Non-Surgical Labiaplasty with

An Overview

Aviva is an FDA-cleared non-surgical labiaplasty device that safely and effectively uses bipolar radiofrequency (RF) energy to shrink unwanted bulky tissue and tighten the skin through pinpoint introduction sites resulting in a more youthful and tighter appearance of the vulva.

The Science

Aviva is different than other technologies in that it uses RFAL (Radiofrequency Assisted Lipolysis) to address some of the shortcomings associated with traditional surgical labiaplasty. The device uses energy both internally and externally which tightens skin layers as it shrinks unwanted bulky tissue.

Until Aviva, the only method of dramatically reducing the size of the labia was surgery. Performed under local anesthesia, Aviva uses the power of RF energy to tighten and permanently shrink unwanted thickness through pinpoint introduction sites. As tissue is immediately eliminated, it is a true form of reduction without stitches, scars, or lengthy downtime.

The Aviva technology has been developed with safety and comfort as priorities. The cannula, or internal probe, has a built-in temperature sensor to ensure consistent temperature control during the procedure and is encased in an additional insulation sheath to prevent unsafe heating of the cannula and injury to the underlying structures during the treatment.

What to Expect

Aviva is life changing for women who are self-conscious, unhappy with the appearance of their genital area, or having pain with intercourse due to labial laxity. The two main reasons for having this procedure are discomfort and aesthetics. Many women feel discomfort or irritation when wearing tight clothing, having sexual intercourse, playing sports, or even just exercising. Other women just want a better or more youthful genital appearance. Many women are born with large or asymmetric labia, while others develop this condition after childbirth or with aging. Traditionally, labiaplasty surgery has been performed under general anesthesia in a hospital to resolve this issue. It required cutting away excess tissue, stitches, several days of recovery, post-surgical pain, restricted activity, and a lengthy break from sexual activity.

In contrast, the Aviva procedure dramatically reduces recovery time, uses a local anesthetic, and requires no stitches. It is easy, safe, and has a quick return to activities while giving women self-confidence about their genital appearance. The results are permanent with most patients returning to normal activities without restriction the next day. Typically, treatment takes approximately 90 minutes and is intended to be a one-time procedure.

Once the treatment area is numb from the local anesthetic, very small openings will be created on the vulva with a needle. The Aviva’s small cannula will be gently inserted into the tiny openings. Radiofrequency heat energy will be delivered internally through the probe as well as through the external electrode. Treatments are typically performed on the labia majora, labia minora, clitoral hood, and mons pubis.

Pre-Treatment Information

You will need to have a normal PAP test within the past 24 months.

Treatment cannot be performed if you have an active infection or rash. If you do, please call the clinic to reschedule your appointment.

Treatment may be performed if you are currently menstruating, however, don’t hesitate to call the clinic to reschedule your appointment if you prefer to postpone your treatment.

If you have a history of herpes simplex virus / cold sores (oral or genital), please let your provider know as you may be provided a prescription for an anti-viral medication the day of the procedure to avoid an outbreak.

Shave the treatment area 24 hours prior to the appointment. Do not wax or use a chemical hair remover.

Discontinue any topical skin irritants 2-3 days prior to the procedure.

To avoid infection, the treatment area will be thoroughly cleaned prior to the procedure. Please avoid using any lotion, powders, or bath/shower oils in the treatment area.

Post-Treatment Information

The side effects of Aviva are minimal with little downtime. Patients should expect to see micro lesions a few days after treatment and slight redness depending on treatment parameters. Slight to moderate swelling and mild to moderate sunburn-like sensation are also common and may last 1-3 days. You may experience slight tenderness, temporary bruising, or scabbing. The skin may crust and peel for 2-7 days depending on the treatment parameters.

You may relieve the sunburn-like sensation and swelling by applying cool washcloths. Avoid ice packs as the skin may still be numb and you do not want to create a cold injury.

You will likely have vaginal and/or vulvar bleeding and/or spotting. This can last up to 7-10 days but typically only 2-3 days. This may require the use of panty liner or pad. 

You may experience pain after the procedure. You may take over the counter pain medications. 

Recommend pelvic rest (no sexual intercourse), baths and hot tubs for 2 weeks.  

You can resume exercising in 2 days.

A barrier ointment such as Aquaphor, Vanicream Moisturizing Ointment, or petroleum jelly will be applied after the procedure. No bandages or wraps are necessary. Use the barrier ointment prior to each urination for 3-5 days as needed. 

Treat the skin gently. Avoid scrubbing the treatment area or exposing it to trauma. Avoid washcloths or sponges and use water or a gentle cleanser for the first 3 days to clean the skin.  

Contact the office with any questions, concerns, or if there is any sign of infection such as redness, fever, pain, pus, or excessive swelling.

Refund Policy

We do not offer refunds on services rendered. Results for aesthetic services can vary significantly from person to person. We will do our best to achieve your desired result, but outcomes cannot be guaranteed. Patients are responsible for any additional treatments that may be needed to achieve and maintain desired outcomes. If a package is purchased and the patient would like a refund for unused treatments, the refund amount will be calculated as the package price less the number of treatments used at the individual treatment price.