What Is Aviva?

Aviva is the second nonsurgical technology incorporated into the Votiva system. Using radiofrequency energy, Aviva restores the appearance of the vulva by delivering safe and uniform heat to the area’s soft tissues, including the labia minora, the labia majora, the clitoral hood, the vaginal opening and the perineal body. Aviva acts as a non-excisional alternative to a labiaplasty that can be done under local anesthesia in an office setting in less than 20 minutes. Potential labiaplasty patients who are intimidated by the idea of surgery or scars in such a sensitive area now have the option to choose this scarless, low-downtime treatment.

Who Is Aviva For?

Women who feel self-conscious about excess labia majora tissue or labia minora tissue, or excessive clitoral hooding, are potential candidates for Aviva. Women who experience physical discomfort from these concerns may also find relief with Aviva. Aviva is most effective for women with a mild to moderate amount of excess tissue. Women with very large labia may achieve better results with traditional surgical labiaplasty. To find out whether a scarless labiaplasty is right for you, please schedule a consultation to discuss what your concerns are and what you hope to accomplish with treatment.

How Are Aviva Treatments Performed?

Aviva scarless labiaplasty is performed in-office with the use of local anesthesia to ensure your comfort. The Aviva handpiece consists of a thin probe that travels underneath the skin and an electrode that rests on the surface of the skin. Radiofrequency energy is passed between the internal and external components of the handpiece to generate heat in the tissue. Although the minimally-invasive device makes a micro-incision in the skin, there is little discomfort during treatment and no visible scarring after the procedure. The labia majora and labia minora can be targeted in one treatment session.

Is There Downtime After an Aviva Treatment?

There is very little downtime associated with Aviva. Because the treatment is not surgery, there are no incisions to heal and there is little to no discomfort. Risks are also significantly lower compared to a surgical labiaplasty. You will be given a set of instructions to ensure you heal properly, including being asked to abstain from intercourse and tampon use for a recommended period following treatment.

What Results Can I Expect With Aviva?

You may notice the initial skin tightening effects of Aviva shortly after your treatment. Over the weeks that follow, the tissues will continue to tighten and the appearance of the treated areas will improve further. Three Aviva treatments are typically recommended for optimal results.

Experience The Full Difference

I created the Berman Women’s Wellness Center because I believe every woman and beyond deserve a comprehensive, multidisciplinary, state-of-the-art center devoted solely to their health and wellness. I approach all patients on an individual basis to determine the correct treatment approach for their needs and ensure every patient has the education she needs to make informed decisions about her care.

Every member of my staff shares my commitment to compassion and confidentiality. Your time with me will be comfortable and discreet, so you can spend less time feeling anxious about your procedure and more time looking forward to your results. I am committed to providing the most rewarding experience possible.

Schedule Your Vaginal Rejuvenation Consultation Today

Countless women face concerns every day about the function or appearance of their vagina, especially in regards to their sex life. If you are ready to take back control of your body and reverse the effects of time, schedule a comprehensive evaluation with me today. Call my office at 310-772-0072. During your private consultation, we will develop a tailored treatment plan that can include either FormaV or Aviva, or both. I look forward to helping you enjoy the undeniable improvements you’ll achieve in your self-confidence and sexual health.


Q: What happened to my vagina?

A: As women go through childbearing, hormonal changes, and everyday aging, many experience changes in their genitalia; changes that can definitely impact their quality of life. Stress urinary incontinence, vaginal dryness, vaginal laxity and a decrease in erotic sensation are among the complaints I hear from my patients on a regular basis. I also receive questions and complaints regarding the outer appearance of the aging vagina; the enlarged labia minora, excess skin on the clitoral hood, and laxity of the labia majora.

The good news is our office offers many non-surgical, minimally- invasive options that address both the inner and outer issues concerning the vagina.

Laser energy or cutting- edge radio frequency RF technology is used to heat the vulvar and labial tissue which stimulates collagen and elastin production. The end-result is the shrinking and tightening the tissue.

Whether it’s pelvic floor tightening… tissue remodeling… or improvements in blood circulation…depending on your needs, our office can help determine which treatment option is best for you.

Sana R.

“Dr. Berman is amazing! She makes you feel at ease as she takes her time listening and asking questions, is extremely knowledgeable and follows up to check on progress. It’s not very often you come across a doctor who builds rapport with a patient the way she does. I am confident that my issues with vaginal dryness will indeed be solved thanks to Dr. Berman’s suggestions and I feel like I am in good hands.”

Mariam L.

“Dr. Berman was informative, patient and interested in what I had to say. I was embarrassed to bring up my issue with vaginal dryness, but she assured me that it is common and that she could help. She is attentive and caring. Dr. Berman’s compassionate care and genuine interest in your problems make her an outstanding provider.”