Enlarged labia can be a source of discomfort and embarrassment for many women, especially after childbirth. Until now, the only real option to help reduce the size of enlarged labia was a surgical procedure known as labiaplasty. The procedure involves cutting away excess tissue and then placing stitches into the vaginal area for about a week. During this time, patients have to deal with pain, swelling, restricted activity, wound care, and must refrain from sexual intercourse.

ThermiVa is a new office based non-surgical treatment that not only can give great labiaplasty results, but also treats stress incontinence, loose vagina (vaginal laxity), vaginal dryness and improves sexual function and satisfaction.

Instead of cutting and stitching for labiaplasty, ThermiVa uses gentle heat to shrink vaginal tissues. This causes vaginal tightening, increased moisture and improved muscle tone and control. The ThermiVa procedure is performed in the office and does not require any anesthesia as there is not pain. In fact, most patients actually report that during the treatments they feel a pleasant warm sensation. A small probe about the size of a woman’s finger is used with copious lubrication and placed both inside and outside the vagina. Treatments last about 30-45 minutes.

After the procedure, patients can resume all of their normal activities right away, including sexual intercourse. 3 treatment sessions are needed, spaced about 1 month apart. After the initial treatments, an annual touch up is recommended to give lasting results.

Thermi has received great reviews from patients. The website realself.com has ratings for different procedures written by actual patients. 97 percent of patients give Thermi a “worth it” rating. Comments such as “I noticed an enormous difference after the first procedure and felt like I was 20 again”  are very common. Click here to read more reviews. We have now had ThermiVa in our office for about 6 months, and our patients have been thrilled with their results. Though it can be a delicate issue, many have recommended the treatment to their friends.

If you would like to learn more about this revolutionary treatment and alternative to labiaplasty, please click here or call the office at (804)775-4559


Tightening of external and internal labia, increased sensation, moisture, and bladder control

The Procedure



None needed

Length Of Time

3 treatments 1 month apart with a yearly touch-up

After Procedure

May return to activities including intercourse right away