Vaginal Rejuvenation in Maryland

About Vaginal Rejuvenation

It is well known amongst women that vaginal rejuvenation in Maryland can help restore a vagina to a more youthful look and feel. What isn’t as well known is, vaginal rejuvenation can also enhance function and feeling. Hopefully, eliminating, urinary incontinence, dryness, and improve vaginal tightness. Millions of women have positive effects from specific vaginal rejuvenation treatments. Below is information on who would be a good candidate, available treatment options, and further details about the procedure(s).

What is Vaginal Rejuvenation?

Vaginal rejuvenation is a broad term for vaginal corrective treatments. These procedures can be done for cosmetic reasons or to solve age-related problems (Cleveland Clinic). Vaginal rejuvenation can help with changes that can impact a woman’s quality of life include vaginal laxity, stress urinary incontinence, loss of vaginal lubrication, a decrease in erotic sensation, and loss of tone of the labia majora (Plastic Surgery). Some vaginal rejuvenation treatments can help solve the appearance, size, function, and reduce pain related to changes in female genitalia. There are several procedures that may be included under this generic term of “vaginal rejuvenation”: Vaginoplasty – tightening of the vagina, Labiaplasty – reshaping of the labia, Vulvaplasty – reshaping of the vulva, Vaginal rejuvenation can provide renewed self-confidence and comfort for affected women (Cosmetic Surgery).

Vaginal Support Structures

The wall of the vagina consists of four layers, (1) non-keratinized stratified squamous epithelium, (2) lamina propria of connective tissue, (3) smooth muscle with bundles of circular and longitudinal fibers, (4) adventitia, which consists of blood vessels, lymphatic ducts, and nerves (Science Direct).

Mechanism of the Vagina

While the vagina does not contain glands, fluid transudates through the vaginal walls to create lubrication. The fluid is leaked from the capillaries due to vasocongestion into the space between vaginal epithelial cells and ultimately into the lumen. This process is heavily dependent on the actions of nitric oxide in the endothelium, which gets released in response to sexual arousal due to stimulation of parasympathetic nitrergic nerves (NCBI).

Who is a candidate?

There are many reasons why a woman might choose to get vaginal rejuvenation in Maryland. Women often notice less vaginal tightness as they get older as collagen and elastin decline, after having a child or multiple children, and/or hormones shift or change. Many times after childbirth and as we age the muscles of the pelvic floor may weaken. Sometimes just a sneeze, movement, or laugh can be enough to cause urine to leak.

It is important to communicate with your medical professional about any and all related factors regarding vaginal tightness and/or urinary incontinence. 


There are many changes that happen as we age. Specifically, with the vulva or vagina, many women start to experience:

  • A decrease in natural lubrication (this can be caused by the use of birth control).
  • Loss of skin elasticity around the vulva. This loss in elasticity can make wrinkles become more pronounced, and cause the labia to appear lower and less tightened in the tissue than it was when we were younger or before having children.
  • Musculature and ligaments supporting the pelvic floor start to relax. In some cases, the urethra may actually move in relation to the bladder, which can cause leaking. For stress-related incontinence—when you pee a little after coughing or sneezing.
  • UTIs may become more frequent when you’re older due to more delicate genital tissue (Womens Health Mag).


Though each woman experiences different things during childbirth, there are many common changes that the majority of women encounter when delivering children through the birth canal (vagina): 

  • Wider vagina
  • Dryness in the vagina
  • Soreness
  • Pain during sex
  • Urinary incontinence – “Up to 30 percent of women may experience urinary incontinence for up to six months,” (Glamour)

Hormone Changes

Shifting levels of hormones—especially estrogen—during the menopause transition produce changes in a woman’s body. Both the vagina and the external female genitals (vulva) are affected. During perimenopause, less estrogen may cause the tissues of the vulva and the lining of the vagina to become thinner, drier, and less elastic or flexible—a condition known as “vulvovaginal atrophy”. This condition causes vaginal secretions to be reduced, resulting in decreased lubrication.  Reduced levels of estrogen also result in an increase in vaginal pH, which makes the vagina less acidic. This fluctuation in PH levels can cause several common diseases, bacterial vaginosis, UTI and/or yeast infections (Menopause). 

Weight Fluctuations

According to the National Center for Health Statistics, an estimated 68% of U.S. adults are either overweight or obese, the majority being female. The effect of weight gain on female health is pervasive and is linked to such prevalent diseases as diabetes, arthritis, cardiovascular disease, and pelvic organ prolapse (POP) (NCBI)



Treatment Options

There are several “vaginal rejuvenation” treatment options for women who are suffering from urinary incontinence, dryness, and/or less vaginal tightness. Some of the treatments can be invasive with potentially serious side effects and others are less invasive, even more, they are more cost effective. 

Non-surgical Alternatives

These treatments have few side effects, don’t need any downtime and can provide solutions for people that are looking for vaginal rejuvenation.

Radiofrequency treatments - Viveve vs Vitalia and ThermiVa.​

Energy-based treatments are nonsurgical procedures that use heat combined with radio waves. The treatments are done with a device that focuses the energy and heats the tissue. Energy-based devices are used for skin treatments, and more recently, for vaginal rejuvenation. When used in the vagina, the goal is to enhance collagen, blood vessels, tightness, and lubrication (Cleveland Clinic). These treatments are typically administered by a trained professional because of the heat that is delivered. In order for radiofrequency treatments to be effective, they need to be delivered at 44-55 degrees Celsius in the tissues whereas the laser based products heat up to 60-70 degrees Celsius. It is believed that “neocollagenesis” may only start if the temperatures are high enough and that such changes in the collagen matrix of the vagina could lead to durable vaginal wall changes (Clinical Trials).

