Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. ThermiVa is a non-surgical treatment designed to gently tighten both internal and external vaginal tissue using radiofrequency energy. While it can lead to mild improvement in tone and firmness, it's important to know that results have limitations. If you're looking for more noticeable reshaping or correction of asymmetry, a minor surgical procedure like labiaplasty is typically the more precise option. It offers more defined results but does involve some downtime. The best next step is a consultation with a skilled provider, where you can talk through your goals and create a treatment plan that’s just right for you.