Aviva is a non-excisional alternative to labiaplasty that can be done in less than 20 minutes. We make a small incision, insert the handpiece, and apply radio frequency to heat up the tissue, causing it to contract. The result is tighter skin around the vagina. Any woman who is unhappy with the look of her vagina, has too much skin around the vagina, experiences discomfort or chaffing in that area because of the excess skin, or is self-conscious about the appearance of her vulva through clothes is a good candidate for Aviva.