  • Viveve: provides the only single treatment option to resolve vaginal laxity, incontinence, and dryness.
  • Vitalia and ThermiVa: are quick, non-invasive, non-ablative treatment delivering controlled radiofrequency energy using a thoughtfully designed handpiece to gently heat tissue, to stimulate collagen and elastin production, tighten and tone the tissue, and increase elasticity.  Significant improvements can be seen and felt even after the first treatment.  Often the labia appear tighter, many report increased arousal, increased moisture, and increased sensation during sex, and an easier experience in reaching orgasm.  Treatments are not painful, and there is no downtime needed after treatment, but it is advised to wait a day after receiving treatment to use tampons or engage in sex.  

Laser Treatments

The CO2 fractional laser gently and painlessly acts on the vaginal walls through a special scanner. This action creates indistinguishable micro-lesions that are required for the production of new collagen which reorganizes and re-equilibrates the components of the vaginal mucosa and the urogenital structures.  Significant improvements can be seen even after the first treatment: the vaginal mucosa becomes more nourished and hydrated and the epithelium becomes thicker, more toned and elastic (Plastic Surgery).

Surgical Procedures

There are many options for people who are seeking surgical options for a vaginal rejuvenation treatment. Vaginal rejuvenation surgical procedures include:

More information on RF Treatment

How much does RF vaginal rejuvenation treatment cost?

These procedures cost between $2,200 – $3,000 for a series of 3-4 treatments depending on the provider. Surgical procedures may range higher, $9,000 or higher.

What can a patient expect with RF treatments?

Patients sometimes experience vaginal discharge for a few days after treatment. Depending upon the device used, patients may be instructed to refrain from intercourse and tampons for one to four days after treatment (Plastic Surgery).

How long will the RF results last?

Energy-based treatments for vaginal rejuvenation are not permanent, because collagen and elastin production decrease as we age, but results are often seen for up to a year and a half. For the best results, the treatments will need to be done over several sessions at a time (Cleveland Clinic), with occasional touch up/maintenance sessions about once a year.

The Radiofrequency Procedure

Depending on the specific RF treatment you are receiving you could have 1 to several sessions for a minimal amount of time.  Vitalia treatments typically take about 20 minutes.

Radiofrequency Therapy Research

Transcutaneous Temperature-Controlled Radiofrequency Treatment: Improvement in Female Genital Appearance, Sexual Dysfunction, and Stress Urinary Incontinence (2021)

A substantial improvement in genital appearance was observed. Assessment based on validated instruments demonstrated significant improvements in sexual function and SUI. TTCRF is a safe and effective treatment for these conditions. (Oxford Academic, 2021).

Vaginal Rejuvenation: A Retrospective Review of Lasers and Radiofrequency Devices (2021)

We identified 59 studies (3,609 women) treated for vaginal rejuvenation using either radiofrequency or fractional ablative laser therapy. Studies report improvement in symptoms of GSM/VVA and sexual function, high patient satisfaction, and minor adverse events, including treatment-associated pain, swelling, or vaginal discharge (Dermatolgic Surgery, 2021).

Vaginal energy-based devices: characterization of adverse events based on the last decade of MAUDE safety reports (2021)

MAUDE-reported data suggests that the majority of patient complaints after vaginal energy-based device treatment include vaginal pain, bladder pain, and urinary symptoms. This study suggests that the majority of complaints are not severe, and some may be related to progression of the disease (The Journal of North American Menopause, 2021)

Efficacy of Vaginal Laser Treatment for Symptomatic Relief of Vulvovaginal Atrophy in Postmenopausal Women (2021)

Overall the seven studies analyzed here show significant improvement of the patient’s GSM symptoms and quality of life, improvement in sexual function and objective improvement of pH, lubrication and vaginal maturation. While there are very few reported adverse effects and the data does show significant improvement in these studies, they are lacking in large sample size, long term follow up, comparable outcome measures and a lack of control group in some (Arcadia University, 2021).

Energy-Based Devices for Functional Vaginal Problems: Issues and Answers (2021)

In the most recent literature, there have been studies with improvements in study design that support the efficacy and the short-term safety of the energy-based device (Spring, 2021).

I wanted to share a recent experience I’ve had that has been incredibly helpful for me post baby. I had a lot of vaginal pain and tissue damage following my vaginal birth 17 months ago. I recently began a non invasive vaginal rejuvenation and it has been life changing and sex changing... in an intimacy kind of way😍. I had rectocele following giving birth. After my second treatment, I can barely feel it. I had pain while having sex in different positions and now sex is pain free. My labia looks better than it ever has. Also, my husband feels a significant difference in tightness and he says it feels so "grippy"🤪. So fun right!?! I just wanted to share in case some of you struggled with any of this post birth. I think the emotional part of feeing icky was just as bad for me. Go get some self care! I saw Dr. Miller at Health Expressions and it has been such a fun experience for something that has felt so bad for so long.

from K in Silver Spring

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