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ThermiVa® in Bellevue, WA


At Bellevue Plastic Surgeons, Dr. Marosan uses ThermiVa® treatments vaginal rejuvenation without surgery. ThermiVa® is a radiofrequency device that delivers gentle heat to the labia majora (camel toe), labia minora and inner vagina to reduce and tighten those areas. This device gives treated patients both aesthetic and reconstructive benefits without surgery or downtime. ThermiVa® treatments are essentially pain free, safe, and non-invasive (no cutting involved). The ThermiVa® device is applied to the gelled region at a set temperature of 42-45 degrees Celsius. The hand piece gradually tightens and heats up the tissues at the surface and then penetrates deeper to prevent the patient from feeling any discomfort or pain.

Clinical studies have shown that within a few minutes collagen begins to shrink subtly at temperatures higher than 40 degrees Celsius. Furthermore, it has been shown that with repeated treatments these temperatures also stimulate the production of new collagen over time.

Women who are seeking to reduce the effects of child birth (for example vaginal laxity), planning on having children and women who have already had children are perfect candidates for ThermiVa®. Furthermore, women who are seeking to reduce the effects of non-childbirth related aging are perfect candidates as well. Patients treated with ThermiVa® are to come in for treatments about once a month for 3 months. Each treatment takes less than 30 minutes. Upon completion of a total of 3 treatments, patients get to experience and enjoy optimal ThermiVa® results. Many patients report improvement on the first treatment.

Other Benefits of ThermiVa® Include:

  • Treats Urinary/Stress Incontinence
  • Improves Vaginal Dryness (Atrophic Vaginitis)
  • Tightens Vagina
  • Shrinks labia majora
  • Reduces effects of Aging and Childbirth
  • Softens and Smooths skin
  • Noticeable results after 1 Treatment
  • No Downtime
  • Return to Intimacy Same Day
  • Pain Free
  • Safe
  • Non-surgical
  • Non-invasive (no cutting)
  • Promotes new collagen
  • Promotes nerve regeneration

Surgeon and Facility Fees

from $3,300.00

Average Procedure Time


Procedure Recovery Location


What to Expect

Patients may see some improvement after their treatment, but most patients will need about 3 treatments one month apart to get the best results. After the final treatment, the final results should be noticeable in about 2 weeks. Results typically last for 1 year and then one touch-up treatment should be scheduled by the patient yearly to maintain their results.

Labiaplasty and Thermiva - At 47 years old, I'd dealt with the discomfort of oversized labia for far too long. I met with Dr. Marosan and his staff and decided to do labiaplasty and then Thermiva. It has been a life-changer for me. Wearing underwear was ALWAYS uncomfortable, but going without was worse. It's amazing how removing a small part of your body makes such a difference. I'm now dressing with ease, and even started running. The entire team here is top-notch. I wholeheartedly recommend them to any woman thinking about labiaplasty.

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Procedure Process

The treatment wand has a built-in thermistor, which relays the skin temperature to the computer for automatic adjustments to the right level of heat without risking burns. The THERMIVa wand will be passed over the interior walls of the vagina and outside it gently heats the labia and clitoral hood. After the procedure, patients can resume their normal activities, and can resume sexual activity the same day.

Thermi RF System?

The THERMI RF Skin Tightening system is a modular system for radiofrequency treatments that uses applications for specific areas, like the THERMIVa for vaginal rejuvenation. The THERMITight, THERMISmooth Body, THERMIbreast and THERMISmooth Face are other applications for noninvasive and minimally invasive skin tightening treatments of the face, breast and body.

ThermiVa or Labiaplasty?

The THERMIVa application is best for women who have mild to moderate skin laxity in the vaginal area and who want to avoid the discomfort and downtime of a surgical vaginal lift. A labiaplasty is a surgical removal of the excess skin in the vaginal area for women with more severe skin looseness. The THERMIVa is more effective on the labia majora and less on the labia minora. THERMIVa is also better for women who are unsure about having more children since it is less expensive, less time consuming, and requires no recovery period.

When to Get ThermiVa?

 The THERMIVa treatment will not affect future pregnancies or prevent a vaginal childbirth, but patients will need to wait 2 – 3 months after giving birth to start THERMIVa treatments.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.