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Vaginal Rejuvenation

Vaginal Rejuvenation

Vaginal Rejuvenation is where Botox was 30 years ago. No one talked about it, and everyone wanted to keep it “hush, hush.” However, more and more women are turning to non-surgical vaginal rejuvenation treatments to get their bodies back.

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Why Vaginal Rejuvenation?

Vaginal rejuvenation can treat a series of conditions such as vaginal dryness, vaginal pain, urinary incontinence, sexual dissatisfaction, and loss of confidence.  This can be due to age, child birth, or genetics.  

It has helped many or our patients feel “new” again, and has actually changed their lives.  These treatments can help treat the external area of the vagina as well as internal making it a complete make-over for your feminine wellness.

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Vaginal Rejuvenation

Vaginal Rejuvenation Treatments


Excessive stretching of the vaginal muscles is a common occurrence after vaginal birth or due to aging. Damage can diminish sensation during sexual activity, reduce satisfaction and change the relationship between partners. ThermiVa is allowing women to take back control of their bodies – reclaim your pre-baby body, restore your well-being and revive your relationships!


It’s called the Viveve– and it’s the clinically proven treatment that is revolutionizing feminine wellness as we know it.  Currently it is used in different countries all around the world and has benefited thousands of women and improved their health and quality of life. This treatment is exclusively available to WellMedica as we are one of the only providers in the DC metro area. 

Vaginal Rejuvenation

Vaginal rejuvenation can treat a series of conditions such as vaginal dryness, vaginal pain, urinary incontinence, sexual dysfunction , and loss of confidence. This can be due to age, childbirth, or genetics.  

It has helped many of our patients feel “new” again, and has actually changed their lives. These treatments can help treat the external area of the vagina as well as internal,  making it a complete makeover for your feminine wellness.

What is Vaginal Rejuvenation?

Vaginal rejuvenation is a general term used for both surgical and non-surgical methods for treating a variety of symptoms many women may face during post-menopause or at childbirth. Many women will experience various symptoms and complications as they endure the labor of childbearing and hormonal changes as they age. These changes can significantly affect the health and wellness of their genitalia.

Genitalia changes affected by childbirth and age may include:

    • vaginal laxity
    • stress urinary incontinence
    • lack of vaginal lubrication
    • loss or reduction of sexual pleasure and sensation
    • loss of tone of the labia majora

In the past, these issues were untouched and silent, yet sought after. Today, doctors and physicians are finally talking about these issues and treatment options are increasing.

Who is Vaginal Rejuvenation For?

Vaginal rejuvenation treatments are primarily for women who have experienced the aforementioned symptoms due to childbirth or menopause. However, they can also serve a cosmetic purpose for women who may suffer from these symptoms without experiencing labor or menopause. In some cases, genetics may play a role in decreased vaginal health.

Energy Based Vaginal Rejuvenation

Energy based treatments for vaginal rejuvenation are non-surgical treatments that use heat. These treatments utilize devices that use radiofrequency and laser technologies in order to induce collagen tightening, circulation, and lubrication. These devices use clinically-proven cryogen-cooled monopolar radio-frequency (CMRF) to uniformly deliver gentle volumetric heating while cooling delicate surface tissue.

At WellMedica, we prefer to use radio-frequency devices for vaginal rejuvenation because they have proven to be more comfortable, restore vaginal wellness, reduce laxity, increase lubrication, and resolve urinary stress incontinence more successfully than laser treatments with little to no downtime. Laser treatments are often more painful, damage the skin more harshly, and statistically prove to be less successful in treating urinary incontinence.

What Does an Energy Based Treatment Feel Like?

It is very uncommon to experience any pain or discomfort during an internal, radiofrequency procedure. You may experience warmth in the area being treated, however, typically without irritation. The procedure uses a ThermiVa or Viveve device to heat up the top layers of skin inside the vaginal canal in order to encourage natural collagen growth. Although this procedure damages the top layer of skin, the deeper tissues are unharmed and begin producing increased levels of collagen in order to heal the treated area  – making the new skin firmer.

