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Vaginal Rejuvenation – ThermiVa and Viveve

Renew MediSpa is the premier provider of Intimate Wellness Services in New Hampshire. Dr. Vuich is a Key Opinion Leader for Viveve, and Chief Physician Liason for Bridging Biosciences- a group which is working to develop new technologies for quality control and outcomes measurements for cell therapies such as platelet-rich plasma Dr. Vuich has participated in the design of the Transcend Customized PRP protocol- first of its kind in the nation, this protocol ensures that the dose of growth factors (platelet rich plasma) delivered meets the highest standards in the industry. She is also participating in groundbreaking clinical research in the field of sexual wellness procedures in partnership with Bridging Biosciences.
Childbirth and the natural aging process cause changes which may affect feminine wellness. A particularly strenuous vaginal childbirth, or multiple births, can cause stretching of the vagina. The effects of menopause can also cause physical and functional changes, such as excessive dryness, pain, and difficulty achieving orgasm to name a few.
Women don’t want an out-of-control feeling when it comes to their bodies, especially when it affects the most intimate part of their lives. They want to reclaim their younger or “pre-baby” bodies and both restore their sense of well being and revive their relationship.
Dr. Vuich is proud to have been the first physician in New Hampshire to offer ThermiVa and Viveve/formerly Geneveve.
“These treatments improve women’s lives and relationships, and are among the most rewarding treatments we offer at Renew MediSpa. I cannot count the number of women who have said to me ‘Why didn’t my doctor tell me about this, I complained about these symptoms for years! I tried everything else they gave me and none of it worked.’ Even more sad is when I hear ‘I told them my symptoms but they didn’t address it. They didn’t seem to want to talk about it.’ There have been hugs and even tears of relief at follow up appointments. It doesn’t get any better than helping a woman feel whole again, confident and in control of her body finally after feeling fairly helpless and depressed. We work very hard to get the word out to women in our region that solutions are available. “
– Lisa Vuich, MD

Viveve Vaginal Rejuvenation

Renew MediSpa was the first in New Hampshire to offer Viveve (formerly Geneveve) vaginal rejuvenation. This single-session, clinically proven treatment is truly one of the most advanced treatments in vaginal rejuvenation. Viveve is a nonsurgical treatment that works at the cellular level to rebuild and restore collagen without damaging the vaginal tissues.
Vivevee utilizes cryogen-cooled monopolar radiofrequency technology to stimulate collagen production. A patented heating mechanism delivers energy deep into the tissues while a cooling mechanism protects the surface vaginal tissues. When it comes to tightening, it’s best when the treatment is able to deliver heat to the targeted deeper layers. And, Viveve’s dual system delivers heat right to these deeper layers much better than laser treatments are able to, while also making sure the delicate surrounding tissues are unharmed. The cooling system also helps keep patients comfortable and the procedure painless.
Various studies, including the VIVEVE 1 study, a large, randomized, blinded, and placebo-controlled trial have shown that not only does Viveve vaginal rejuvenation lead to no serious side effects, but that 9 out of 10 patients reported an improvement in sensation and sustained tightening that lasted for at least 12 months.
The VIVEVE 1 study also showed statistically significant improvement in arousal, lubrication, and orgasm.

Your Procedure for Viveve Vaginal Rejuvenation

Since it’s completely nonsurgical, your vaginal rejuvenation treatment can be performed in the office in under an hour. Viveve is painless, and patients will be able to go home the same day as their procedure. Viveve can be performed in a single session.

Recovery from Viveve Vaginal Rejuvenation

Because of Viveve’s dual heating and cooling mechanism, the vaginal tissues are protected from damage, so there’s no need for any downtime or a recovery period after the vaginal rejuvenation procedure. Patients are asked to refrain from sexual activity and tampon use for 48 hours.


Dr. Vuich was also one of the first physicians in New Hampshire to offer ThermiVa, a revolutionary vaginal rejuvenation treatment that can target both internal and external vaginal structures. This nonsurgical treatment uses radiofrequency technology to encourage long-term collagen production in labia and in the vaginal canal, allowing the tissues to tighten. Using a smooth, small applicator, ThermiVa applies energy to the tissues without harming them or causing discomfort. Because of its unique mechanism, ThermiVa can also help stimulate the glands in the vagina, allowing it to reverse vaginal dryness, a common side effect of aging. By allowing the patient to tighten slack or oversized labia, ThermiVa can help reduce discomfort during activities like sex, riding a bike, or even wearing snug clothing.

