Votiva is an excellent treatment for tissue in the vaginal area. Laxity, dryness and thinning of the tissues occurs to all of us over time as a part of aging. Treatment with radio frequency heating of the tissues (Votiva) helps to restore the tissue to a more youthful state. But as with any anti-aging treatments will need to be repeated periodically to maintain results. Votiva typically involves 3 treatments a few weeks apart followed up annually, but can depend on each individual. Age, genetics, diet, weight, and activity all influence this.