Thanks for your question, but one that needs more clarification to answer fully. Vaginal rejuvenation is a broad term that means different things to many people. For some surgeons it refers only to vaginal tightening, but I feel it means much more, just like the term Facial Rejuvenation which could include Botox, fillers, laser resurfacing, blepharoplasty, facelift, etc.Likewise, when women come in for "vaginal" rejuvenation they could be referring to their loose vagina, or large labia minora, or saggy labia majora, or dark appearing labia. I don't use the term so literally that it only refers to the vagina itself, since my patients don't either.Pelleve is Radiofrequency, much like ThermiVa. They are both equally as good for labia majora skin tightening. RF is not great for inside, vaginal tightening. It takes too long to perform and the results are short lived.If you're looking for a non-surgical treatment for the vagina then Alma's CO2 Laser, FemiLift is excellent in fractional resurfacing. In the right candidate it helps tremendously for symptoms of vaginal relaxation and menopause including vaginal looseness, stress urinary incontinence, and vaginal dryness. It's tremendous.Some patients, however, are poor candidates for non surgical treatments due to vaginal prolapse. They're better of looking for a reconstructive and cosmetic vaginal surgeon who can perform a proper evaluation and thus provide you with the best options.Best of luck,Oscar A. Aguirre, MDAguirre Specialty Care - Pelvic Surgery & Intimate Aesthetics®