  • Well-tolerated and doesn’t require anaesthesia

  • Little to no downtime, you can go back to your normal activities following the procedure, with the exception of no sexual intercourse for 48 hours


Viveve can increase feelings of vaginal tightness. Treating the vaginal opening and the vulval tissues also provides a visible and cosmetic outcome. The partners of women we have treated commonly comment that intercourse feels more like it did prior to having kids.

In a sexual satisfaction survey of women who had undergone the Viveve treatment after experiencing vaginal deliveries, 67% of the women reported an increase in vaginal tightness at 30 days, and 87% at 6 months after the treatment. (Millheiser et al. (2010) 

Juliet Erbrium Yag

Menopause causes a decline in hormone levels that in approximately 40% of women leads to vaginal atrophy characterised by vaginal dryness, itching, painful intercourse, poor lubrication, and poor vaginal muscle elasticity and tone. These symptoms are not temporary and will worsen over time if not treated. Hormone replacement therapy with estrogen tablets, patches or vaginal creams has been the gold standard treatment until now. Some women do not wish to take tablets every day or have been advised not to take supplementary estrogen (eg women with estrogen positive breast cancer) and the ability to relieve their symptoms by inducing structural tissue change is extremely beneficial.


The Juliet Erbium Yag Laser exerts its effects on the mucosa of the vagina and the skin of the labia. The treatment induces a regeneration of the pelvic connective tissues resulting in thicker mucosa, improved urethral closure and an improvement in vaginal laxity. The first pass of the treatment targets the mucosal layers and the addition of a second thermal pass of treatment helps remodel the deeper collagen layers.

​There is also increasing evidence that treatment with a laser can substantially improve the symptoms in women with a chronic vulval condition called Lichen Sclerosis.


  • Treatment with the Juliet laser takes 15-30 minutes

  • Can be performed in the clinic without anaesthetic

  • Downtime is minimal and you can return to work but we advise you not to have sexual intercourse for 72 hours.

Skin Inspiration northern beaches leading fat freezing clinicians at mona vale.