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ThermiVa in San Francisco, CA

woman posing to show full body contours

San Francisco board-certified cosmetic surgeon, Dr. Leonard Gray, is happy to offer the latest in vaginal tightening— without surgery! ThermiVa® is a non-invasive vaginal rejuvenation treatment that tightens the labia as well as the vaginal canal. ThermiVa not only improves the aesthetic appearance, but patients experience improved sexual satisfaction for themselves and their partners. It can even help with urinary incontinence as well as lack of lubrication that many women experience after having children or with aging.

Treatments are done in the office, last about 20 – 30 minutes, and are painless. Women will expect to feel a warming sensation from the small hand piece during their treatment, similar to the feeling of a warm stone massage. There is no downtime associated with this procedure so women can return to regular activities immediately! Treatments are packaged in a series of 3, typically spaced a month apart. Some women experience immediate tightening, but full results are typically seen about a month after the series of treatments.


The treatment wand has a built-in thermometer, which relays the skin temperature to the computer for automatic adjustments to the right level of heat without risking burns. The ThermiVa wand will be passed over the exterior of the vagina and if the internal tissue needs to be treated, the wand will be shallowly inserted into the vagina. After the procedure, patients can resume their normal activities, but should avoid sexual activity for at least 24 hours.


Patients may see some improvement after their treatment, but most patients will need about 3 treatments over a 3-month period to get their best results. After the final treatment, the final results should be noticeable in about 2 weeks. Results typically last for 1 year and then touch-up treatments should be scheduled by the patient to maintain their results.

ThermiVa FAQS

The ThermiRF Skin Tightening System is a base system for radio frequency treatments that uses applications for specific areas, like the ThermiVa for vaginal rejuvenation. The ThermiTight, ThermiSmooth Body, and ThermiSmooth Face are other applications for noninvasive and minimally invasive skin tightening treatments of the face and body.

In order to get longer lasting results, patients are encouraged to wait until they are no longer planning any more children. The ThermiVa treatment will not affect future pregnancies or prevent a vaginal childbirth, but patients will need to wait 2 – 3 months after giving birth to start ThermiVa treatments.

The ThermiVa application is best for women who have mild to moderate skin laxity in the vaginal area and who want to avoid the discomfort and downtime of a surgical vaginal lift. A labiaplasty is a surgical removal of the excess skin in the vaginal area for women with more severe skin looseness. ThermiVa is also better for women who are unsure about having more children since it is less expensive, less time consuming, and requires no recovery period.