Does Thermiva give the same results as a Majoraplasty?

Does Thermiva give the same results as a majoraplasty? Is there any reason to choose a Majoraplasty over this? I believe it takes a few treatments generally but can you have as many treatments as you like till you get the desired results? Are the results long lasting? Does it require anaesthetic?

Doctor Answers 16

No, ThermiVa will not give the same results as a majoraplasty

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A majoraplasty is a surgical procedure that treats the sagging or excess skin of the outer labia majora. In contrast, ThermiVa is a non-invasive procedure that treats not only the outer labia majora and minora but inside the vaginal canal as well. The appropriate procedure for you would depend on what issues you are experiencing.

If you are solely concerned with the appearance of your labia majora and are open to a surgical procedure, a majoraplasty may be a good choice for you. However, if you are also dealing with issues such as urinary incontinence, vaginal dryness, etc, ThermiVa might be a better choice for you. 

3-4 ThermiVa treatments are usually required to get desired results, and these results can last 1-2 years. No anesthetic is required.

I hope this answer is helpful! Best of luck.

Carlsbad Dermatologic Surgeon
4.9 out of 5 stars 7 reviews


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ThermiVa will not produce the same results as surgery.  It does have many advantages though as it is done in the office, virtually pain free,  and with no down time.  Many women experience results that they are very happy with.

Camille Cash, MD
Houston Plastic Surgeon
4.9 out of 5 stars 36 reviews

Surgical V. Non-Surigcal

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ThermiVa is a non-surgical procedure, performed in an office, with no anesthetic required, and has no recovery period.  The results can be immediate In the case of reduction of the labia majora, but multiple treatments are performed to achieve maximal results.  The treatment causes contraction of the tissues which is why the labia appears amazingly smaller.  The treatment also causes a biological process to begin which takes several weeks to occur which lays down new collagen, blood supply and renewal of the tissue occurs.  This accounts for the other improvements seen.   Three treatments are currently the standard due to individual response rates and seem to maximize the results in most individuals.  More treatments can be performed on an individual basis but this is not the norm.  The procedure which treats a variety of conditions lasts for varying lengths of time approximately one year.  A single Touch-up is recommended on a yearly basis based upon your results to maintain your improvement.  Majoraplasty is a surgical procedure performed to reduce the size of the labia majora, usually on more severe cases.

Dean L. Johnston, MD
Orlando Plastic Surgeon

Not a substitute for a surgery

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ThermiVA should not be considered a replacement for surgery. While it does provide some cosmetic benefits by toning the external anatomy, including the majora, it may not provide the more significant results of surgery. The choice in which procedure is best  largely depends on how large the majora is and how much reduction an individual patient wants or needs.

Thermiva vs. Majoraplasty

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A significant difference between ThermiVa and a Labia Majoraplasty is the nature of the procedures. ThermiVa produces significant shrinking and tightening of the skin, but as it is non-invasive and non-surgical, it can only do so much. Labia Majoraplasty is a surgical procedure which allows excessively sagging skin in the area to be re-contoured. The best way to know which procedure is right for you is by consulting with a board certified plastic surgeon. Thanks for your question!

Edward E. Dickerson, IV, MD
Fayetteville Facial Plastic Surgeon
4.7 out of 5 stars 127 reviews

ThermiVa versus Surgery

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ThermiVA should not be considered a replacement for surgery. While it does provide some cosmetic benefits of shrinking the external anatomy, including the majora, it would not provide the more significant results of surgery. The choice in which procedure would be best would largely depend on how large the majora is and how much reduction the patient wants or needs.

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon

Thermiva Vs Surgery

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Thermiva is a radiofrequency based heat treatment that does lead to mild shrinkage of the external genitalia.  It does not, however, lead to the kind of more significant results that can be achieved with surgery.  Furhermore, Thermiva results last between 9 and 12 months, while surgery is permanent.  Thermiva is done in the office and does not require any anesthesia.

See a physician experienced in pelvic floor repair and cosmetic gynecology and explore your options.

ThermiVa vs Majoraplasty

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Dear Angel

ThermiVa is a great choice for minor labia majora sagging, so its hard to say if you would benefit from the procedure. It doesn't give the same results as surgery and the ThermiVa will usually need to be repeated (despite doing the first 3 treatments) probably about every 9-12 month or more.   It has been my experience the results last about 9-12 months and then things begin to loosen up.  Treat the thermiVa like botox therapy, same amount of upkeep.   ThermiVa requires no anesthetics whatsoever as it is absolutely painless.  

That being said if you want long lasting results go to surgery and get the labia majora reduction.  Please make sure you choose a surgeon with experience


John R Miklos MD
Atlanta ~ Beverly Hills ~ Dubai

No ThermiVa does NOT give surgical results

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Hello Angel,

If you are a candidate for a Labia Majora Reduction due to very lax and deflated labia majora then you are better off with having a majoraplasty.  This is performed in the office under local anesthesia with minimal downtime. You may return to work within a few days, but no sex for 4-6 weeks. Please see link below for examples of Labia Majora Reduction.

If your majora are looking slightly aged and loose, then skin tightening with Radio Frequency such as ThermiVa or Pelleve would give you temporary results and buy you some time. You would need to keep doing these treatments every 6-12 months which adds up in cost and time.

You may also consider labia majora augmentation with fillers or fat, but this depends on your overall anatomy and goals.

Best of luck, 

Oscar A. Aguirre, MD
Denver Urogynecologist
5.0 out of 5 stars 38 reviews

ThermiVA Results Compared to Surgery

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Non invasive treatments like ThermiVA are not replacements for patients who are surgical candidates.  I suggest you see an expert for a formal evaulation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.