ThermiVa Vaginal Rejuvenation

Vaginal Rejuvenation Without Surgery

The vagina can change both externally and internally for a number of reasons, including aging, childbirth, and menopause. While vaginal rejuvenation surgery has been available for years, prolonged recovery time and the potential for complications can discourage some women from pursuing treatment. ThermiVa offers a non-surgical, non-laser option for feminine rejuvenation, with benefits that can expand beyond just aesthetic improvement.

Patients Report:

  • Improved aesthetic appearance
  • Tissue retraction and shrinkage for a marked improvement in labia laxity
  • Improvement in interior muscle laxity
  • Improvement in urinary stress incontinence
  • Increased lubrication and sensitivity

*Individuals Results May Vary.

Who It’s Best For

Reasons for seeking out treatment with ThermiVa is personal and will vary by patient. Whether you are interested in regaining confidence in your favorite pair of yoga pants, stopping the “trickle” when you laugh, sneeze or cough, or improving intimacy with your partner, ThermiVa may be able to help.



How ThermiVa Works

ThermiVa utilizes controlled radiofrequency, the same thermal energy that has been harnessed for over a decade for non-surgical face and body rejuvenation (Other radiofrequency treatments you may be familiar with are ThermageeMatrixPelleve, and Intensif).

ThermiVa works by stimulating blood circulation and collagen production to increase tissue strength, elasticity, and thickness.

*Individuals Results May Vary.

Must Knows

Candidates for ThermiVa should have a record of:

  • Clear pap smears within the past two years
  • No history of frequent urinary tract infections
  • No vaginal or pelvic floor prolapse
  • No active sexually transmitted disease
  • (If you are prone to herpes outbreaks, please inform Dr. Pilest, so he may prescribe antiviral medication prior to treatment)


  • ThermiVa cannot be performed if you have a cardiac device or any other device affected by radiofrequency energy.
  • Treatment cannot be performed if you are currently pregnant.
  • If you have recently given birth, it is recommended to wait at least 6 weeks before treatment.

Before Treatment Planning

***In preparation for your appointment, the area to be treated should be shaved or closely trimmed. Shaving should be done the day before your scheduled treatment; hair laser or waxing at least a week before.

***A pregnancy test will be administered in-office immediately before each ThermiVa treatment. If you are menstruating, treatment is not contraindicated, however, you may want to plan your treatments around your cycle for your own comfort.

Treatment Nurses

Our ThermiVa-certified Registered Nurses will perform the treatment and take care of you all the way through.


Important ThermiVa Information

Thermi’s temperature controlled RF system is indicated in the US, Brazil, and China for use in dermatological and general surgical procedures for electrocoagulation and hemostatis. In Europe for electrocoagulation of soft tissues for vulvovaginal laxity.

As the options for cosmetic procedures expand like never before, the topic of rejuvenation has moved beyond just the patient’s face. Once a taboo topic, now the conversation of vaginal rejuvenation exists openly within doctor’s offices, girlfriends’ brunch hour, and even pop culture.

Best Results* – Think Three

Although you will experience improvements from a single initial treatment, for best results – proven with thousands of patients – a series of three ThermiVa treatments are recommended, with treatments performed monthly. Once the series is complete, results can last up to a year. In order to maintain desired results, patients are encouraged to return for treatment at least once every 3-6 months.


We love our patients at Total Dermatology! Read what our satisfied patients have to say about their experiences with Dr. Pilest and our team.

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*Individual Results May Vary

What to Expect During Treatment

Treatment is performed by one of our fully-trained Registered Nurses. Rest assured your entire treatment experience is done with the utmost of privacy and sensitivity in the singular attendance of our female nurses assisted by female staff.

During treatment, the wand is gently moved along the external and internal area of the vagina to heat up the tissue. The sterile, disposable ThermiVa wand is no larger than the size of an index finger and is equipped with a small panel on the tip that emits the radiofrequency energy.  Treatment is quick and comfortable, with the procedure itself taking no longer than 30 minutes. Patients compare the sensation during treatment to that of a warm massage.

What to Expect After Treatment

After treatment, you will likely experience minor swelling and/or redness of the treated area, as well as possible cramping and/or spotting. These side effects are generally mild in nature and typically last anywhere from a few hours to a few days. There is no downtime involved; no restrictions on exercise and other regular activities, including sexual intercourse.

Take the First Step – Request A Consultation

Schedule your consultation with board-certified dermatologist Dr. Nissan Pilest at Total Dermatology in Irvine, CA today by calling (949) 727-3800

*Individual Results May Vary