ThermiVa: How Does it Work?

Please explain the science behind ThermiVa, what makes this an effective treatment?

Doctor Answers 34

ThermiVa How does it work ?


In the right candidate: female with multiple pregnancies stretching the vaginal wall; or those with excess external labia or labial laxity can benefit from ThermiVA. ThermiVA works in a similar manner to other areas of the body whereby Radio Frequency energy heats up the tissue in order to get both immediate tightening and long term buildup of collagen.This process-over 3 treatments brings successful improvement to these areas. It requires no anesthesia; is performed in the office and takes about 30 minutes.

How it works: ThermiVA

Radiofrequency energy is a fantastic option for rejuvenation.  ThermiVA uses a gentle, ergonomically designed applicator that allows the energy to penetrate uniformly though the tissues to heat and tighten the collagen as well as stimulate the nerves and glands to restore themselves.  A temperature monitor on the hand piece allows precise control of the temperature so that optimal heating is achieved and maintained to ensure consistent results.  Constant motion is required which also helps with comfort.  This is an extremely well tolerated non-surgical, no down time treatment.

ThermiVa Uses Radiofrequency Heat to Induce Collagen Formation and Possibly Increase Blood Flow and Pelvic Muscle Strength

Collagen is the major protein in connective tissue and helps tissue withstand stretching.  In other words, it maintains the firmness of the tissue.  As we age, collagen production declines and environmental factors such as hormones and childbirth and cause an increase in collagen breakdown.  ThermiVa uses radiofrequency energy to heat tissue, inducing collagen coiling in existing collagen and promoting long term collagen formation at a rate higher than the existing production.  The result is a tightening and toning of the vagina and external labial tissues.  There is also possibly an increase in blood supply to the area and an increase in pelvic muscle strength, which would account for the improvement in sexual function patients are seeing.

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Effective nonsurgical vaginal and perineal tightening by radiofrequency heating- ThermiVa

Thermiva causes nonsurgical vaginal and perineal skin and internal vaginal canal tightening by radiofrequency heating.  This gentle, comfortable, no-down-time treatment is typically completed with a series of three monthly 30 minute sessions.  New collagen is generated beneath the skin which lifts, tones, and tightens the vaginal canal and external skin.  This has the positive effects of decreasing urinary leakage with coughing, laughing or during sex, improving sensation and may improve orgasm, improving blood supply to the area and also improving vaginal lubrication.  All women after childbirth or with menopause benefit by restoring youthful vaginal function.  The results can significantly enhance your sex life.  ThermiVa is only available in the Albany, Upstate NY, Capital District region at Saratoga Springs Plastic Surgery, PC.  

Steven Yarinsky, MD
Albany Plastic Surgeon
4.8 out of 5 stars 17 reviews

Technology Behind ThermiVA

The treatment involves the use of radio frequency heat that is delivered in a slow precise manner to stimulate the growth of collagen and elastin as well as tighten skin tissue. It also benefits nerve endings to assist in increased lubrication and assistance with urinary continence. Another added benefit is that many women report more pleasurable orgasms!

Jenny Weyler, MD
Worcester Physician
5.0 out of 5 stars 4 reviews

How ThermiVa Works

ThermiVa safely transfers heat via radiofrequency to affected tissues, in this case being the external and internal vaginal tissues. It does no damage to the skin as the heat is directed to deeper tissue layer. Radiofrequency treatments have long been used for muscle and tissue healing by promoting new collagen production which leads to softer, tighter tissues.  It can also be used for facial skin tightening and wrinkle reduction.

ThermiVa: How Does it Work?

Women with multiple pregnancies often experience a stretching of the vaginal wall. Depositing heat in this area helps with both immediate tightening and long term buildup of collagen. ThermiVa is similar to other technologies where depositing energy (either via radio frequency, ultrasound or laser) heats up the tissue and triggers the tightening and new collagen formation. This treatment requires no anesthesia, is performed in the office, has no downtime and takes about 30-45 minutes. Typically 3 treatments are done about 1 month apart and touch up treatments are done every 8-12 months. Patients often see improvement even after the first treatment. The treatment should be performed by an experienced RN or MD to maximize benefits.

Suzanne Kilmer, MD
Sacramento Dermatologic Surgeon
4.0 out of 5 stars 5 reviews

How ThermiVa works

ThermiVa treatments use radiofrequency energy to gently heat tissue so that women can reclaim, restore and revive feminine wellness without discomfort or downtime. The patented ThermiVa electrode is designed to treat the internal and external anatomical features of the vagina.

Lee B. Daniel, MD
Eugene Plastic Surgeon
4.7 out of 5 stars 16 reviews

ThermiVa uses radiofrequency to heat tissues which can improve circulation, sensation and tighten tissues,

ThermiVa is a unique way of rejuvenating not only the inside female anatomy but also the outside.  It uses radiofrequency to deliver heat at a controlled-temperature to the inner and outer vulvovaginal region.  As we age, the tissue's collagen decreases, the blood supply decreases and women can experience loosening, sagging, decreased sensation, dryness and stress-incontinence (a term to describe urine leakage when you cough or laugh).  Because of the nature of tissues in this area, it tends to respond better than tissues in other areas.  The radiofrequency delivered increases blood circulation, improves vaginal moisture, improves sensation, lifts the pubocervical fascia for urinary incontinence, and lifts and tightens the external female anatomy.  There is an instant and noticeable change.  There is no pain therefore no anesthesia is needed.  Matter of fact, it can feel quite nice.  The technology is so gentle that you can return to work and sex the same day.  

Grant Stevens, MD
Los Angeles Plastic Surgeon
4.8 out of 5 stars 137 reviews

ThermiVa -- Alright Ladies, Let's Talk About It!


Any woman who is looking to rejuvenate their vaginal area can benefit from ThermiVa.  As with our faces, we lose collagen and elasticity all over our bodies -- even (GASP) down there!


Whether the cause is childbirth (children NEVER put things back where they found them, let's face it!), hormonal changes (which unfortunately we are slaves to our whole lives) or even genetics, with the use of the latest technology in radio frequency, we are able to improve the skin tone of the vulva and the tightness of the internal vaginal vault.  Now it's not just about the tightness ladies, other great side effects can be better lubrication (less friction), improvement with stress incontinence (who wants to be afraid to sneeze all the time?!?) and an overall smoother appearance.  Finally!


Because the heat is controlled and raised slowly to deliver energy to those delicate tissues and stimulate collagen over time, ThermiVa literally has NO downtime, is very well tolerated (most women only experience warmth, NOT discomfort) and is very, very effective (the rave reviews say it all and our patients are loving their results too!)  What better and easy way to spend 30 minutes for such great benefits??

So let's talk about it ladies, it's just us girls! (Even during treatment!!!)

Dr. K.

Julie Khanna, MD FRCSC
Ontario Plastic Surgeon
4.9 out of 5 stars 10 reviews

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