Your Procedure for ThermiVa

ThermiVA is performed as a series of 3 treatments over the course of 2 months. ThermiVa can be performed in the office, and it requires no anesthetic, recovery period, or downtime. It also takes less than one hour to perform. On the day of the procedure, the patient will lie on the adjustable exam table, while the small ThermiVa applicator is applied on the labia and on to the walls of the vagina. ThermiVa is painless, and many patients report only a slightly warm sensation.
Patients usually notice improvement in two weeks after their first Thermiva treatment, but the full results from their vaginal rejuvenation should be present after their series of treatments are over. THermiVa’s vaginal rejuvenation results have been shown to last for 12 months or more.

Recovery from ThermiVa

There is no downtime or recovery necessary for ThermiVa; typically, patients can engage in sexual activity the day after the treatment, but we recommend that patients make sure to check in with Dr. Vuich before doing so.
At Renew MediSpa we often combine these advanced radiofrequency treatments with platelet rich plasma- The O shot.

Thermi-O and Genny-O

What happens when you take TWO highly effective rejuvenation procedures and combine them? The result is often even more pronounced- We call this phenomenon synergy. Combining ThermiVa treatments or a Viveve treatment with The O-Shot® is a powerful tool to improve orgasms, help dyspareunia (painful sex), stop both urge & stress incontinence, relieve lichen sclerosus, increase libido, and improve sensation– for an improvement in sexual function, urinary function, and strengthening of relationships.
At the time of a consultation, we can help you to determine whether ThermiVa or Viveve/Geneveve would best suit your symptoms and goals. Both treatments utilize radiofrequency technology.

The Benefits of Vaginal Rejuvenation

Vaginal rejuvenation can address medical problems like incontinence, but by improving your quality of life, vaginal rejuvenation’s benefits are so much more meaningful. With vaginal rejuvenation, our patients can enjoy increased sensation, easier arousal, and an easier time reaching orgasm. But what’s just as important is that they can finally feel confident in their body, feel more alluring, and feel more comfortable in their skin.

Am I a Candidate for Vaginal Rejuvenation?

Patients who are pregnant, have a vaginal or bladder infection, or have current abnormal pap smears cannot have vaginal rejuvenation with either Viveve or ThermiVa.
At Renew MediSpa we feel strongly that it is time for women to “just say no” to accepting sexual dysfunction as a “necessary part of aging.” Any woman bothered by vaginal dryness, vaginal looseness, pain with intercourse, loss of libido, difficulty with orgasm or urinary leakage deserves to know that there are effective treatments available that are nonsurgical, noninvasive, with little or no downtime, that can reverse these symptoms and with maintenance can allow her to function normally during what should be the best years of her life.

Which Procedures Are Best for Me

We encourage you to contact us at Renew MediSpa for a consultation to determine which treatments or combination of treatments would best suit your needs. In addition to ThermiVa and Viveve, we offer the O Shot, the Wing Lift, and bioidentical hormone replacement with testosterone pellets (non-estrogen).
Our recommendation will be customized to your symptoms and their relative severity to ensure that you have the best experience and results during your intimate wellness journey.
Client Testimonials
I was impressed with the results that occurred over 90days after the Viveve treatment. I can definitely feel an improvement in tightness and lubrication which of course makes intimacy more enjoyable! And I have not had any urine leakage during sneezing fits either! I would recommend Viveve as a great go to treatment for anyone dealing with perimenopause challenges.
– PJ, March 2021

After having a hysterectomy one year ago I noticed the development of low libido. I also had to wear a panty liner due to urine leakage at times. I was on your website and watched the video about the O shot and decided to come in for a consultation. The combination of the O Shot and Thermiva was very easy. I actually was very relaxed. After the procedure I went shopping. All I can say is “wow” -I felt in increase in libido the very next day. I have not had to use lubricant before intercourse since the first treatment. I also do not wear pantyliners anymore. I just had my second Thermiva treatment and I couldn’t be happier. Dr. Lisa is always staying up to date on the latest procedures to offer women. She and her staff are down to earth and you feel very relaxed. My husband is so happy I had the procedure.”
– MM, July 2016

My life and relationship couldn’t be better. The vaginal moisture, pain free intercourse, and easy, intense orgasms have improved even more over the course of the month. My husband is amazed how tight I am, hence improving the quality of his orgasms. And no more stress urinary incontinence! I haven’t worn a pad in 3 wks! This is such a life changer. My husband calls me his new woman, and he definitely is my new improved man.

I had my 2nd of 3 Thermiva treatments this past week and have been blown away with the results. I don’t leak anymore, and my intimate life with my husband is better now than it was when we got married. One of the benefits I had heard was more stimulation and feeling during intercourse. This is an understatement. My ability to climax is faster and it often happens multiple times. I can’t speak more highly of the procedure and believe this is a miracle for women of any age.
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