Vaginal radiofrequency (Rf) applications are frequently performed today for reasons such as urinary incontinence treatment, non-surgical tightening of the vagina, vaginal rejuvenation, elimination of menopausal symptoms, treatment of sagging and wrinkles in the external genital area.
However, the benefits of vaginal radiofrequency treatments are much more than cosmetic results. In this section, you will be able to find answers to questions such as "how is non-surgical vaginal with vaginal radiofrequency done, what is vaginal rejuvenation, how is vaginal rejuvenation done, to whom vaginal radiofrequency is applied, and to whom it is not applied", which are frequently asked by our patients. This section also provides information about vaginal radiofrequency devices such as Thermiva, C500 Urogyne, and Viveve.
Before reading this section, it would be beneficial to read the section titled "What is genital radiofrequency and what are its treatments?".
Vaginal radiofrequency treatments are applied in the genital area for different functional and aesthetic reasons. When applied to the right patient group, it has many advantages in both functional and aesthetic aspects. Functional and aesthetic (cosmetic) application areas are shown below.
Among the functional indications of vaginal radiofrequency;
Among the aesthetic (cosmetic) application areas of vaginal radiofrequency;
Radiofrequency treatments are also used for aesthetic purposes, such as facial rejuvenation, anti-aging, lifting, treating wrinkles and pores.
The first use of radiofrequency devices in the field of cosmetic dermatology has been since the 2000s, and the first use in the field of cosmetic gynecology has been since the early 2010s.
Treatment of vaginal rejuvenation and tightening via radiofrequency is a non-surgical method. In the process, which takes 20 minutes on average, collagen production increases with the heat sent to the tissue by the radiofrequency device. Thus, the vagina is narrowed, tightened, rejuvenated and its sensitivity is quite increased.
Radiofrequency vaginal rejuvenation is tolerated quite easily by patients, does not pose any risk, and does not require anesthesia. No downtime needed, and it is possible to return to social life immediately after treatment. There is no prohibition of sexual intercourse after the procedure. The expected effect is observed after an average of 3 weeks after treatment. It is recommended that the application be made in 3-6 sessions every 2-4 weeks.
Vaginal radiofrequency devices have different models, just like laser devices. Some vaginal radiofrequency devices such as ThermiVa, Viveve, Venus Fiore, Revive, Protégé Intima, Pelleve, C500 Urogyne, and their treatment protocols are shown briefly in the table below.
| Device Name / Company | Type of the Device | Treatment Protocol |
| ThermiVa (Thermiaesthetics) | Temperature-controlled RF | 3 treatments every 4-6 weeks |
| Viveve (Viveve Medical) | Single session monopolar RF with superficial cooling | One treatment |
| Venus Fiore (Venus Concept) | Multipolar RF with Pulsed Electromagnetic Field | 3 treatments once a week |
| Revive (Viora) | Bipolar RF | 4-6 treatments every 2-3 weeks |
| Protégé Intima (BTL Aesthetics) | Focused RF | 2-4 treatments every 2-3 weeks |
| Pelleve (Ellman International) | Monopolar RF | 3 treatments every 2-3 weeks |
| C500 Urogyne (Capenergy) | Monopolar RF Tecartherapy - Diathermy | 4-6 treatments per week |
Some vaginal radiofrequency devices used for vaginal rejuvenation
ThermiVa genital radiofrequency (RF) device has a thermometer at the end of the head, and the device regulates its temperature. For this reason, the device is also called “Transcutaneous Temperature Controlled RF”. For the effectiveness of the process, a temperature between 42-46 degrees Celsius is usually reached.
For vaginal rejuvenation treatment with ThermiVa, the application is made on each vaginal wall for an average of 5 minutes. Thus, the four vaginal walls and vaginal entrance are scanned in 20 minutes in total. In the external genitalia, the head, which is moved in the style of "painting with a brush on the canvas", is applied to all outer lips, inner lips, clitoris area, vaginal entrance, and perineum. A single session treatment of the entire genital area with ThermiVa radiofrequency takes about 10 minutes in total.
ThermiVa- Transcutaneous Temperature Controlled Radiofrequency Device.
C500 Urogyne, which works with the principle of "Tecartherapy" or “Diathermi”, is a genital radiofrequency device that can operate at three manually adjustable frequencies (0.8MHz, 1.0MHz, and 1.2MHz) with maximum tissue absorption. Like in laser, in RF, the efficiency increases as the energy absorption by the tissue increases.
With the different probe heads on the C500 genital radiofrequency device, the application can be made into the vagina and the vulva. Stress incontinence treatments, vaginal tightening, external genital area wrinkle treatment, and orgasm treatments are the most common application areas in women.
It also has a thin cap developed for the treatment of anal incontinence. Application caps are with temperature sensors. It can also be used in the treatment of urinary incontinence after prostatectomy surgery in men.
The C500 Urogyne device, which is also available in our Istanbul clinic, can also be used to treat menstrual pain (dysmenorrhea),chronic groin pain, chronic pelvic pain, and pelvic pain complaints related to endometriosis.
C500 Urogyne - Monopolar non-ablative genital radiofrequency device.
Single session monopolar RF with superficial cooling vaginal radiofrequency technology called “Viveve” can also be used for vaginal rejuvenation, introital tightening, stress urinary incontinence treatment, and sexual enhancement. This technology can deliver a high amount of energy such as 90 J/cm2 to the tissue through the cooling system at the probe tip, and this energy can penetrate to a depth of 3-4 mm, creating a high thermal efficiency.
Viveve vaginal radiofrequency device is mainly applied for reasons such as sexual pleasure enhancement, orgasm function improvement, vaginal enlargement treatment, and urinary incontinence treatment without any surgery. The advantage of the viveve treatment is that it is a single session. A very safe, painless, and single-session treatment takes an average of 30 minutes.
The effect with Viveve Rf continues for 12 months.
DEKA integrated bipolar vaginal radiofrequency into the SmartXide laser it produced for the MonaLisa Touch technique in 2020. Thus, a laser device was combined with bipolar RF for the first time.
Vaginal radiofrequency is contraindicated, and not recommended in the following situations:
Vaginal radiofrequency can be applied from the third month after the delivery, during breastfeeding.
Yes, RF can be done in IUD users. There is no need to remove the IUD before the vaginal radiofrequency procedure in those who use the IUD.
Both technologies have superiorities, advantages, and disadvantages over each other. Although vaginal lasers have a lightening feature, vaginal radiofrequency devices do not have this feature. However, in radiofrequency devices, the penetration of the energy is deeper than laser light.
Vaginal radiofrequency prices vary according to the application area(s),the number of sessions, and the treatment protocol. The model and characteristics of the radiofrequency device used are important in the effectiveness of the treatment. You can contact our clinic by the Whatsapp number for a detailed information about vaginal radiofrequency prices in Turkey.
In this section, you will find some of the hands-on aesthetic genital surgery (cosmetic gynecology) courses, trainings and meetings given by Assoc. Prof. Süleyman Eserdağ.
Assoc. Prof. Süleyman Eserdağ, MDCosmetic Gynecologist & Sexual Therapist
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