Vaginal Rejuvenation

Our Expertise, Your Health

Our office offers multiple minimally invasive vaginal rejuvenation treatment options including Forma V by InMode, Morpheus8 V by InMode,  V Tone by InMode, Juliet by Cutera, and Viveve. Depending on your specific concerns, we’ll recommend the best treatment protocol for your needs.

We also offer Aviva, a non-surgical scarless labiaplasty. This cosmetic gynecology treatment is performed in-office and is used to shrink and reduce the labia and vulvar tissue with minimal discomfort and downtime. 

Why Mirabile M.D. for Vaginal Rejuvenation

It’s important to see a Board Certified Gynecologist who specializes in women’s pelvic health when considering this procedure. Vaginal restoration is complicated and the most appropriate clinician for women with any of these associated conditions is someone who is very familiar with female anatomy. Multiple conditions can exist at the same time in a woman’s pelvic zone and conditions not recognized by a dedicated women’s health care provider could be missed and result in major complications.

As a Board Certified Gynecologist, Dr. Mirabile and his team of Nurse Practitioners are involved in the clearance of your vaginal rejuvenation, reconstruction and tightening treatment and evaluate every Mirabile M.D. patient considering vaginal rejuvenation. Although these are non-surgical procedures, there can be risks and it’s important that the patient’s vaginal health is thoroughly evaluated prior to her treatment.

What is FormaV

The FormaV by InMode treats sexual dysfunction or as an adjunct to kegel exercises. Patients can expect tightening of the muscles of the pelvic floor to increase muscle tone and blood circulation. FormaV treats:

  • Urinary leakage
  • An urgent need to urinate, painful urination, or recurrent urinary tract infections (UTI’s)
  • Vaginal laxity caused by childbirth, aging, genetics or trauma
  • Vaginal dryness, burning sensations or irritation
  • Poor vaginal lubrication during intercourse, discomfort or pain with intercourse and impaired sexual function

What to Expect with FormaV

Patients can expect to get 2-3 treatments, spaced about 4 weeks apart. Yearly maintenance treatments may be recommended to maintain results.  Patients getting a FormaV treatment can expect to feel a heating sensation during treatment and for several hours afterward. Some patients experience no discomfort while others report slight discomfort during and immediately after treatment. There is no downtime with FormaV and patients may resume normal activities following treatment.

What is Morpheus8 V

Morpheus8 V is a fractional radiofrequency treatment designed to address a wide range of feminine wellness concerns. Board Certified Gynecologist James Mirabile, M.D., FACOG, and our team use Morpheus8V, along with a number of other vaginal rejuvenation and cosmetic gynecology treatments to help women improve vaginal health. Childbirth, pregnancy, hormonal changes, and aging all play a role in the health and appearance of vaginal tissue, sexual function, and urinary health. Morpheus8V treats:

  • Urinary leakage
  • Vaginal laxity caused by childbirth, aging, genetics, or trauma
  • Vaginal dryness, burning sensations, or irritation
  • Pain with intercourse
  • Poor vaginal lubrication during intercourse, pain with intercourse, and impaired sexual function
  • Enlarged labia

What to Expect with Morpheus8 V

Morpheus 8 V uses state-of-the-art technology to administer silicone-coated needles beneath the surface of the vaginal tissue. The depth of penetration depends upon the area being treated and desired results. Once the needles are placed, the device delivers a pulse of radiofrequency energy that tightens the soft tissue and stimulates the production of elastin and collagen. Used both internally and externally, Morpheus8V is a non-invasive treatment to remodel vaginal tissue with little downtime. 

In preparation of your Morpheus8V treatment, your provider will discuss pain management options with you. You will be asked to arrive early to allow time for numbing of the area. We use a topical numbing cream that helps minimize discomfort. Other pain-control options are available including Pro-Nox and sublingual sufentanil. Pro-Nox is a patient-controlled inhaled analgesia system that delivers a 50% oxygen and 50% nitrous oxide mixture for the relief of pain and anxiety. The effects of Pro-Nox wear off in 10-15 minutes allowing patients to resume normal activity right away including driving. Sublingual sufentanil is a sublingual pill that alleviates pain and anxiety and can only be administered in a controlled medical setting. Patients receiving sublingual sufentanil cannot drive following treatment and must make arrangements ahead of time for a driver on the day of treatment.

On average, patients need a series of 3 Morpheus8 V treatments to achieve desired results. Patients should expect minimal downtime following treatment and should avoid intercourse, tampons, and hot tubs or baths for 3-4 days following treatment.

What is VTone

VTone by InMode is FDA-indicated to improve pelvic floor muscle strength for the improvement of urinary incontinence through intravaginal electrical muscle stimulation (EMS). This gentle, effective treatment series rehabilitates a woman’s pelvic floor muscles to improve the overall quality of life.

Urinary incontinence is very common among women, particularly women who have experienced childbirth or pregnancy and those who are peri-menopausal or in menopause. VTone is specifically designed to strengthen the muscles associated with incontinence and is FDA-cleared to improve all types of urinary incontinence including stress urinary incontinence, urge incontinence, overflow incontinence, and function incontinence.

What to Expect with V Tone

VTone delivers safe, low frequency electrical pulses which induce involuntary muscle contractions to rehabilitate the pelvic floor. 

Generally, a series of 8 VTone treatments is needed for optimal results (2 treatments per week for 4 weeks). Additional treatments may necessary, depending on each patient’s specific condition. Each pain-free treatment is approximately 30 minutes and there is no downtime following treatment.

What is Juliet®?

Juliet, by Cutera®, is an Er:YAG 2940nm laser incorporating a unique treatment that revitalizes both vaginal and vulvar tissue. It’s an ideal procedure for women of all ages who are experiencing urinary incontinence and other feminine issues associated with hormonal changes, pregnancy and childbirth.

What to Expect with Juliet®

Patients will receive 2-3 Juliet treatments. Treatments are performed in our office by a highly trained provider. Treatments are comfortable and there is very little downtime. Treatments are spaced at least 4 weeks apart. Yearly maintenance treatments may be recommended to maintain results. 

What is Viveve®?

Viveve is a unique treatment that generates healthy collagen and a renewed feeling of feminine wellness. The dual-mode Viveve treatment cools and protects the surface while heating deeper tissue. Because Viveve uses tiny pulses of gentle energy, the right amount of heat — for the right time — is delivered to reinvigorate tissue. Patients notice a significant improvement in stress urinary incontinence, vaginal laxity, and sexual health.

What to Expect with Viveve®

Patients only require one, 30 minute treatment. Treatments are performed in our office by a highly trained provider. Treatments are painless and require no anesthesia or pain management. There is no downtime following a Viveve treatment and patients may resume regular activities including sexual activity the same day as treatment. In many cases, patients seek additional treatment one time per year to maintain results.

James Mirabile, M.D., FACOG is proud to have been invited to be a Key Opinion Leader for Viveve and head of the Viveve Scientific Advisory board.