How is the external of the vagina treated with ThermiVa?

Is there a special attachment that's different from wand used to treat the vagina internally?

Doctor Answers 17

Treatment of the external labia with Thermiva

Thank you for your interest in Thermiva!  The same wand is used to treat both the external labia and the internal vaginal canal.  No special attachment is required.  Like other radiofrequency technology used for facial skin tightening, Thermiva effectively uses temperature controlled RF to tighten the vulvovaginal tissue by increasing blood flow and increasing collagen synthesis.  Good luck!

Los Angeles Plastic Surgeon
5.0 out of 5 stars 55 reviews

ThermiVA and vaginal tightening

the thermiva device has a heating probe that can be used internally and externally on the vagina to get improvement.  I suggest you get a formal consultation.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.9 out of 5 stars 188 reviews


The same wand is used for the internal as well as the external treatments. The wand sends the radiofrequency energy into the deeper tissues of the vagina and vulva skin equally well. It's a great procedure. Good luck. 

Robert L. True, MD
Grapevine OB/GYN
4.9 out of 5 stars 7 reviews

ThermiVa labia majora treatment

It is the same handpiece. The handpiece allows for safe treatment of the external labia . Some impressive results are seen with treatment of labia majora laxity. That is one of the benefits of ThermiVA over the Co2 lasers like the Mona Lisa and the Femilift.

Cheri Ong, MD, FACS
Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 reviews

ThermiVa's delicate disposable applicator safely treats the vagina inside and out

Thank you for asking this very good question!
ThermiVa, unlike the other technologies, has a patented disposable applicator. It’s delicate size and shape makes it easy to treat every woman. This applicator is used for the complete treatment, both inside and outside the vagina.
The idea that ThermiVa requires we use a brand new applicator for each treatment had an enormous impact on me when choosing the right technology for my practice, and I knew it would to my patients, also. It’s extremely comforting to them to see that we open a new applicator just before beginning a treatment.

I have a patient’s before and after photo available on RealSelf, and the treatment results externally may show you a great example of just how effectively ThermiVa can reshape and resize the labia majora.

Thank you again for asking about this detail. I wish you the very best!
Jenn Harrington, MD

Jennifer Harrington, MD
Minneapolis Plastic Surgeon
4.9 out of 5 stars 65 reviews

ThermiVa wand

The ThermiVa procedure uses the same wand for both external and internal treatments.  You can contact a ThermiVa provider in your area who can explain the procedure and discuss the benefits with you.

Camille Cash, MD
Houston Plastic Surgeon
4.8 out of 5 stars 32 reviews

ThermiVa treatment External and Internal

One of the many great things about ThermiVa is that it treats BOTH the inside and the outside of the vagina.  The same wand is used to treat both. The wand is slender, about the size of an index finger. It gently heats the deep tissue causing changes and growth of new collagen. Many patients say it feels like a hot stone massage and is very comfortable. We have never had a complaint, as the wand was specially designed with the female structures in mind. 

Ginger Isom-Batz, MD
Dallas Urologist
5.0 out of 5 stars 3 reviews

How is the external of the vagina treated with ThermiVa?

The same wand is used to treat the external vagina to help with tightening of the opening of the vagina and can also help externally with women have looseness to the labia majora (the outer lips of the vagina). Our patients have had great success with the procedure. Best wishes.

Aimee Nguyen, MD
Frisco OB/GYN
4.8 out of 5 stars 10 reviews

Same wand

ThermiVa has a patented treatment probe that can shrink labia majora and tighten the vagina. It is best to adjust the treatment times so as to improve area that are problematic to each individual patient. 

Christine Hamori, MD
Boston Plastic Surgeon
4.7 out of 5 stars 15 reviews

ThermiVA to Treat the External Genitalia and Internal Pelvic Floor

The same handpiece is used to treat the external labia and internal pelvic structures during a ThermiVA treatment. Certainly, if you are considering treatment to both areas, I would highly recommend doing them at the same time. The handpieces are a single-use, disposable cost so combining internal and external treatments at the same time is more cost-effective. 

Ashley B. Robey, MD
Indianapolis Plastic Surgeon
5.0 out of 5 stars 27 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.