What is radiofrequency treatment of vaginal laxity?

Radiofrequency treatment of vaginal laxity is non-surgical vaginal rejuvenation: a temperature-controlled handpiece warms the tissue of the vaginal canal and the labia so that it builds new collagen and regains tone, with no incisions and no downtime. At Dr. Cat Plastic Surgery the treatment is ThermiVa, in sessions of about 45 minutes to an hour, three sessions about a month apart.

What is the difference between vaginal rejuvenation and vaginoplasty?

A vaginoplasty is surgical tightening of the vaginal canal; vaginal rejuvenation is the broader term for treatments that restore tone and appearance, with heat or with surgery. At Dr. Cat Plastic Surgery, laxity at the opening and the perineum is treated with a perineoplasty, and intact tissue that has loosened with ThermiVa. Dr. Cat does not perform vaginoplasty: most of her patients report such a significant improvement with ThermiVa, using her technique, that they do not need surgical tightening of the canal.

Does vaginal rejuvenation hurt?

No. Non-surgical vaginal rejuvenation with ThermiVa does not hurt: Dr. Cat holds the handpiece at a set, comfortable temperature, and patients feel warmth and gentle pressure, often compared to a hot stone massage, for about 45 minutes to an hour. No anesthesia or numbing is used, and you drive yourself home. The skin may look pink and feel warm for several hours afterward.

Is there downtime after vaginal rejuvenation?

No. There is no downtime after non-surgical vaginal rejuvenation: you go back to work, exercise and intercourse the same day, with hot baths and saunas left for a day or two and a cool compress if the area feels warm. The surgical options are different: after a labiaplasty or a perineoplasty, desk work waits a few days to a week and intercourse six weeks.

How many vaginal rejuvenation sessions do I need?

Three vaginal rejuvenation sessions, about a month apart (4 to 6 weeks), are the usual course at Dr. Cat Plastic Surgery, and the package of three is $8,500. Most patients notice a change after the first session, but the full tightening comes with the series, because collagen builds over weeks. After that, a maintenance treatment every 3 to 6 months keeps the result.

How long do vaginal rejuvenation results last?

Non-surgical vaginal rejuvenation results last several months to a year after the series of three sessions, and a maintenance treatment every 3 to 6 months keeps them, because the collagen the treatment builds is your own and fades as the tissue keeps aging. Surgical results are lasting: tissue removed in a labiaplasty does not return, and a perineoplasty holds unless another vaginal delivery stretches it.

Does vaginal rejuvenation help with urinary incontinence and dryness?

Patients report that non-surgical vaginal rejuvenation eases the small leaks of mild stress urinary incontinence and restores natural lubrication, because the radiofrequency builds collagen and increases blood flow in the tissue of the canal and the opening; one patient in the practice's gallery reported both after two sessions. It is not a cure, results vary, and it does not treat vaginal prolapse.

Who should not have vaginal rejuvenation?

Non-surgical vaginal rejuvenation waits for women who are pregnant, could be pregnant or are breastfeeding, and it is not for patients with an abnormal pap smear (a normal one within two years is required), a history of cancer in the area, a current sexually transmitted infection, recent vaginal surgery or vaginal prolapse. Labia minora that hang, or a torn perineum, need surgery rather than heat.

Can I have vaginal rejuvenation after a labiaplasty?

Yes, about four weeks after a labiaplasty, once you have healed, and never on the same day. The labiaplasty removes and reshapes the labia minora; ThermiVa then tightens the remaining tissue and the skin of the labia majora, which the surgery does not address. One gallery case had two ThermiVa sessions after a labiaplasty with clitoral hood reduction. Intercourse after a labiaplasty waits six weeks.

What is vaginal tightening surgery?

Vaginal tightening surgery at Dr. Cat Plastic Surgery is a perineoplasty: the scar and excess skin at the back of the vaginal opening are removed, the separated muscles of the perineal body are rejoined in layers, and the opening is repaired to a normal, supported size, for a structural change after childbirth. A vaginoplasty, which tightens the canal itself, is a different operation that Dr. Cat does not perform; most of her patients report such a significant improvement with ThermiVa that they do not need it.

Vaginal Rejuvenation in Beverly Hills, Los Angeles

Vaginal Rejuvenation in Beverly Hills

Radiofrequency treatment of vaginal laxity (non-surgical vaginal rejuvenation with ThermiVa, with no anesthesia and no downtime) and the surgical options, at Dr. Cat Plastic Surgery, the Beverly Hills practice of Dr. Cat Begovic, MD, FACS, board-certified plastic surgeon with two surgical residencies, head and neck surgery and plastic and reconstructive surgery, Harvard-educated and UCLA trained

Vaginal rejuvenation is the umbrella term for treatments that restore tone, moisture and appearance to the vaginal tissue and the labia after childbirth, hormone changes and age. At Dr. Cat Plastic Surgery, at 421 N. Rodeo Drive in Beverly Hills, Los Angeles, the non-surgical treatment is ThermiVa (radiofrequency treatment of vaginal laxity: a warm handpiece that prompts the tissue to build collagen, with no anesthesia and no downtime), and both it and the surgical options, a labiaplasty, a clitoral hood reduction and a perineoplasty, are performed by Dr. Cat Begovic herself, a board-certified plastic surgeon who has performed more than 500 labiaplasties. Because one practice offers both, you are told plainly when heat is enough and when surgery is the answer.

