The difference between Vaginoplasty and ThermiVa

Both Vaginoplasty and ThermiVa deal with loose and stretched vaginal tissues, but there are differences between the two procedures that people are generally unaware of. At Orlando Plastic Surgery Associates in Lake Mary, FL, we think it’s important for patients to know the differences between the techniques.


Vaginoplasty refers to a number of surgical procedures done to the female genital external, and sometimes internal body parts. These changes can either be cosmetic or reconstructive, and the results appear and function normally. It is important to remember that this is a surgery that includes all of the components of any procedure, including a qualified surgeon, anesthesia, recovery time, side-effects, and occasional complications. Your wants, needs and goals need to be evaluated by a qualified professional during a consultation to determine if this is the right surgery for you.


ThermiVa is a non-surgical procedure that doesn’t require anesthesia, cutting, or stitching, and the session lasts about 30 minutes. The patient can resume full and normal activities (including sex) following the procedure. ThermiVa procedure is performed for cosmetic reasons to tighten lax or sagging labia majora, or the outside lips surrounding your vagina. It also tightens the inside vaginal tissues, which are often overstretched by childbirth and aging. The process uses radiofrequency energy to gently warm the tissues, leading to the beneficial outcomes.

ThermiVa is a unique biological process that takes place where there is collagen growth and ingrowth of new infrastructure, such as blood supply. Glands also produce mucus and sensation. This process is not completely understood, but the best part is, for most patients, there is proven reduction or cessation of stress incontinence, leaky bladder, urgency-type complaints, like vaginal dryness and painful sex (dyspurnia), and improvement in satisfaction with sex.  As always, seek a consultation with a skilled ThermiVa professional to see if you are a candidate for ThermiVa.

If you are interested in ThermiVa, contact Dr. Johnston today to set up a consultation!