What is Vaginal Rejuvenation?

By: Dr. Angelo Cuzalina

Involving one of a woman’s more personal areas, we don’t often openly discuss vaginal rejuvenation. It is not surprising then, that many women are unclear as to just what vaginal rejuvenation encompasses—not to mention, just how much vaginal rejuvenation can benefit a woman. Understanding that the look and feel of the vaginal area are important to a woman’s well-being, at Tulsa Surgical Arts, we offer several vaginal or labial rejuvenation techniques. The Surgical labiaplasty &/vaginoplasty is performed typically with the patient asleep to allow removal of loose labial tissues to be excised and tightened as well as the possibility for vaginal tightening by internal tissue tightening.  Fat removal of an enlarged mons pubis or  fat injections to a thin mons or labia majora are still other surgical procedures performed at our facility to rejuvenate a women’s private areas.  The newest NON-surgical method to rejuvenate this area is called, ThermiVa. 

ThermiVa is a FDA approved non-surgical device that tightens both labial as well as the vaginal regions by radiofrequency energy delivered via a small probe with typically no discomfort over a 15-30 minute appointment.  Most patients will usually see and feel a significant difference after the first session with 3-4 sessions recommended for most.   There are no restrictions following treatment.


Labiaplasty is an increasingly popular procedure. According to The American Society for Aesthetic Plastic Surgery, labiaplasty saw a 49% increase between 2013 and 2014. Labiaplasty addresses both the aesthetic and functional issues with the external vaginal lips. Simply put, labiaplasty reduces and reshapes the vaginal lips.

An enlarged labia can dramatically interfere with a woman’s ability to comfortably go about her daily routine—often causing a woman to experience pain and discomfort. For some, exercises such as running, yoga, and bicycling prove uncomfortable. Intercourse can also painful as it can lead to chafing, tearing, rashes, and bleeding. Beyond the physical reasons, labiaplasty improves a woman’s self-esteem and enables them to be more self-confident in their body.

Dr. Cuzalina carefully removes excess skin and tissues, often reducing the size of the inner lips (labia minora) in relation to the outer lips (labia majora). The amount of tissue to be removed depends on the amount of excess tissue. Dr. Cuzalina understands the importance of keeping a consistent and natural appeal—both in contour and color. Labiaplasty results in a better appearing external vaginal appeal as well as improved confidence as well as increased comfort with normal activities. 


Whereas labiaplasty targets external vaginal rejuvenation, ThermiVa focuses internally. Over time, many women notice a loosening of the skin, tissues, and muscles within the vaginal canal. What is known as vaginal laxity can often be devastating to a woman’s self-esteem. Vaginal laxity often causes discomfort during sexual intercourse. Many women struggle with an overactive bladder and incontinence due to her weakened vaginal muscles.

Using a specially shaped hand piece, ThermiVa transfers thermal energy (heat) to the targeted area of the vagina. Taking advantage of radiofrequency energy, ThermiVa is able to accurately restore the vaginal canal and create improved sensation. Generating heat, ThermiVa also stimulates the production of collagen—improving skin elasticity and firmness, as well as increasing vaginal moisture. ThermiVa was designed to optimize a woman’s comfort; the smooth hand piece is long, narrow, and curved to help conform to a woman’s body. 

Vaginal Rejuvenation at Tulsa Surgical Arts

With treatments such as labiaplasty and ThermiVa, there is no reason for a woman to be unhappy with the look or feel of her more intimate areas. After vaginal rejuvenation, our patients report an increased overall well-being. Not only giving you greater comfort and an improved appearance—vaginal rejuvenation is a meaningful improvement to a woman’s body image and self-confidence.

Find out how vaginal rejuvenation can improve your life. Schedule a private consultation with Dr. Cuzalina to discuss your rejuvenation options.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.