ThermiVa is $3,000 per treatment and $8,500 for a package of three on the practice's published price list; a session takes about 45 minutes to an hour, and the usual course is three sessions about a month apart, with a maintenance treatment every 3 to 6 months. The surgical options are quoted as Dr. Cat's surgeon's fees, listed in the cost section below.

15-minute Patient Concierge call, no obligation.

Medically reviewed by Dr. Cat Begovic, MD, FACS

Board-certified plastic surgeon, trained in both head and neck surgery and plastic and reconstructive surgery. Harvard-educated, UCLA trained. Updated October 3, 2026

What makes vaginal rejuvenation at Dr. Cat Plastic Surgery different

What decides whether you get the right treatment.

Heat and surgery under one roofOne practice, one board-certified plastic surgeon who performs the ThermiVa sessions and the labiaplasty and perineoplasty herself, so the advice is not shaped by which one is on offer.

A woman surgeon who has the treatment herselfDr. Cat has vaginal rejuvenation every four to six months to maintain tone, in her own published words.

More than 500 labiaplastiesSurgery, when it is the answer, is by a surgeon with more than 500 labiaplasties and the textbook chapter on aesthetic surgery of the female genitalia.

One penthouse on Rodeo DriveA private treatment room for ThermiVa and her own QUAD A accredited surgery center, at 421 N. Rodeo Drive.

What is vaginal rejuvenation?

Vaginal rejuvenation is an umbrella term: any treatment that improves vaginal tightening, the symptoms of mild urinary incontinence, dryness, or the appearance of the labia, with heat or surgery, depending on what has changed. Women search for it as feminine rejuvenation, vaginal tightening or a designer vagina; each starts with the same examination.

The practice's non-surgical vaginal rejuvenation is ThermiVa, a temperature-controlled radiofrequency treatment in the office on Rodeo Drive, no anesthesia and no downtime. The surgical options are Dr. Cat's: a labiaplasty for labia minora that hang or chafe, a clitoral hood reduction for excess skin over the clitoris, and a perineoplasty for an opening and a perineum that childbirth changed.

What changes, and why

Childbirth stretches the canal and the opening, and a tear or an episiotomy can heal thin or scarred; aging and the drop in estrogen at menopause thin the tissue and reduce its elasticity and lubrication. Vaginal laxity after childbirth is the most common reason women come in, and the complaints follow a pattern:

Laxity: a canal and an opening that feel looser, with less friction and sensation during intercourse
Dryness and mild stress urinary incontinence: less lubrication, and small leaks with a cough, a laugh or a run
The labia majora: outer skin that has become loose, baggy or crepey
The labia minora: inner lips that hang, chafe or show in clothing, a matter of tissue, not tone
The perineum: a scar, or a gap between the muscles, after a tear or an episiotomy

Non-surgical vaginal rejuvenation with ThermiVa

Non-surgical vaginal rejuvenation at Dr. Cat Plastic Surgery is ThermiVa, performed by Dr. Cat herself, and the treatment is heat, not cutting. A slim handpiece delivers radiofrequency energy to the tissue of the vaginal canal and then to the labia, held at a set, comfortable temperature that prompts the tissue to build new collagen and improve its elasticity, inside and out. You lie back as for a gynecological exam and feel warmth and gentle pressure, like a hot stone massage; no pain, no anesthesia.

A session takes about 45 minutes to an hour, and you drive yourself home. The skin may look pink and feel warm for several hours. There is no downtime: work, exercise and intercourse the same day, with hot baths and saunas left for a day or two. Collagen builds over weeks, so most patients notice a difference after the first session and the full result comes with the series.

What patients report

Results vary; the changes are reported, not promised:

A tighter feel to the canal and the opening, with more friction and sensation during intercourse
Natural lubrication restored
Fewer leaks; one gallery patient reported restored lubrication and no further leaks after two sessions
Smoother, firmer skin of the labia majora, which the photographs show

It does not remove tissue or repair structure: labia minora that hang need a labiaplasty, and a torn perineum needs a perineoplasty.

Vaginal tightening: non-surgical or surgery?

