Geneveve by Viveve

Offered at our convenient location in San Francisco

Introducing Geneveve™ by Viveve, a non-invasive, single session treatment to improve women’s well-being and quality of life! Geneveve stimulates and rebuilds healthy, resilient collagen and elastin to revitalize vaginal tissue.

Book a consultation to see if Geneveve is for you.

What is Geneveve?

Geneveve uses cryogen-cooled monopolar radio-frequency to deliver gentle volumetric heated energy to depths of 3-5mm into the vaginal tissue to stimulate the body’s own collagen and elastin production, that then naturally and gradually restores vaginal tissue. Post treatment, a patient will benefit from an increase in vaginal laxity, decrease in urinary incontinence, increase in natural lubrication, and in increase in arousal.


  • Statistically significantly tighter tissue (improved laxity)
  • Restored and improved sexual sensation and satisfaction
  • Improved arousal and orgasm reported for nine out of ten patients
  • Firmer support of the urethra (helps with incontinence)
  • Better lubrication
  • Non-invasive (no needles or incisions)
  • 30-minute, one-time session
  • No downtime, you’re able to resume normal activity immediately after treatment (we do recommend to abstain from intercourse for 48 hours for optimal results)
  • Self-confidence and relationship improvement; many women (and partners) commented on a boost of confidence and an improved closeness in their relationship post treatment


The next few months following treatment at Pacific Plastic Surgery Group in San Francisco, your body naturally generates collagen and elastin to revitalize and renew the vaginal tissue.

Women feel results at about 30 days and the full results at about 90 days. Women (and their partners) are in agreement – Geneveve works! 90% of women treated with Geneveve reported significant and sustained tightening, sensation, and satisfaction at 12 months post treatment.

Candidacy & Safety

The Geneveve is a safe, non-invasive (no needles, no incisions), single session treatment. You can return to all activities, including vigorous exercise, immediately following treatment. Pacific Plastic Surgery Group recommends restraining from intercourse for 48 hours to allow for optimum results.

Geneveve is ideal for women that want to improve skin laxity of their vaginal tissue, decrease urinary incontinence, increase lubrication, increase sexual arousal and orgasms. This includes women post pregancy, childbirth, and the natural aging process.

Geneveve is not suitable for patients who are currently pregnant or breastfeeding, receiving chemotherapy or radiation therapy, or have had pelvic organ prolapse. Other contraindications for treatment would be a patient with implantable pacemakers, defibrillators, or other implantable electrical devices. Also, a patient with thin recto-vaginal septum or a sexually transmitted disease would not be eligible.

Learn More

If you would like to learn more about vaginal rejuvenation, or would like to schedule a complimentary consultation with one of our board certified plastic surgeons, please contact us.

Frequently Asked Questions

Why would I consider Geneveve?

If you are experiencing the following, you may want to talk to a healthcare professional about Geneveve:

  • Do tampons feel like they are slipping out?
  • Does your vagina feel loose during intimacy?
  • Have you noticed a decrease in physical sensation during intimacy?
  • Is the fit with your partner not as snug as in the past?
  • Do you sometimes feel air flowing from your vagina?

What is vaginal laxity?

Just like skin, vaginal tissue is made up of collagen fibers. Over time or with trauma the collagen can lose its strength and shape, creating a feeling of looseness (laxity), especially around the vaginal opening. Common causes of vaginal laxity include childbirth, other physical stress on the tissue, aging, genetic pre-disposition and lifestyle.

If you experience vaginal laxity, you may also notice a decreased feeling of sensation and satisfaction during intercourse.

How common is vaginal laxity?

Vaginal laxity is an extremely common medical condition.

A Viveve-sponsored survey of U.S. OB/GYN physicians revealed that vaginal laxity is the number one physical change that they see or their patients report following vaginal delivery; more common than weight gain, incontinence, or stretch marks. In a survey of more than four hundred women in the U.S. who had vaginal deliveries, nearly half reported some level of concern with vaginal laxity.

What do I do if I have vaginal laxity?

There are multiple ways women can address vaginal laxity:

  • Kegel exercises may be the most commonly known and prescribed treatment because they can strengthen the pelvic floor muscles. However, while Kegels may improve muscle tone, they do not address the loss of elasticity in the soft tissue that rests upon the muscle and contributes to vaginal laxity.
  • Surgical options may be effective but also may entail significant health risks, recovery time, post-procedure pain and out-of-pocket costs.
  • Geneveve works at the cellular level to rebuild and restore collagen, without harming the vaginal opening. Currently, Geneveve is specifically designed for vaginal laxity and sexual function and has been shown to be safe and effective in a large, randomized, blinded and placebo-controlled clinical trial.

What is the Geneveve treatment like?

Geneveve is a comfortable, 30-minute treatment that does not require local or topical anesthesia or analgesics. Geneveve is performed by a trained healthcare professional in an outpatient setting. Geneveve uses gentle, deep heating and surface cooling to stimulate the body’s natural collagen formation process, which revitalizes and tightens tissue just inside the vaginal opening.

Because the surface of the vaginal walls is not injured, patients typically return to normal activities immediately.

What are the benefits of the Geneveve treatment?

Viveve has conducted multiple clinical studies on the Geneveve treatment. Two clinical studies showed statistically significant improvement in vaginal tightening, to pre-childbirth levels, at 1, 3, 6, and 12 months following a single, comfortable office-based treatment. At 12 months, improved and sustained tightening was shown in 90% of the women. Significant improvement in sexual satisfaction was also indicated through 12-month follow-up.

A third large, randomized, placebo-controlled clinical study showed that women who received the Geneveve treatment were 3 times more likely to report achieving “no vaginal laxity” at 6 months than women who did not receive the treatment, with no additional safety risks.

Is the Geneveve treatment safe?

Yes, It is safe and effective!

Who can have the Geneveve treatment?

Your doctor will determine if Geneveve is right for you based on your medical history. However, you should NOT consider Geneveve if you have an implantable pacemaker or an Automatic Implantable Cardioverter/Defibrillator (AICD) or any other implantable metal device.

Who performs the treatment?

The Geneveve treatment is performed by a trained healthcare practitioner in a medical office or outpatient clinic.