If you are interested in external vaginal rejuvenation, a topical anesthetic is often used in order to produce the same effects.


ThermiVa is a non-surgical option for vaginal lift. Treatments use radiofrequency energy to gently heat tissue to reclaim, restore and revive feminine wellness, without discomfort or downtime. ThermiVa uses a special wand applicator which may be applied externally to labia and vulvar tissues to lift the vagina and restore normal tissue tone and function. The specially designed handpiece also delivers radiofrequency energy inside the vagina to revive atrophic tissue and other structures. Typically, the treatment requires three treatments to obtain optimal results.

Benefits of ThermiVa

    • Rejuvenates and tightens vaginal tissue
    • Enhances sex life (as reported by our patients)
    • A series of 3 quick, non-surgical outpatient treatments
    • There’s no downtime. Patients can resume regular activities immediately
    • Anesthesia is not required as it is painless and patients experience no discomfort
    • May help reduce symptoms of urinary stress incontinence 

Viveve by Viveve

Excessive stretching of the vaginal muscles is a common occurrence after vaginal birth or due to aging. Therefore, many have sought out different treatment options to help get their bodies back. The Viveve does all this and more.

The Viveve treatment is a comfortable, single-session, 30-minute treatment performed by a trained healthcare professional in an outpatient setting. During the visit, we use a small treatment tip (about the size of your thumb) which is then inserted into the vaginal opening. The tip is then rotated while it alternately cools the surface and heats the soft tissue beneath. Women typically begin to feel the results at about 30 days and the full effect at about 90 days. Depending on how you respond, your doctor may recommend a touch up treatment every year or as you see fit.

Is it Permanent?

Although highly beneficial and effective short-term, some energy based treatments are not permanent. Many energy based procedures, like ThermiVa, will require future appointments. However, Viveve by Viveve is a different type of non-surgical treatment. As compared to other non-invasive procedures the Viveve is different because it only requires one treatment. As opposed to other non-surgical treatments that require routine appointments – the Viveve is one and done. This makes this treatment less expensive, less time consuming, and much easier for those with a busy schedule.

Surgical Vaginal Rejuvenation

Although Wellmedica only offers non-surgical treatments for vaginal rejuvenation, there are times when energy based treatments may not be enough to produce the desired results. Some women with significant laxity may find surgical treatments more beneficial. In these cases, the laxity may be so severe that patient’s experience difficulty using tampons or are experiencing symptoms of sexual dysfunction.


Vaginoplasty is a vaginal rejuvenation surgery. It seeks to bring the separated muscles together while excess skin and tissues (excess mucosa skin) are removed from the back wall of the vagina. If the patient desires any external treatments, any excess external skin will be removed as well for a more aesthetic appearance.

During the procedure, your surgeon will delineate the extra skin to be removed from inside the vagina. After cutting into the skin, strong sutures and supports will be used to tighten the skin. After the vaginal canal has been tightened, the mucosal skin is then sutured closed. Any protruding external skin may then be reduced to produce the desired aesthetic result.

Risks of Vaginoplasty

As with many surgical procedures, there are potential risks of having a vaginoplasty performed. The risks of a vaginoplasty may include:

    • bleeding
    • infection
    • skin or clitoral necrosis
    • suture line dehiscence
    • urinary retention
    • vaginal prolapse

Other more serious complications may arise post-operation. It is important to be aware of the risks and benefits of the procedure prior to the operation. Talk with your surgeon and be sure to have any and all of your questions answered before making a decision.


Recovery typically requires one to two weeks of down time. Some patients may feel a deep ache in their abdomen or vaginal canal for the first few days. Tampon use and sex are discouraged for at least 8 – 9 weeks. If the procedure was extensive, some patients may be encouraged to use a dilator.

Is it Okay to Have Sex After an Energy Based Procedure?

We typically encourage our patients to wait at least 2 – 3 days before having intercourse after a non-surgical procedure. However, some patients report being able to comfortably continue sexual activity soon after their treatment. Yet, if you experience any signs of pain, bleeding, vaginal or bladder infection, you should talk with your doctor right away and schedule an evaluation.

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