Non-surgical vaginal tightening with radiofrequency conditions tissue that is intact but has loosened: the right answer for laxity without a scar or a gap in the muscles. Vaginal tightening surgery is for a structural change, and at Dr. Cat Plastic Surgery it means a perineoplasty: when a childbirth tear or an episiotomy has left the perineum short or scarred and the opening gaping, the separated muscles are rejoined and the opening repaired to a normal, supported size. Heat cannot rebuild a torn perineal body or remove a scar, and nothing but surgery makes the labia minora smaller.

The two are often combined: surgery first, ThermiVa about four weeks later, once healed. Neither treats pelvic organ prolapse, a pelvic floor condition for a urogynecologist.

Vaginal rejuvenation vs vaginoplasty

A vaginoplasty is surgical tightening of the vaginal canal itself, deeper inside than the opening; vaginal rejuvenation is the broader term. Most of what women mean by feeling loose since childbirth is a stretched or scarred opening rather than a lax canal, which at Dr. Cat Plastic Surgery is treated with a perineoplasty, and laxity of intact tissue with ThermiVa. Dr. Cat does not perform vaginoplasty: in her experience, most patients report such a significant improvement with ThermiVa, using her technique, that they do not need surgical tightening of the canal.

The surgical options

Dr. Cat is a board-certified plastic surgeon trained in both head and neck surgery and plastic and reconstructive surgery, Harvard-educated and UCLA trained, with more than 500 labiaplasties and the textbook chapter on aesthetic surgery of the female genitalia. She performs every operation below herself, under general anesthesia with a board-certified physician anesthesiologist in her QUAD A accredited surgery center; you go home the same day, and intercourse waits six weeks.

Labiaplasty

A labiaplasty reduces and reshapes the labia minora so they sit within the labia majora, for inner lips that hang, chafe or show in clothing. It is the right answer when the complaint is how much tissue is there; no cream, exercise or device shrinks the labia minora. Dr. Cat uses her own technique, with precise layered suturing, dissolvable sutures and no incision near the clitoris or its dorsal nerve; most of her patients report an improvement in sensation, and the scar is nearly invisible by three to four months. A labiaplasty is never done on the same day as a tummy tuck; one done elsewhere that needs correcting is a labiaplasty revision.

Clitoral hood reduction

A clitoral hood reduction removes the excess skin of the hood, the fold that covers the clitoris, so it lies flat and in proportion with the labia. It is the right answer for a hood that hangs in folds, is wide or bulky, or looks heavy beside reduced labia; most of Dr. Cat's patients have it with a labiaplasty. The clitoris itself is never in the surgical field.

Perineoplasty

A perineoplasty repairs and tightens the perineum, the band of skin and muscle between the vaginal opening and the anus, and with it the opening. It is the right answer when a childbirth tear or an episiotomy healed short, thin or scarred, the opening gapes at rest, or a scar band catches during intercourse. Dr. Cat removes the scar, rejoins the separated muscles in layers and repairs the opening to a normal size, never the smallest one, on its own or with a labiaplasty, best after your last planned pregnancy. Loose skin higher up, over the pubic bone, is a pubic lift (monsplasty), usually with a tummy tuck.

Vaginal rejuvenation before and after

Vaginal rejuvenation before and after photographs show the outside: the labia majora smoother and less baggy, the tissue firmer and the opening tighter, after two or three ThermiVa sessions. The cases on this page are from our vaginal rejuvenation before and after gallery; each had two or three sessions, and one also had a labiaplasty with clitoral hood reduction, so the change in the labia minora there is the surgery.

Your vaginal rejuvenation timeline

There is no recovery to plan around; the calendar holds the series.

The discovery call and the appointmentA free 15-minute call with our Patient Concierge, then the appointment: screening questions and an examination that tell you whether ThermiVa, surgery or a combination fits. ThermiVa is paid in full when scheduled.
Session oneHydrated, hair-free and with an empty bladder: about 45 minutes to an hour of warmth, then you drive yourself home.
Session two, about a month laterSpaced 4 to 6 weeks after the first, once the tissue has built collagen and begun to tighten.
Session three, about a month after thatThe last of the initial series; most patients reach their full result with it.
Maintenance, every 3 to 6 monthsThe collagen is your own and fades as the tissue ages; a single treatment every three to six months keeps the result.
If surgery is the answerPlanned at a consultation with Dr. Cat; you go home the same day, intercourse waits six weeks, and ThermiVa can follow about four weeks later, never the same day.

Who is a good candidate for vaginal rejuvenation?

The non-surgical treatment suits intact tissue that has loosened, dried or lost sensation; surgery suits a change in the amount or structure of the tissue. Candidacy is confirmed at the visit.

