Technology

Alma Duo

Alma Duo is a medical device that delivers low-intensity acoustic (shockwave-type) energy to targeted tissue.

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Alma Duo acoustic wave therapy

Understanding Alma Duo.

Alma Duo is a medical device that sends gentle, low-intensity acoustic pressure waves into soft tissue. You may also hear it called low-intensity shockwave or acoustic wave therapy. The energy is far gentler than the high-energy shockwaves used for kidney stones, and it's directed at soft tissue, not bone. In men's sexual health, it's used to help support local blood flow.

Alma Duo treatments are provided by Dr. Gidon Frame or our trained technicians, within our intimate wellness services, under Dr. Frame's medical direction.

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How does Alma Duo work?

A handpiece placed against the skin delivers brief, repeated acoustic pulses to the treatment area. This mechanical energy is thought to prompt your body's own repair processes, including the growth of new small blood vessels (called neovascularization or angiogenesis) and better local circulation. These are biological changes that take time, so the effect builds gradually, and treatment is usually planned as a course of sessions.

What Alma Duo is used for

Alma Duo is used in men's sexual-health care to support blood flow to erectile tissue. Healthy erections depend on blood vessels, hormones, nerves and mood, and medications can play a part too. Alma Duo works on the blood-flow side, so it suits men whose concern has a vascular component, including erectile dysfunction and reduced erectile firmness.

Dr. Gidon Frame or Dr. Teri Fisher reviews the cause of your concern with you first, so Alma Duo becomes one part of a plan built around what's actually going on. It's offered within our men's sexual-health care.

Alma Duo is offered to women as well. Within our Pink Intimate care, it may be considered for selected intimate wellness concerns after an assessment with one of our physicians.

Anti-Aging Medical & Laser Clinic

Curious where Alma Duo may fit?

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Benefits of Alma Duo

Alma Duo is non-surgical, with no injections or incisions, and there's generally little or no recovery time. Because it works through your body's own tissue and blood-vessel processes, improvement builds gradually over a series of sessions. How much change you notice depends on the cause and severity of your concern, and individual results vary.

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Safety, side effects and considerations

Low-intensity acoustic wave treatment is generally considered low risk. You might notice temporary discomfort, redness, tingling or bruising where the handpiece was used.

Treatment may need to be postponed or adapted if you have an active infection, certain skin conditions, a bleeding disorder, cancer or a tumour in the treatment area, take blood-thinning medication, or have some types of implanted device. Please tell us about any of these before you start.

Use of acoustic wave therapy for erectile function is still considered an emerging, off-label application in many jurisdictions, and the research continues to build. Your physician talks you through what to expect for your own situation before your first session.

This is not a complete list.

Related Treatments

Treatments that may utilize this technology.

Conditions It May Help Address

Concerns connected to this technology.

The relationship between a technology and a concern depends on the treatment plan, patient assessment, and how the technology is being used.

Penile Girth Concerns

Concerns about penile girth, circumference or proportion (sometimes searched as penis enlargement or male enhancement), whether from perception, natural variation, or a change after injury or treatment.

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Anti-Aging Medical & Laser Clinic

Why patients choose our clinic

Anti-Aging Medical & Laser Clinic has provided physician-led care in Vancouver since 2003, from our clinic in Kitsilano. Men's sexual-health care here is led by Dr. Gidon Frame, our Medical Director, and Dr. Teri Fisher, so the medical side of your concern is looked at alongside any treatment. Alma Duo sits within that wider plan, together with testosterone care with Dr. Frame where it's relevant.

Your consultation. Your first visit is private and covers your health history, medications and goals. Your consultation with one of our physicians is $199. If you need to cancel or change it, please give us at least 48 hours' notice and we'll refund the fee or move your appointment. With less notice, or if you miss the appointment, the fee is kept.

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FAQ

Questions about Alma Duo.

No. Alma Duo is delivered through a handpiece placed against the skin, with no needles or incisions. There's generally little or no recovery time, so it fits easily around your day.

Alma Duo works through gradual changes such as better local blood flow, so any difference builds over weeks across a course of sessions. Results vary widely from person to person. At your consultation, we'll give you a realistic picture based on your own situation.

It depends on the cause. Erectile difficulties can come from blood-vessel, hormonal, nerve, medication-related or psychological factors, and Alma Duo works on certain blood-flow contributors. When blood flow is part of the picture, it can be a helpful part of your plan, which is why understanding the cause comes first.

Most men describe it as mild, though everyone's a little different. You may notice temporary discomfort, tingling, redness or bruising where it was applied. If you're unsure how it'll feel, let us know before your first session and we'll walk you through it.

Reviews

What patients say about the clinic experience.

Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.

Medical Review

Reviewed for clinical accuracy.

Medically reviewed by Dr. Gidon Frame, Medical Director, Anti-Aging Medical & Laser Clinic (CPSBC).
Last medically reviewed: August 2026.
Evidence reviewed: clinical practice guidelines, systematic reviews and peer-reviewed medical literature.

AuthorDr. Gidon Frame
Medical ReviewerDr. Gidon Frame
Last ReviewedSeptember 2026
Anti-Aging Medical & Laser Clinic

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