Intimate Wellness · Labial and Vulvar Health
Aviva is a minimally invasive radiofrequency treatment that reshapes and tightens labial tissue without surgery, offering an alternative to surgical labiaplasty with significantly less downtime and no visible scarring.

1 Treatment Typical
45 to 60 Min
Minimally Invasive
3 - 7 Days
Long-Term
Scarless labiaplasty alternative
Return to normal activity quickly
Reduces irritation during exercise and daily activity
Full results typically seen by 6 months
Understanding Your Treatment
Aviva uses radiofrequency (RF) energy to remodel and tighten labial tissue through a minimally invasive approach.
A small probe delivers controlled RF energy beneath the tissue surface, creating:
This allows Aviva to address concerns such as:
Unlike surgical labiaplasty, which requires incisions, general anesthesia, and extended downtime, Aviva is performed under local anesthesia and does not involve external cutting or visible scarring.
Results develop gradually over 3 to 6 months as collagen matures and tissue continues to tighten.
Most patients achieve meaningful improvement in a single session.
As a minimally invasive procedure, Aviva is performed by Dr. Dunham and our team of board-certified surgeons.
The EmPowerRF Platform



See It In Action
Aviva gives patients a meaningful option between doing nothing and committing to surgery. The results are real, and the recovery is manageable—which is exactly what most patients are looking for.

Changes in the shape, laxity, or comfort of the labial tissue are completely natural over time, yet they can affect how confident and comfortable you feel. Aviva uses targeted radiofrequency energy to gently tighten and reshape the tissue without surgery, restoring comfort, confidence, and a more youthful appearance.
We can help.
Dr. Dunham performs a private consultation to evaluate your anatomy, concerns, and goals and determine if Aviva is appropriate.
Free · Private · 45 minutes
Aviva is performed in-office under local anesthesia. The procedure takes 45 to 60 minutes.
45 to 60 minutes · Local anesthesia · Outpatient
Mild swelling, bruising, and tenderness are expected for 3 to 7 days. Most patients return to light activity within a week.
3 to 7 days · Gradual return to activity
Initial tightening is visible within weeks, with final results building progressively as collagen matures.
Results are long-term with our unique ability to provide comprehensive corrective treatment plans. With occasional single maintenance treatments, your results will last as long as you wish.
Progressive, Long-Term Results
Results from this treatment are often noticed right away. Because we always do follow-up photos and measurements, you’ll be able to see your own progress and success clearly along the way.
Surgical labiaplasty uses incisions and typically requires general anesthesia and 4–6 weeks of recovery. Aviva uses RF energy to remodel tissue without incisions, with significantly less downtime and no visible scarring.
The procedure is performed under local anesthesia, so patients feel pressure and warmth but not pain. Mild discomfort during recovery is typically manageable.
Results are long-term with our unique ability to provide comprehensive corrective treatment plans. With occasional single maintenance treatments, your results will last as long as you wish.
Pricing is provided during consultation. Financing is available through our partners.
Dr. Dunham and his team will provide an honest evaluation and personalized treatment plan. All our treatment protocols are customized and tailored per patient, utilizing our strategic and methodical approach to create comprehensive stacked plans that are results-driven as opposed to being “sales”-driven. Comprehensive treatment plans are complete overarching, and often “stacked” protocols, where we focus on the end-result as the main goal upon completion. We strategically combine tailored methods of various treatments to work in symbiosis with one another to achieve the overall desired result.