You may be a good candidate if

Your vagina feels looser since childbirth or with age, with less sensation during intercourse
Dryness, or small leaks when you cough, laugh or run, bothers you
The skin of your labia majora has become loose, baggy or crepey
Your labia minora hang or chafe, or your perineum was torn or cut in childbirth: the surgical options

Not yet, or a different plan, if

You are pregnant, could be pregnant or are breastfeeding: ThermiVa waits until after the birth and after weaning
Your last pap smear was abnormal (a normal one within two years is required), or you have had cancer in the area or have a sexually transmitted infection
You have had vaginal surgery within the last four weeks, including a labiaplasty, or have any degree of vaginal prolapse
You want a labiaplasty on the same day as a tummy tuck, which Dr. Cat never combines, or plan another vaginal delivery, so a perineoplasty waits

Risks and safety

ThermiVa is low-risk: no incisions, no sutures, no scars and no anesthesia, and in patients without vaginal abnormalities, which the screening is for, what can happen is mild and short-lived. The surgical options carry the risks of any outpatient surgery.

What can happen

After ThermiVa: pinkness, warmth or mild swelling for several hours, a temporary change in discharge, irritation in patients with prolapse or a skin condition (hence the screening), and rarely a burn
After surgery: bleeding, a hematoma or an infection; wound separation; a thick or tender scar; changes in sensation
Over-resection of the labia or the hood, which cannot be undone; under-correction; an opening repaired too tight

How the practice keeps it safe

Screening before a first ThermiVa session, a device that holds the tissue at a set temperature, sessions 4 to 6 weeks apart, and written instructions
For surgery: every step by Dr. Cat herself, no incision near the clitoris or its dorsal nerve, the hood reduced conservatively, the opening repaired to a normal size, never the smallest
A board-certified physician anesthesiologist in her accredited surgery center, written aftercare instructions and follow-up visits; for patients who follow them, complications rarely occur

How much does vaginal rejuvenation cost in Beverly Hills?

Vaginal rejuvenation costs $3,000 per ThermiVa treatment at Dr. Cat Plastic Surgery, or $8,500 for a package of three, the prices on the practice's published non-surgical price list; maintenance is a single treatment. ThermiVa is paid in full when scheduled and can be financed through Cherry. It is cosmetic and not covered by insurance; Dr. Cat's office does not bill insurance.

What the surgical options cost

Dr. Cat's surgeon's fee for a labiaplasty is $17,500 to $20,500; the operating room and anesthesia are quoted at your consultation, because the operating time depends on your anatomy and on what is treated together. Surgeon's fees are typical ranges: a more complex case can cost more, and your fee is set at your consultation and is final only in your written quote. A clitoral hood reduction on its own is $2,000 to $6,000, quoted within the combined plan with a labiaplasty; a perineoplasty is $15,500 to $20,500 on its own, or $3,500 added to a labiaplasty. Our guide to the cost of a labiaplasty explains what a quote is made of.

Consultation fee, deposit and financing

ThermiVa has no consultation fee. For the surgical options, the consultation with Dr. Cat is $500, or $1,500 for a revision consultation, credited toward your surgery; the date is booked once the quote and pre-op paperwork are signed and the $2,500 deposit is paid, and quotes are valid for six months. The practice partners with Cherry, its primary financing partner, and also accepts CareCredit and Alphaeon Credit; see financing and payment plans.

Appointment and consultation

It starts with a free 15-minute discovery call with our Patient Concierge, who books the next step. For ThermiVa that is the appointment with Dr. Cat on Rodeo Drive: screening questions, consent forms and written instructions, and her examination that tells you whether the non-surgical treatment, surgery or a combination is the answer. For surgery the consultation is private and conducted by Dr. Cat herself: she asks what specifically bothers you and what you want to achieve, examines the anatomy, and you leave with an itemized written quote. Out-of-town patients can have that consultation by private video through OnPatient, the HIPAA-secure patient portal; ThermiVa sessions are in person on Rodeo Drive.

I understand these changes firsthand, as a woman and a mom

As a woman and a mom, I understand firsthand these changes. I personally use vaginal rejuvenation every four to six months to maintain tone and aesthetics in my vaginal area. I am extremely passionate about the health and aesthetics of female vaginal tissues, and I start every consultation by asking the patient what specifically is bothering her and what she wants to achieve. Then we review her anatomy together, and I develop a customized plan, whether that is the non-surgical treatment, surgery, or both.

Dr. Cat Begovic, MD, FACSBoard-certified plastic surgeon, Beverly Hills

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Ready to find out whether heat is enough, or surgery is the answer?

Vaginal rejuvenation at Dr. Cat Plastic Surgery: ThermiVa at $3,000 per treatment with no anesthesia and no downtime, and a labiaplasty, a clitoral hood reduction or a perineoplasty by a board-certified plastic surgeon who has performed more than 500 labiaplasties, all in one penthouse on Rodeo Drive. It starts with a free 15-minute discovery call.