5 Research-Backed Reasons Vaginal Rejuvenation is Worth it

Even though the Kardashian sisters are totally transparent when it comes to all aspects of their lives, most women aren’t – especially when it comes to their vaginas.

“Sometimes patients are timid to talk about the changes in their vaginas,” says Cosmetic Skin and Laser Center Clinical Lead Lee Middleton, RN, who joined CSLC after years as an OB-GYN nurse. “Where our practice shines is we’re comfortable talking about all women’s health concerns, including sharing our own experiences with hormonal changes and vaginal rejuvenation.”

Let’s get it out in the open and have a frank discussion about FDA-approved non-surgical vaginal rejuvenation and how it impacts women’s health and feminine wellness. You’re probably wondering what vaginal rejuvenation actually is, whether it’s safe, and whether it’s worth it, so we’re going to break it down for you.

Just like jowls, vaginas sag with aging, too. 

Every year after the age of 25, our production of collagen decreases by 1-2% a year. By the time a woman hits her 50s, the combination of collagen loss and estrogen loss often makes both crepey skin and labial laxity.

“I entered my 40s, and almost overnight I noticed my hair became more brittle and thin, my skin dried right out, and I lost a significant amount of vaginal lubrication,” CSLC Clinical Lead Lee Middleton, RN says. “Intercourse was uncomfortable, and I hated the sandy feeling inside.”

As a former OB-GYN nurse,  Middleton had seen first-hand the impact of menopause on women’s bodies.

“With estrogen loss comes significant collagen loss,” she says.

ThermiVa reverses this. More than 103,000 ThermiVa treatments have been performed worldwide on celebrities like the Kardashian sisters and women on The Real Housewives. The procedure works by delivering radiofrequency heat therapy to both the labia and vaginal walls via an s-shaped probe during an in-office procedure.

So what is ThermiVa, exactly?

Envision a small wand that’s inserted into your vagina where it directly delivers radiofrequency energy or heat at a precise temperature, which then leads to new collagen & elastin production.

The 30-minute procedure that restores tightness to your vagina

ThermiVa restores tightness to the inside and outside of your vagina. In our offices in Traverse City and Petoskey, where we’ve performed more than 1,000 ThermiVa procedures, women report back to us in the months following their treatment they feel more confident in yoga pants….and with their partners, as a result of ThermiVa.

“The gentle, pain-free application of this heat is what stimulates collagen production and helps strengthen and tone the vaginal tissues while simultaneously increasing lubrication and flexibility,” Middleton says. “And it works for women who are on hormone therapy as well as for those who are hormone free.”

A well-behaved bladder that doesn’t leak? Yes, please!

Both ThermiVa, and the FDA-approved Oh! Shot, offer a quick, one-two punch to help you take back control of your bladder.

“Stress incontinence hits women of all ages,” says Middleton. “Childbirth, injury, surgery, and the aging process all make pelvic muscles weaker, resulting in leaky bladders.”

The Oh! Shot, whose other pleasure-boosting qualities we’ll get to in a moment, is an injection of your own platelet-rich fibrin directly into the clitoris.

If the thought of a needle into the most sensitive part of your nether regions just made you cringe, don’t worry.

“We’re often asked, ‘Isn’t that uncomfortable?’,” says Middleton. “But the numbing treatment we apply before injecting the PRF makes the Oh! Shot near painless, and the results for women with urinary incontinence are nothing short of transformational.”

Imagine saying goodbye to sanitary pads or adult diapers, and wearing exercise clothing with total confidence.

By increasing both circulation and cell regrowth, the Oh! Shot can make a meaningful difference for women with mild-to-moderate stress incontinence. Combined with ThermiVa in the same treatment, the results are often even greater.

“ThermiVa plus the Oh! Shot is what really improved my own stress incontinence,” 50-year-old Middleton says.

Orgasms Increase with the Oh! Shot

The stimulation of new cell growth to the vagina doesn’t just help combat dryness, tighten tissue, and stop embarrassing sneeze accidents. It also makes orgasms longer, stronger, and more intense.

In just 10 minutes, a single shot into your clitoris can increase sexual desire, arousal from clitoral stimulation, and an increased ability to orgasm much more easily.

“After the Oh! Shot, I immediately noticed a spike in my sexual interest, increased lubrication, and my orgasms were so much stronger. The description is in the name: ‘Ohhhhh!,” says Middleton.

You may experience an increase in sexual desire and pleasure immediately, but full results are usually enjoyed after 3 months. Generally, women will begin to experience heightened sensation in the first 3-7 days post Oh! Shot, and new tissue will begin to develop over the next 3-9 weeks.

Unlike vaginal reconstruction surgery, there’s no downtime with non-surgical ThermiVa and the Oh! Shot

Wondering what exactly goes on during a ThermiVa and/or Oh! Shot treatment?

Well first of all, let’s discuss what doesn’t happen.

There’s no hospitalization or in-patient surgery, no general anesthesia, and no downtime with our non-surgical vaginal rejuvenation treatments.

Your comfort is always our number one goal.

“The beginning of a treatment may feel, mentally, a bit like your annual gynecological exam,” Middleton says. “But by the time we’re 10 minutes into a ThermiVa treatment, most women browse their phones or chat with us.”

A whopping 95% of women on realself.com rate ThermiVa “worth it,” making it one of the most popular aesthetic treatments performed.


The treatment process is simple. For ThermiVa, we use a wand both inside the vaginal tissue and on the external labia area to deliver radiofrequency at just the right temperature to stimulate collagen. The treatment itself is warm but completely painless.

The internal application is what helps promote lubrication and tone, and the external application improves the tone and elasticity of the labia as well as improving clitoral sensitivity. Four areas of the internal vagina are treated, and we usually add the Oh! Shot as a 10-minute finisher to patients who opt for both treatments.

With the Oh! Shot, we numb your clitoris and inject platelet-rich fibrin (PRF) right from your own blood, into the area.

ThermiVa works well in a series of three, 30-minute ThermiVa treatments, with a maintenance treatment 1-2 times a year.

The Oh! Shot works wonders in just one treatment, followed up by maintenance treatments every 6-12 months. You can use it alone, as a finisher at the end of ThermiVa (saving you time!) or on its own, which is especially appealing to women whose primary concern is just stress incontinence.

Because vaginal changes are such a concern for women, and the tech is advancing constantly, we’re thrilled to offer a treatment combination that addresses all feminine areas of concern. CSLC stays current on every cutting edge, aesthetic modality for all areas of the body. Contact us for an always complimentary consultation and conversation about your most intimate wellness.